Employment Application - South Carolina Department Of Corrections (Page 5 of 12) in pdf

Read the following and place your initials in either the "Yes" or "No" space. If you leave it blank, it will delay the processing of your

application.

“YES”

“NO”

Have you ever been accused of or been found liable of sexual abuse/sexual misconduct/sexual harassment or

resigned during a pending investigation of a sexual abuse/sexual misconduct/sexual harassment allegation with any

previous employer? (28 CFR 115)

Do you currently have a court ordered restraining order against you with regard to family members or cohabitant?

Have you ever been arrested?

Have you ever been charged with a crime?

Have you ever been convicted of a crime?

READ THE FOLLOWING AND INITIAL BELOW

Examples of crimes, other than minor traffic violations, that must be reported are: Driving under the influence of intoxicating beverages or other drugs;

fraudulent or bad checks; disturbing the peace; leaving the scene of an accident. You must list arrest(s) and conviction(s) even if you were pardoned,

paroled, had a suspended sentence/probation or the charges were dropped or dismissed. This information may not disqualify you, but must be listed

regardless of date or type of offense. Please be advised that if you were convicted of a crime with a maximum allowable sentence of over one year or a

fine of $1,000 we may not employ you as a Correctional Officer. An arrest or being charged with a crime includes being fingerprinted or simply having

a warrant issued. Regarding disclosure of arrest record, applicants who have received an Order of Expungement from a court of competent jurisdiction

are not required to list/report such arrests. Background checks will be made to include an FBI check. Please ask the Human Resource representative for

clarification if you are unsure if you were arrested.

BY MY INITIALS, I HAVE READ AND UNDERSTAND THE ABOVE PARAGRAPH

. ANY FALSE

STATEMENT OR OMISSION OF FACTS MAY BE CAUSE FOR TERMINATION.

Arresting authority &

Convicted

Charges

Disposition

Disposition date

location (city & state)

(yes or no)

Have you ever been fingerprinted? Yes

If yes, please give approximate date(s) and reason.

Have you ever been an inmate in a SCDC Institution, Federal Institution, or Penal Institution of another jurisdiction? Yes

If yes, charge,

dates, where and type of sentence:

Are you or ANY member of your immediate family related to or have had a close personal relationship with anyone who is currently OR was previously

an inmate in a SCDC Institution? This would include spouses, ex-spouses, common-law spouses, mother, father, mother-in-law, father-in-law, brother,

brother-in-law, sister, sister-in-law, son, son-in-law, daughter, daughter-in-law, Grandfather, Grandmother, Grandchild, aunt, uncle, cousins, any step-

relatives, boyfriend or girlfriend Yes

If yes, inmate name, relationship, charge, dates, where and type of sentence:

Are you currently OR have you ever been on an inmate’s visitation list at any SCDC facility? Yes

If yes, inmate name and relationship:

Please give the name and a description of any relationship you have OR have had with ANY inmate currently or previously incarcerated in an SCDC

institution:

Do you have a relative or former spouse working for this agency? Yes

If yes, name, relationship (to include degree of cousin) and where:

Have you or any member of your family ever been a victim of a crime committed by an inmate who is incarcerated at SCDC? Yes

If yes, name of inmate, dates, and location of crime:

Have you OR any member of your immediate family ever testified in a case involving an inmate incarcerated at SCDC? Yes

If yes, name of inmate, dates and location of trial: