SHERIFF’S OFFICE

NEWTON COUNTY SHERIFF’S OFFICE

Application For Employment
To be considered for employment, applicants must meet the following minimum qualifications: Applicants must be at least 21 years of age for Deputy Sheriff positions, 18 years of age for Detention Officer and civilian positions, possess a high school diploma or equivalent, possess a valid driver’s license, honorable discharge (if prior military), be a US citizen, have no adverse driving record nor felony or family violence convictions, and be of good moral character.
Return the completed application and required supporting documents to the following address:
Newton County Sheriff's Office 15151 Alcovy Road Covington, GA 30014
**NOTE: Some pages require Notary.
Applicant(s) must complete ALL pages accurately, legibly
and completely. DO NOT LEAVE ANY BLANK
SPACES. If a question does not apply to you write “N/A” in the space. PRINT ANSWERS to questions with a BLACK INK PEN ONLY. Applicant(s) should be absolutely truthful, a false statement or the omission of requested information is grounds for automatic rejection including termination of the application/recruitment process and/or termination of employment. If you answer “yes” to a question, you must provide the complete details explaining the circumstances. Do not omit an explanation because you think the incident was minor and of no importance. If the space provided is insufficient to complete your answers, please attach additional pages.
Upon submission, your application and supporting documents will be reviewed for completeness. If your application is incomplete, it will be returned to you. Applications that are complete and meet the minimum requirements will be forwarded to the Newton County Sheriff’s Office, Office of Professional Standards for processing. The hiring process includes but is not limited to the following: an oral board interview, an intensive background investigation, voice stress analysis, and, following a conditional job offer, medical examination, drug screen and psychological examination.
If you have any questions concerning this process please contact the Newton County Sheriff’s Office at (678) 625-1403.
The Equal Opportunity Employer and does not discriminate on the basis of race, color, National origin, sex, religion, or disability in employment or provision of services.
Newton County Sheriffs Office
The following documents are required to begin the application/recruitment process and must be submitted with the application:
•Copy of high school diploma or equivalent •Copy of birth certificate •Photo copy of current driver’s license •Current 7-yr driver's history report •Copy of test scores (e.g. SAT, ACT, ASSET, COMPASS or ACCUPLACER) The following documents are required if they are applicable to you and must be mailed in with the application: •Copy of DD214 (long form), showing an Honorable Discharge and a letter of good standing. • Certified copy of College Transcripts (sealed) •Copy of official name change documents •Copy of citizenship papers • Copy of Bankruptcy discharge papers
COMMITTED TO EXCELLENCE
15151 Alcovy Rd., NE • Covington, Georgia 30014 • Phone: (678) 625-1403 • www.newtonsheriffga.org
Position Applied For

Deputy SheriffDetention OfficerAdministrativeReserve Deputy
PERSONAL INFORMATION
Name (Last, First, Middle)
Date of Birth

MonthDayYear
Date
Social Security
xxx-xx-xxxx
Home Address (Street Number/Name, City, State, Zip Code)
How long have you lived at your current address?
Phone Number
Email Address
example@example.com
Are you a citizen of the United States?

YesNo
If no, are you a permanent resident?

YesNo
Place of Birth (City, County, State/Country)
Have you ever used another name or had your name changed?

YesNo
Yes

This includes Maiden Names, Former Married Names, Adopted Names, Nicknames, etc If you answered yes, please provide the following information:

	Previous Name	Date of Change	Location of Change	Reason for Change

EDUCATION
Name of High School
Dates Attended

MonthDayYear
Date
Address (Street Number/Name, City, State, Zip Code)
High School Diploma / GED?

YesNo
Date Graduated

MonthDayYear
Date
Address (Street Number/Name, City, State, Zip Code)
Name of School/Local Board of Education
Address (Street Number/Name, City, State, Zip Code)

List all colleges, universities, business/technical schools or graduate schools you have attended:

	School Name	Address	Start Date	End Date	Major/Minor	Degree Earned

LAW ENFORCEMENT EXPERIENCE
Are you currently a Georgia P.O.S.T. Certified Peace Officer

YesNo
Georgia P.O.S.T. PBLE number
Have you been awarded any Georgia P.O.S.T. certification or certification from another state?

YesNo

If yes, please provide:

	State of Issuance	Type of Certification	Certification Number

How many years and months experience do you have as a certified law enforcement officer?
Is your Law Enforcement, Correction, Jailer, Probation, or Parole Officer Certification under investigation by any state or federal Law Enforcement Training Council?

YesNo
If yes, please attach a narrative on a separate sheet of paper explaining in detail the cause for the investigation.
Has your Law Enforcement, Correction, Jailer, Probation, or Parole Officer certification ever been revokedor placed on probation by any state or federal Law Enforcement Training Council?investigation.

