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Henderson County Detention Center Application for Employment
Personal Information
Pre-employment conditions:
-Must be at least 21 years old
-Valid driver's license
-High school or GED diploma
-Social security card
-Good health (must be to go up and down stairs)
-Personal and employment reference checks
-Criminal/driving background check
-Pass drug screen
-OC pepper spray exposure
Requirements if employed:
-At will employment
-Drug tested
-Required to follow all policies and procedures
-Enforcement application
-Required to work weekends
-Required to work all shifts
-Required to have a valid driver's license
-Computer experience preferred but not required
-90 day probationary period which may be extended
-Employee will take a polygraph test upon request during employment
-All floor deputies are required to be certified to carry peppery spray which will require the employee to be exposed to pepper spray during certification
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AGREE TO BE LIABLE FOR ANY COSTS OF ATTORNEY'S FEES REASONABLY INCURED FOR THE REIMBURSMENT OF TRAINING EXPENSES, UNIFORMS, AND REPLACEMENT COSTS IN THE AMOUNT OF $1815.00 IF EMPLOYED FOR LESS THAN ONE YEAR.
Employee Benefits:
-May advance in promotions system
-Required uniforms furnished
-Henderson County participates in Kentucky State County Employee Retirement System
-Life Insurance: $30,000 policy, premiums paid by the county
-Accrue one half (1/2) per month
-Earn 80 hours of vacation pay per year (after one year of service)
-Deferred Compensation
I have read and understand the information listed on this document. I agree that printing my name below is my electronic signature.
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Date of application
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First Name
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Last Name
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Address 1
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Address 2
City
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State
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Zip Code
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Phone
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Email Address
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Job Interests
Type of employment seeking (choose one):
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Full time
Part time
Position desired:
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Date available for employment
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Salary Desired:
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Currently employed:
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Yes
No
If yes, may we inquire of your present employer?
Yes
No
Have you ever applied for HCDC before?
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Yes
No
If yes, when?
Have you ever worked for HCDC before?
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Yes
No
If yes, please list when, your reason for leaving, and the name of your last supervisor?
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Education and Training
High school- List name and address, highest grade completed, and degree obtained:
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College- List name and address, highest grade completed, and degree obtained:
Vocational/correspondence- List name and address, highest grade completed, and degree obtained:
List any other training (factory or office machines operated, special courses, military training, etc.), honors recieved, other job related skills (professional, trade, business, or civic activities and offices held. May exclude membership which would reveal sex, religion, national origin, age, ancestry, or other protected status), and or qualifications (special job-related skills and qualifications from employment or other experience):
Have you ever served in the military?
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Yes
No
If yes, please list branch, date of discharge, and final rank:
Are you presently serving in National Guard or Reserves?
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Yes
No
If yes, please list date obligation ends:
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Employment History
Employer 1
Company Name
Address
Phone
Start Date
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End Date
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Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone Number
Employer 2
Company Name
Address
Phone
Start Date
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End Date
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Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone Number
Employer 3
Company Name
Address
Phone
Start Date
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End Date
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Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone Number
Employer 4
Company Name
Address
Phone
Start Date
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End Date
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Position
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone Number
References
Give name, daytime telephone number and the best time to contact four people who can provide a personal reference. Do not use relatives or previous employers.
Reference 1
Name
Title
Email Address
Phone
Reference 2
Name
Title
Email Address
Phone
Reference 3
Name
Title
Email Address
Email Address
Reference 4
Name
Title
Phone
Email Address
Do you know anyone who works at the Henderson County Detention Center?
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Yes
No
If yes, please list names:
Are you 21 years of age or older?
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Yes
No
Do you have a valid driver's license?
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Yes
No
Do you have a high school or GED diploma?
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Yes
No
Do you have a social security card?
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Yes
No
Are you legally eligible to work in the U.S.?
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Yes
No
Can you provide documentation for your eligibility?
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Yes
No
Are you able to perform the essential duties and responsibilities of the position for which you are applying with or without accommodation?
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Yes
No
Since the age of 18, have you ever been convicted of a felony?
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Yes
No
Since the age of 18, have you ever been convicted of a misdemeanor?
Yes
No
If you answered yes to either of the above 2 questions, please give dates, charges, and an explanation:
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PREA (Prison Rape Elimination Act) Standard 115.17
Have you engaged in sexual abuse and/or sexual misconduct in any previous jobs or in the community?
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Yes
No
Have you been convicted of engaging in sexual abuse and/or sexual misconduct?
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Yes
No
Have you ever received an administrative or civil punishment for your role in the activity described above?
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Yes
No
If you answered yes to any of the above questions, please provide dates, allegations, charges, and details of these incidents:
Other Information
Are you available to work any shift, any day of the week?
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Yes
No
Where do you see yourself in the next five (5) years?
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Write a statement on why you would be the best person to be chosen as a Deputy as HCDC:
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What are your strongest assets?
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What are you weaknesses (describe)?
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What do you hope to accomplish with this type of career?
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Please submit a copy of your resume.
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 Henderson 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 Henderson 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 references I provide.
I understand that I will receive certification for OC Pepper Spray and understand that to receive certification I must be exposed to the OC Pepper Spray. I understand that all employees are subject to a 90 day 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 Henderson County Detention Center’s rules and regulations, policies and procedures, I understand and agree that while employed at the Henderson 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 Henderson County Detention Center.
IF EMPLOYED FOR LESS THAN ONE YEAR, I AGREE TO BE LIABLE FOR ANY COSTS OF ATTORNEY’S
FEES REASONABLY INCURRED FOR THE REIMBURSEMENT OF TRAINING EXPENSES, UNIFORMS AND
REPLACEMENT COSTS IN THE AMOUNT OF $1815.00.
Cost Analysis Associated with Employment
Uniform $290.00
Replacement Uniforms $290.00
Training Expenses $600.00
(Basic jailer, CPR, First Aid)
Attorney Fees $600.00
Drug Test
$35.00
Total $1,815.00
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.
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Date:
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