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 Email address Phone number Question Title * Are you a citizen of the United States? Yes No Question Title * Are you at least 18 years old? Yes No Question Title * Do you currently have a valid driver's license? Yes No Question Title * Driver's license (please upload a photo of the license) License photos are used for security/background purposes. DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File License photos are used for security/background purposes. Question Title * Do you have a high school diploma or GED equivalent certificate? Yes No Question Title * Which position are you applying for? Booking Specialist (Must be 18 or older) Operations Specialist (Must be 18 or older) Control Room Operator (Must be 18 or older) Deputy Jailer (Must be 21 or older) Property Room Specialist (Must be 18 or older) Maintenance IT Specialist Question Title * What days/hours are you available to work? (Open availability preferred) Question Title * Have you ever been arrested? Yes No 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) Yes No Next
