Campus Safety Officer Skills Survey
Name: ______________________________________________ Date: _______________________
Position: __________________________________________________________________________
This information becomes part of your application. Your skills, expertise, and education will be rated based on
your answers. Please fill out this form as completely as possible. Under columns three through six, check the
category that best shows the depth of your experience. Do not check more than one column per line.
Years of relevant experience:
Check Degrees (Attach Transcripts):
Full time work
HS/GED
Part time work
Certificate
Area
Associate
Major
Bachelor
Major
Certificates & Licenses (check all that apply):
Law Enforcement Basic Training (400 Hours)
Law Enforcement Basic Training (480 Hours)
IL Driver’s License
IL FOID Card
Part-Time Police Academy
Please only include related on-the-job experience (do not include experience gained during law enforcement
training, etc.):
Model/
Version
Used
Years of
Experience
Training
only (1)
Preformed
with help
(2)
Performed
unaided
(3)
Instructed
others (4)
Police & Security Functions:
Interpersonal communication
(e.g. Verbal Judo)
Conflict Resolution
Radio Communications
Detection of Controlled
Substances & Alcohol
Traffic Direction
Crash/Accident Investigation
Crowd Control
Security & Surveillance
Report Writing
Personal Defense
Other:
Continued
2
Campus Safety Officer Skills Survey
Model/
Version
Used
Years of
Experience
Training
only (1)
Preformed
with help
(2)
Performed
unaided
(3)
Instructed
others (4)
Security Proficiency:
First Aid
CPR
Firearms Training & Safety
Baton Use
Mace
Other:
Laws:
Attendance in Court
Laws of Arrest, Search & Seizure
Rules of Evidence
Use of Force
Criminal Offense of Illinois
Other:
Computer Hardware:
PC
Macintosh
Other:
Word Processing Software:
Microsoft Word
Other:
I have answered the above information to the best of my knowledge.
Signature: ______________________________________________ Date: ________________________
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