WARREN COUNTY REGIONAL JAIL
  
APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

NAME:_________________________________________________________________________________
                          (Last)                                                     (First)                                                (Middle)

ADDRESS:______________________________________________________________________________
                          (Street)                                         (City)                                  (State)                              (Zip)
                    
PHONE NUMBER:(         )          -                     ARE YOU 21 YEARS OR OLDER?      Yes _____No_____   

SOCIAL SECURITY #___________________________REFERRED BY: ___________________________

					                 Date Available
Position Applying For:______________________ For Work:________________ Desired Salary:_________

                                                                                           May we contact your 
Are you currently employed?   Yes ____ No _____         Present Employer?   Yes ______ No _______
                              
HAVE YOU EVER APPLIED FOR A POSITION 
AT THE WARREN COUNTY JAIL?                       YES _______ NO ________When?_________________

EDUCATION

HIGH SCHOOL: ____________________________________ ADDRESS: __________________________
YEARS ATTENDED: _______ GRADUATED:  YES______NO______TYPE OF DEGREE:____________

COLLEGE: ________________________________________ ADDRESS: ___________________________
YEARS ATTENDED:_______ GRADUATED:  YES______NO______TYPE OF DEGREE:_____________

Trade, Business or Correspondence: ____________________________ Address: _____________________
Years Attended :__________    Graduated:  Yes ______ No ______    Type of Degree:___________________

SPECIAL SKILLS, COMPUTER TRAINING, ECT.:___________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

MILITARY SERVICE AND RANK:_________________________________________________________

Warren County is an Equal Opportunity Employer

Revised 04/07

EMPLOYMENT HISTORY- Please provide information regarding your last three employers.

1.      Employer and Address:______________________________________________________________
         Employed From:_________ To:__________ Phone #:_________________Salary:______________
         Position Held: _________________________ Reason for Leaving: __________________________
         Promotions Received: ______________________________________________________________
         Supervisor’s Name: ________________________________________________________________

2.      Employer and Address:______________________________________________________________
         Employed From:_________ To:__________ Phone #:_________________Salary:______________
         Position Held: _________________________Reason for Leaving: ___________________________
         Promotions Received: ______________________________________________________________
         Supervisor’s Name: ________________________________________________________________

3.      Employer and Address: _____________________________________________________________
         Employed From: _________ To:__________ Phone #:_________________Salary:______________
         Position Held: _________________________Reason for Leaving:___________________________
         Promotions Received: ______________________________________________________________
         Supervisor’s Name: ________________________________________________________________

***May we contact previous employers?        YES_______ NO________

Have you ever been convicted of a felony _____or misdemeanor_____ charge (Not including traffic 
charges) with the exception of DUI charges?

REFERENCES   (List Three)

1.________________________________________________________________________________
	(NAME)                                       (ADDRESS)                                       (PHONE)                 

2._________________________________________________________________________________
            (NAME)                                       (ADDRESS)                                       (PHONE)

3._________________________________________________________________________________
	(NAME)                                        (ADDRESS)                                      (PHONE)

Warren County is an Equal Opportunity Employer
Revised 04/07

QUALIFICATIONS
•	High school diploma or equivalent
•	21 years old
•	No serious criminal record
                  No felony convictions
                  No serious misdemeanor convictions
                  No serious misdemeanor arrests
•	Good health (physical exam and blood analysis at applicant’s expense) Must be able to go up
And down stairs

REQUIREMENTS IF EMPLOYED
•	An at-will-employee
•	Drug tested
•	Required to complete a 14 page law
Enforcement application
•	Required to work weekends
•	Required to work all shifts
•	Computer experience preferred, but not required
•	120 Day probationary period which may be extended
•	May be asked to take a Polygraph test during employment
•	Will be required to reimburse training expenses of $1966.77 if employed for less than one year
Unless an agreement is reached with the Jailer

JOB DESCRIPTION
•	Security checks and supervision of inmates
•	Assist in booking process
•	Assist in supervision of inmate programs
•	Assist court bailiff and transportation of inmates
•	Other duties as assigned by the Jailer
•	Maintain jail records
•	Perform all inmate intake functions
•	Perform all inmate release functions
•	Perform all inmate transfer activities
•	Operate security panels in all areas of the jail
•	Control movements of prisoners
•	Check isolation inmates every 15 minutes
•	Search inmates coming from and going back to their cells
•	Check complaints and answer requests
•	Keep pods and work stations clean
•	Maintain discipline in cells
•	Have laundry picked up and returned 
•	Monitor inmate trustees
•	Cell searches
•	Make security checks of total facility
•	Make necessary Headcounts
•	Answer phones
•	Assist public with information inquiries

Warren County is an Equal Opportunity Employer

Revised 04/07

EMPLOYEE BENEFITS
•	May advance in promotional system
•	Uniforms furnished
•	County Employee Retirement System: Maximum Benefits after 27 years
•	Life Insurance:  $10,000 policy premiums paid by the county
•	Earn one (1) sick day and one (1) vacation day each month
•	Health Insurance: County contributes $300 towards monthly premiums
•	Flexible Spending Plan
•	Deferred Compensation Plan (401k)

I consent to the release of any information for the following: Medical Records, Criminal Records, and any other records deemed necessary for employment.

I certify that the facts contained in this application are true to the best of my knowledge and belief.  I understand that the employer has relied upon this information as a condition of employment and that falsified statements on this application shall be grounds for dismissal.  I understand and agree that, if hired, my employment is for no definite period of time and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice and without cause.  If employed, I further agree to be liable for any costs of attorney’s fees reasonably incurred for the reimbursement of training expenses if employed for less than one year.

Applicant’s Signature:_____________________________________Date:______________________ 

Revised 04/07