APPLICATION FOR EMPLOYMENT Jackson County Sheriff’s …



APPLICATION FOR EMPLOYMENT Page 1

Jackson County Sheriff’s Office | |

|Last Name | First Name | Middle Name |Suffix |

|      |      |      |      |

|Date of Birth mm/dd/yyyy |Social Security Number |Job Applied For: |

|     /     /      |     -     -      |Detention Officer Deputy Sheriff Other:      |

|Driver’s License Number | | |

|      | | |

|Type of work that you will accept: |Date for which you could start |Veteran |Military Reserve? |

|Permanent Full-Time Permanent Part-Time |      |Yes |Yes Branch:       |

|Temporary Full-Time Temporary Part Time | |No |No |

|Street Address |Town/City |State |Zip Code |

|      |      |      |      |

|Mailing Address |Town/City |State |Zip Code |

|      |      |      |      |

|Home Phone Number |Cell Phone Number |Email Address |

|      |      |      |

|Education: GED High School Diploma Associates Degree Bachelors Degree Other:      |

|Schools |Name |Town/City |State |Graduate? |Major/Minor/Course of Study |

|Dates Attended | | | | | |

|High School |      |      |      |Yes | |

| |From:       To:       | | |No | |

|Graduate/ |      |      |      |Yes |      |

|Professional |From:       To:       | | |No | |

|Other/ |      |      |      |Yes |      |

|Vocational |From:       To:       | | |No | |

|Internships |      |      |      | | |

| |From:       To:       | | | | |

|Specialized Training Certificates Earned: |

|Detention Officer Certification Basic Law Enforcement Training Intoxilyzer 5000 Radar Operator |

|Other: (please list)                               |

|Do you currently hold a certification through one of the following? |

|North Carolina Criminal Justice Training and Standards Commission and held by this agency:       |

|North Carolina Sheriff’s Training and Standards Commission and held by this agency:       |

|Other:       |

|Other special training or courses that are relevant to the job for which applied: |

|      |

|      |

|Are any of your relatives currently employed by the Jackson County Sheriff’s Office? If so, please list. Yes No |

|      |

|Are any of your relatives currently employed by Jackson County, other than the Sheriff’s Office? If so please list. |

|Yes No |

|      |

|Volunteer Services: | |

|Organization:       | |

|Dates: From       To       | |

|Contact Person:       | |

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