Page | 7 Rev (7/2019)
Sacramento State Police Department CSO Employment Application
6. Upon hire, will you be able to provide proof of eligibility to work in the U.S. as specified in the Immigration
Reform and Control Act of 1986?
7. Do you have a valid California Driver’s License?
8. Have you ever been released or discharged from employment or resigned to avoid such release or
discharge? If yes, please provide date(s) and circumstances below:
California State University, Sacramento is an Affirmative Action/Equal Opportunity Employer and has a strong institutional commitment to the
principle of diversity in all areas. We consider qualified applicants for employment without regard to race, color, religion, national origin, age,
sex, gender identity/expression, sexual orientation, pregnancy, genetic information, medical condition, marital status, veteran status, or
disability. Sacramento State hires only those individuals who are lawfully authorized to accept employment in the United States.
It is the policy of California State University, Sacramento to provide reasonable accommodations for qualified persons with disabilities who are
employees or applicants for employment. If you need a disability related reasonable accommodation as part of the application and/or
interviewing process, visit http://www.csus.edu/hr/departments/equal-opportunity/index.html.
Under Federal law, Candidate(s) must furnish proof of eligibility to work in the U.S. by providing documents specified in the Immigration Reform
and Control Act of 1986.
The State of California Information Practices Act of 1977 requires the University to provide the following information to individuals who are
asked to supply personal information about themselves: (1) the principal purpose for requesting and collecting the personal information on this
form is to comply with applicable State and Federal laws; (2) providing the personal information is mandatory, unless otherwise noted;(3) the
personal information will be kept confidential and used only in accordance with applicable laws; (4) the personal information will be given to
government enforcement agencies if these agencies request such information, or as otherwise required by law; (5) individuals have the right to
review their own records in accordance with University personnel policies and collective bargaining agreements
Notice of Availability of Sacramento State Annual Security Report
As provided by the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act of 1998, prospective employees are
entitled to request a copy of the Sacramento State Annual Security Report prepared in compliance with this Act. The current Annual Security
Report (ASR) is available for viewing at www.csus.edu/police/cleryact.htm. The ASR contains the current security and safety-related policy
statements, emergency preparedness and evacuation information, crime prevention and sexual assault prevention information, and drug and
alcohol prevention programming. The ASR also contains statistics of Clery Act crimes for Sacramento State for the last three (3) calendar years.
Paper copies are available upon request at the Police Service Center located in the University Union or by calling (916) 278-2788.
I,______________________________________________, wish to be considered for employment with the Sacramento State Police Department.
I certify that all the statements made on this application are true, complete, and correct to the best of my knowledge and belief, and are made
in good faith. I hereby authorize the Sacramento State Police Department and its agents to investigate and verify all statements obtained in my
employment application and to obtain information concerning my qualifications as a prospective employee. I understand that job-related
background checks are required for certain positions, the check will be conducted and completed before appointment or promotion to that
position. I understand that failure to provide mandatory information and/or falsification may be grounds for disqualification or separation. In
connection with the investigation of this application, I authorize the Sacramento State Police Department to contact each of my former
employers, educational institutions and references listed herein. I also authorize each of the former employers, educational institutions and the
references listed herein to give the Sacramento State Police Department any and all information concerning my education, previous
employment, and any pertinent information they may have regarding my work performance, whether such information is favorable or
unfavorable to me. I hereby fully release all such persons and entities from any liability with respect to furnishing such information to the
Sacramento State Police Department, and waive any claims I may have against them with respect to release of such information. I also authorize
Sacramento State Police Department to release such employment information as necessary to those employees and agents of the Sacramento
State Police Department who require such information to investigate or to make a decision with respect to any matter of my employment.
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