Initial Survey Form

Please complete this form before clicking the "Submit" icon at the end of your response. Surveys not completed will not be evaluated to move forward in the process.

Question Title

* Personal Information:

Name

Current Street Address

City / State

How long at this address

Email address

Phone number

Question Title

* Are you a citizen of the United States?

Question Title

* Are you at least 18 years old?

Question Title

* Do you currently have a valid driver's license?

Question Title

* Driver's license (please upload a photo of the license)

Question Title

* Do you have a high school diploma or GED equivalent certificate?

Question Title

* Which position are you applying for?

Question Title

* What days/hours are you available to work? (Open availability preferred)

Question Title

* Have you ever been arrested?

Please describe the nature of the event.

Question Title

* Have you ever been convicted of a felony?
(Please Note: If convicted of a felony, you are automatically disqualified from employment with Campbell County Detention Center)

Initial Survey Form

Question Title

* Personal Information:

Question Title

* Are you a citizen of the United States?

Question Title

* Are you at least 18 years old?

Question Title

* Do you currently have a valid driver's license?

Question Title

* Driver's license (please upload a photo of the license)

Question Title

* Do you have a high school diploma or GED equivalent certificate?

Question Title

* Which position are you applying for?

Question Title

* What days/hours are you available to work? (Open availability preferred)

Question Title

* Have you ever been arrested?

Question Title

* Have you ever been convicted of a felony?(Please Note: If convicted of a felony, you are automatically disqualified from employment with Campbell County Detention Center)

* Have you ever been convicted of a felony?
(Please Note: If convicted of a felony, you are automatically disqualified from employment with Campbell County Detention Center)