Campus Student Officer Application NAME AND CONTACT INFORMATION   First, Middle, Last Name   Date of Birth S.S. Number   Contact Number Other NumberCellHomeWorkOther   Email   Home Address   City, State, Zip   School/Local Address, City State, Zip(if different from Home Address)   Do you posses a valid driver's licenseYesNo (answering "No" does not disqualify you from being hired) If yes, D.L. Number D.L. State     SCHOOL INFORMATION   Are you a current student?YesNo   Undergraduate StatusFreshmanSophomoreJuniorSenior Major     ANSWER ALL QUESTIONS IN THIS SECTION   Have you ever been arrested or convicted for any crime other than minor traffic violation? ---YesNo   Have you ever been fired or asked to resign from a job ---YesNo   Have you ever been on probation? ---YesNo   Do you now or have you ever used any illegal substances? (marijuana, cocaine, methamphetamine, heroin, LSD, Ecstasy, etc.) ---YesNo If you answered YES to any of the above questions, please explain below.   MILITARY SERVICE   Have You Served in the Military? ---YesNo    National Guard ---Yes           Reserves ---Yes              Active ---Yes   Served From To Branch---ArmyNavyAir ForceMarinesCoast Guard   MOS/ Job Description   Discharged---YesNo If yes, was discharge HONORABLE ---YesNo     WORK EXPERIENCE Last Job Held   Employer, Address, City, State   Job Title, Reason For Leaving   Dates of Employment (mm/dd/yyyy) to (mm/dd/yyyy) and Name of Superviosr   Other Work Experience You Would Like To Tell Us About     SKILLS AND ABILITIES   Skills and Abilities Tell us about any special skills or abilities you possess   Comments Is there anything else you would like us to know?   I certify that the information I provided on this application is true and correct to the best of my knowledge.