CSA Application

CSA Application

I am a full-time UCI student and possess a valid driver's license.

I acknowledge that I have read the above statement.*

Applicant Information

First Name*

Last Name*

Local Address*

Permanent Address*

Local Phone#*

Phone

UCI Email Address*

US Citizen?*

Yes

Full-time UCI Student?*

Yes

Valid CA Driver License*

Yes

Expected Graduation Date*

Major*

Units completed*

Cumulative GPA*

Former/Current UCI Employee*

Yes

Department

Please list department if you answered 'yes' above.

Have you ever applied to the CSA Program before?*

Yes

Date

Please indicate date if you answered 'yes' above.

Are you acquainted with any past or present police personnel?

Yes

Personnel name

Please indicate name and department if you answered 'yes' above.

Criminal Offense?*

Yes

Criminal Offense Details

Please explain if you answered 'yes' above.

How did you hear about the CSA Program?

Select

Please list any fluency in foreign languages.

Work Availability

Willing to work weekends?*

Yes

Willing to work weekdays?*

Yes

Willing to work during midterms and finals weeks? (excluding scheduled class/exam times)*

Yes

Willing to work from 10 p.m. - 3 a.m.?*

Yes

Willing to work after 3 a.m.?*

Yes

Do you have workstudy?

Yes

How many hours are you available to work per week?*

Please tell us why you wish to work for the CSA Program or your qualifications and/or background.*

Aside from school, what other time commitments do you currently have?*

What do you know about CSA Program?*

Resume Attachment

Upload your resume in PDF format.

File Attachments*

Drag and drop files here or

Notice of Agreement

By clicking SUBMIT, I hereby certify that all statements made in this application are true and complete, and I understand that any misstatement of material facts will subject me to disqualification or dismissal.

Send me a copy of my responses

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