Please tell us how you heard of Jack Harwell Detention Center. Newspaper Ad. Texas Workforce Commission. On- Line Advertising

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1 Please tell us how you heard of Jack Harwell Detention Center. Newspaper Ad Sign in front of Jack Harwell Employee who works here now and who Texas Workforce Commission Bill Board On- Line Advertising Other 3101 E. Marlin Hwy Waco, Tx Ph: Fax:

2 Name: Date: LaSalle Corrections Jack Harwell Detention Center Prospective Employee Packet Jack Harwell Detention Center

3 All Jobs Requirements Minimum Education Requirements: Have passed a GED test or be a high school graduate. MUST be a citizen of the United States (All positions with inmate contact) MUST have a current home telephone number or cell phone. This must be a number that you can be contacted at all times. MUST be at least 18 years of age Be fingerprinted-search for Local, State, and National Records-to disclose Criminal Records. Not EVER have been or currently on court-ordered community supervision or probation for any criminal offense above Class B misdemeanor; or a Class B Misdemeanor within the last 10 years. Not currently under any indictment or any criminal offense. Not EVER have been convicted of an offense above the grade of a Class B Misdemeanor within the last 10 years. Not EVER have been convicted of any family violence offense. MUST HAVE A VALID TEXAS DRIVER S LICENSE. Not prohibited by State or Federal law to possess firearms or ammunition. MUST be subjected to background investigation and interviewed by appointing agency. MUST be examined by a Physician: Must be physically sound and free from any defects and show no trace of drug dependence or illegal drug use. A pre-employment drug screening will be conducted. Be examined by a Psychologist or Psychiatrist. MUST be in a satisfactory Psychological and Emotional Health. Honorable Discharge- Nothing Less Not have had a commission (TCOLE) license denied or revoked or voluntary surrendered. Meet the Minimum Training Standards and pass TCOLE commission Examination. Not violate any commission rule or provision of Occupation Code, (Chapter 1701) You Must Provide Originals of the Following Documents before Beginning Work- No Exceptions. Driver s License (TX) Social Security Card DD214 (Former Military Only) HS Diploma/ HS Transcript or GED Birth Certificate (No Hospital Documents) Please sign indicating you have received a copy of and agree to the above requirements: Applicant s Signature: Date:

4 Jack Harwell Detention Center Application for Employment Please Print Position applying for: Date: Name: Last First Middle : Street City State Zip Code Telephone #: Social Security #: - - Date of Birth: Have you ever been employed at the Jack Harwell Detention Center?. O Yes O No Are you legally eligible for Employment in this Country? O Yes O No (Proof of U.S. citizenship or I.N.S status is required) Date Available for Work.. Type of Employment: O Full Time O Part Time O Temporary O Seasonal O Education Co-op Do you have any responsibilities outside of your job that will make attendance difficult for you?.. O Yes O No If yes, please explain: Have you engaged in sexual abuse in a prison, jail, lockup community confinement facility, juvenile facility, or other institution? O Yes O No Have you ever been convicted or engaged or attempted to engage in sexual activity in the community facilitated by force, overt or implied threats of force, or coercion, or if the victim did not consent or was unable to consent or refuse?.. O Yes O No Have you ever been civilly or administratively adjudicated to have engaged in the activity of engaging or attempting to engage in sexual activity in the community facilitated by force, overt, or implied threats of force, coercion, or if the victim did not consent or was unable to consent or refuse?. O Yes O No Have you been convicted of a felony?.. O Yes O No If yes, please explain:

5 Have you ever been convicted of a Class A or Class B Misdemeanor? O Yes O No If yes, please explain: If you have ever been enlisted in the military, did you or will you receive an Honorable Discharge?.. O Yes O No Driver s License #: State: Employment History: (Please list your ENTIRE employment, volunteer, and/or Military History Below.)

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8 Skills or Qualifications Summarize Special Skills and Qualifications acquired from Employment or other Experiences that may qualify you for work with our company: Educational Background School Name/Location High School Years Completed Did you graduate? Course of Study College Major / Degree Trade/ Technical School References Name & Telephone # w/ Area Code Years Known

9 A requirement for employment at the Jack Harwell Detention Center is to obtain the TCOLE Basic Jailer License. Have you passed your TCOLE Jailer s test? O Yes O No It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from Employer s service if I have been employed. I give the Employee the right to investigate all references and to secure additional information about me, if job related. I hereby release from liability the Employer and its representatives for seeking such information, and all other persons, corporations or organizations for furnishing such information. The employer is an Equal Opportunity Employer. The Employer does not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant s consideration for employment on a basis prohibited by local, state or federal law. This application is current for only 120 days. At the conclusion of this time, if I have not heard from the Employer and still wish to be considered for employment, it will be necessary to fill out a new application. I understand that just as I am free to resign at any time, the Employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the Employer has the authority to make any assurances to the contrary. Signature of Applicant: Date:

10 LaSalle Corrections Jack Harwell Detention Center Authorization to Release information To whom it may concern: I,, the undersigned, hereby authorize LaSalle Corrections, operator of the Jack Harwell Detention Center, or its authorized representative(s) or employee(s), bearing this release or copy thereof, to obtain any information in your files pertaining to my previous employment, and criminal history. I hereby direct you to release such information upon request of the bearer. This release is executed with full knowledge and understanding that the information is needed for employment purposes. I hereby release you, as custodian of such records, any employer, law enforcement agency, including its officers, employees or related personnel, both individually and collectively, from any and all liability for damages of whatever kind which may at any time result to me, my heirs, family or associates because of compliance with this authorization and request for information or any attempt to comply with it. The information to be obtained is to be utilized to confirm records for possible employment with LaSalle Corrections at the Jack Harwell Detention Center. Background Authorization Signature Date Full Name- Printed Signature Date

11 Background Investigation Authorization Form The following information is required solely for purposes of the background investigation. The complete background investigation may include information from the FBI, Interpol, TCIC, and TLETS databases among others if needed. Print Clearly Last name to be searched: First name: Middle Name: Applicant s Sex: Male: Female: Race: Applicant s Date of Birth: Applicant s Social Security #: Applicant s Driver s License #: State Issued: Expiration Date: Must have a Valid Driver s License Applicant Signature: Date:

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