Starting with the most recent, describe all paid, military and applicable voluntary experience. Please include any prior jail or law enforcement exp. (Use Supplementary Experience Form for additional space
PLEASE LIST THREE (3) PROFESSIONAL REFERENCES.
My signature below gives authority to request any school or institution of learning, creditor, past or present employer or law enforcement agency to release information contained in their records to the proper official presenting this authorization for use in conducting research specifically relating to my suitability as an employee of Riverside Regional Jail.
I hereby certify that all entries on this application including any attachments are true and complete, and I agree and fully understand that any falsification of information herein, regardless of time and discovery, may cause forfeiture on my part to any employment with the Riverside Regional Jail. I understand that information on this application is subject to verification and I consent to references, former employers, and educational institutions listed being contacted, and criminal history, credit, and DMV check being conducted regarding this application.
Please list any previous addresses for the past ten years:
Please list the names, address, and phone number of your parents or legal guardians, any siblings, spouse, children and parents or legal guardians of your spouse. Please identify the relationship of each person listed.
I hereby authorize any duly accredited representative of the Riverside Regional Jail bearing this release or a copy thereof, to obtain any information from schools, residential management agents, employers, criminal justice agencies, credit references, or individuals relating to my activities. The information may include, but is not limited to, academic, disciplinary, and conviction records. I hereby direct you to release such information upon request of the bearer. I understand that the information released is for official use of the Riverside Regional Jail and may be disclosed to such third parties as necessary in the fulfillment of official responsibilities.
I hereby release any individual, including record custodians, from any and all liability for damages of whatever kind of nature which; may at any time result to me on account of compliance, or any attempts to comply with this authorization.