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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.
*
Personal Information:
(Required.)
Name
Current Street Address
City / State
How long at this address
Email address
Phone number
*
Are you a citizen of the United States?
(Required.)
Yes
No
*
Are you at least 18 years old?
(Required.)
Yes
No
*
Do you currently have a valid driver's license?
(Required.)
Yes
No
*
Driver's license (please upload a photo of the license)
(Required.)
License photos are used for security/background purposes.
Choose File
No file chosen
*
Do you have a high school diploma or GED equivalent certificate?
(Required.)
Yes
No
*
Which position are you applying for?
(Required.)
Booking Specialist (Must be 18 or older)
Control Room Operator (Must be 18 or older)
Deputy Jailer (Must be 21 or older)
Maintenance
*
Do you have any days or times of the week when you cannot work?
(This position requires the ability to work days or nights)
(Required.)
*
Have you ever been arrested?
(Required.)
Yes
No
Please describe the nature of the event.
*
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)
(Required.)
Yes
No
Current Progress,
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