Employment Application - South Carolina Department Of Corrections (Page 10 of 12) in pdf

AUTHORITY TO RELEASE INFORMATION: By my signature, I consent to the release of information to authorized

officers, agents, and/or employees of the state of South Carolina which may include but not be limited to information

concerning my past and present work; including my official personnel files; attendance records; evaluations; educational

records, including transcripts; military service; law enforcement records; and/or any personnel record deemed necessary. In

addition, I consent to authorize appropriate officers, agents, and/or employees of the state of South Carolina to make inquires

of third parties such as credit bureaus. I further release the organization, educational entity, present and former employers,

law enforcement organization, and all third parties from any and all claims of whatever nature that I may have as a result of

any inquiry or response given to such inquiries made in connection with my application for employment.

APPLICANT’S NAME/SIGNATURE

DATE

ATTENTION APPLICANT: By my signature, I affirm and understand that all statements on this form are true and

accurate. This application must be filled out in detail. A resume may be attached but not substituted for the completed

application. Failure to complete all sections or to sign the application may result in it being returned, causing delay or

disqualification. Any misrepresentation, falsification, or omission of information may result in exclusion from further

consideration and if hired, termination of employment. If I have requested herein that my present employer not be contacted,

an offer of employment may be conditioned upon acceptable information and verification form such employer prior to

beginning work. Original and notarized true copies of my High School Diploma, GED certificate, DD214 and

College/Technical College Transcripts, Teacher Certification, Nursing License, (if applicable), work visa (if applicable) and

Student Loan compliance must be submitted prior to employment. All statements on this employment application are true

and correct to the best of my knowledge and belief. I understand, if employed by the Agency, that I must update my

application to reflect any and all arrests or charges that may be brought against me after filing this application. I further

understand complete background checks will be made; and, if employed, any false statements or omissions of facts on this

application or employment physical examination may be cause for termination.

APPLICANT’S NAME/SIGNATURE

DATE

SOUTH CAROLINA DEPARTMENT OF CORRECTIONS

APPLICANT REFERRAL ONLINE SYSTEM

All Applicants with an active application in the Agency's Applicant Referral System may apply for vacant positions (but not

unannounced or temporary/part-time job class preferences) by using the Applicant Referral Online System.

In order to use the Applicant Referral Online System, please review the following instructions:

Go to

Click on the employment link

Application instructions and link to Applicant Referral Online System provided

Questions regarding the application process and the Applicant Referral Online System may be addressed to the Recruiting

and Employment Services Branch at 1-803-896-1649.

OFFICE USE ONLY

Recruiter Notes

SCDC 16-9 (Revision May 23, 2013)

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Employment Application - South Carolina Department Of Corrections Page 10