Name
*
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
*
(###)
###
####
Type of Employment Seeking
*
Full-Time
Part-Time
Date available for Employment
*
MM
DD
YYYY
Available to Work
*
Days
Nights
Weekends
Holidays
Ever applied to or worked for RCDC?
*
Yes
No
Educational Level Attained
*
High School
College (4 year)
Vocational
Other Training (certifications, special courses, military training, etc.)
Describe any Honors Received
Other Job-Related Activities
List professional, trade, business, or civic activities or offices held.
Special Skills and Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.
Employer Name 1
Employer Address 1
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Job Title
Supervisor/Dept.
Reason for Leaving
Dates Worked
Employer Phone Number 1
(###)
###
####
May we contact?
Yes
No
Employer Name 2
Employer Address 2
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Job Title
Supervisor/Dept.
Reason for Leaving
Dates Worked
Employer Phone Number 2
(###)
###
####
May we contact?
Yes
No
Employer Name 3
Employer Address 3
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Job Title
Supervisor/Dept.
Reason for Leaving
Dates Worked
Employer Phone Number 3
(###)
###
####
May we contact?
Yes
No
Have you ever served in the military?
Yes
No
If so, please provide branch, date of discharge, and final rank.
Name 1
First Name
Last Name
Phone 1
(###)
###
####
Name 2
First Name
Last Name
Phone 2
(###)
###
####
Name 3
First Name
Last Name
Phone 3
(###)
###
####
Name 4
First Name
Last Name
Phone 4
(###)
###
####
Do you know anyone who works at the Rowan County Detention Center?
Yes
No
If yes, list name(s).
Are you 21 years of age or older?
Yes
No
Do you have a valid driver's license?
Yes
No
Do you have a high school or GED diploma?
Yes
No
Do you have a Social Security card?
Yes
No
Are you legally eligible for employment in the U.S.?
Yes
No
Can you provide documentation verifying your eligibility?
Yes
No
Are you able to perform the essential duties and responsibilities of the position for which you are applying with or without accommodation?
Yes
No
Since the age of 18, have you ever been convicted of a felony?
Yes
No
Since the age of 18, have you ever been convicted of a misdemeanor?
Yes
No
If yes to either of the prior 2 questions, please give dates, charges and an explanation:
Have you engaged in sexual abuse and/or sexual misconduct in any previous jobs or in the community?
Yes
No
Have you been convicted of engaging in sexual abuse and/or sexual misconduct?
Yes
No
Have you ever received an administrative or civil punishment for your role in the activity described above?
Yes
No
If yes to any of the above questions, please provide dates, allegations, charges and details of these incidents:
Where do you see yourself in the next five (5) years?
Write a statement on why you would be the best person to be chosen as a deputy at RCDC?
What are your strongest assets?
What are your weaknesses?
What do you hope to accomplish with this type of career?
*
I agree to submit to and satisfactory pass pre-employment drug screen by a qualified party of the detention center's choosing. I also agree to submit to random drug testing on a mandatory basis.
I understand, if accepted for employment, that this application does not constitute an employment contract, expressed or implied. An individual's employment and compensation can be terminated at any time at the option of either the Rowan County Detention Center or the employee.
I authorize all persons, schools, current employer, previous employers and organizations named in this application (and accompanying resume if any) to provide the Rowan County Detention Center with any relevant information that may be required to arrive at an employment decision. I authorize the detention center to conduct an NCIC background check and investigate my driving record, criminal history and any other pertinent information as is necessary to arrive at an employment decision in accordance with applicable detention center policy, procedure and law. I agree to cooperate in such investigations and release those parties supplying such information to the detention center from all liability or responsibility with respect to information supplied. I authorize the detention center to contact any and all personal and previous employment reference I provide.
I understand that I will receive certification for Taser and understand that to receive certification, I must be exposed to the Taser. I understand that all employees are subject to a 6 month probationary period (which may be extended). I agree to abide by the policies, procedures and directives of the employer. I acknowledge that such policies, procedures, and directives may be changed, interpreted, withdrawn or added to by the employer at any time, at the employer's sole option and without any prior notice to me.
I agree to conform to Rowan County Detention Center's rules and regulations, policies and procedures. I understand and agree that while employed at the Rowan County Detention Center I am not permitted to visit, converse or contract favors of any type to any inmate(s) or family member of inmate(s) incarcerated at the Rowan County Detention Center.
I understand that any false answers or statements made by me on this application, statement, or any supplement in connection with the above mentioned investigations, will be sufficient grounds for immediate discontinuation of consideration for employment, and immediate discharge, if I am employed.
First Name
Last Name
Date
*
MM
DD
YYYY