YesNo
If yes, please type a narrative in the box below explaining in detail the cause for the revocation or probation.
If Yes
CRIMINAL HISTORY CONSENT FORM
I hereby authorize, Newton County Law Enforcement Center to receive any and all criminal history record information pertaining to me which may be in the files of any local or national criminal justice agency. This name based criminal history will be completed using the Georgia Criminal Information Center (GCIC) system and the NCIC System.
Name (Last, First, Middle)
Maiden Name
Social Security
Date of Birth (Month, Day, Year)

MonthDayYear
Date
Race
Sex
Street Address
City
State
Zip Code
Phone Number
Phone Number

Criminal History for mandated position (PC “Z”)Criminal History for civilian position (PC “J)
Signature (required)*
Date of request (required)*

MonthDayYear
Date
*****Sheriff ’s Office Use Only*****
Signature of operator completing history request
Date

MonthDayYear
Date
****************************This authorization is valid for 90 DAYS from date requestor signs************************* *********************************Release will not be processed if submitted incomplete*****************************
THIS FORM MUST BE COMPLETED AND NOTRIZED
NEWTON COUNTY HUMAN RESOURCES
1124 Clark Street Covington, Georgia 30014 Tel: (678) 625-1212
AUTHORIZATION TO RELEASE INFORMATION
I have applied to Newton County, Georgia, for employment. Part of the employment process is an investigation and verification of information I provide or will provide on my application for employment and in occasional reports during my employment with Newton County, Georgia.

I do hereby authorize a review of and full disclosure of all records concerning me to Newton County. The intent of this authorization is to give my consent for full and complete disclosure of the records of educational institutions; employment records; financial statements and records wherever files; medical and psychiatric treatment and/or consultation including hospitals, clinics and private practitioners, and employment records, including background reports, efficiency ratings, complaints or grievances filed by or against me whether representing me or another person in any case either criminal or civil, in which I presently have or have not had an interest; criminal history record information which may be in the files of the State of Georgia or local criminal justice agency and/or any other information contained in your files relevant to my employment with Newton County, Georgia.

I hereby fully and finally release and discharge Newton County, Georgia, and its officials, employees and agents from any and all liability for acts and ommissions taken pursuant to this authorization. I similarly release all persons, corporations, and other entities who release any information or documents pursuant to this authorization. I represent and warrant that I will not, directly or indirectly, seek disclosure of information obtained pursuant to this authorization either to me or to anyone else. I also understand that this executed document may be used in any process of promotion, transfer or demotion to a position for which I have applied.

I have carefully read and fully understand the contents of this authorization and I execute it voluntarily as my own free act and deed.
Full Name (printed or typed)
Date

MonthDayYear
Date
Street Address (City, State, Zip)
Social Security Number
Signature
Notary Public (must be notarized)
Date of Birth

MonthDayYear
Date
Race
Sex
Purpose Code
NEWTON COUNTY HUMAN RESOURCES
1124 Clark Street Covington, Georgia 30014 Tel: (678) 625-1212
NOTICE TO JOB APPLICANTS NEWTON COUNTY’S DRUG SCREENING POLICY
Newton County has a strong commitment to its employees to provide a safe work environment and to promote high standards of employee health. The county also has a strong commitment to provide high quality public service. Consistent with the spirit and intent of these commitments, the Board of County Commissioners has determined that there is a compelling need for a county policy on drug use, which includes chemical testing for recent use of controlled substances.

Upon an offer of employment by the county and prior to final appointment, job applicants will be asked to consent to a controlled substance screening test. If the initial screening test indicates that the applicant has recently used controlled substances, the applicant will be notified of the test results.

Before a test is administered, applicants will be asked to sign a consent form authorizing the test and permitting release of test results to those county officials with a need to know.

If an applicant refuses to consent to a test, or if testing indicates use of controlled substances, the offer of employment will be retracted, and the applicant will be denied employment with the county. Applicants will be informed if they are rejected on the basis of test results.

All information from an applicant’s drug evaluation is confidential and only those with a need to know are to be informed of test such information to any other person, agency, or organization is prohibited unless written authorization is results. Disclosure of obtained from the applicant.
Should be Empty:

NEWTON COUNTY SHERIFF’S OFFICE

Return the completed application and required supporting documents to the following address:

Newton County Sheriff's Office 15151 Alcovy Road Covington, GA 30014

**NOTE: Some pages require Notary.

Applicant(s) must complete ALL pages accurately, legibly

and completely. DO NOT LEAVE ANY BLANK

If you have any questions concerning this process please contact the Newton County Sheriff’s Office at (678) 625-1403.

The Equal Opportunity Employer and does not discriminate on the basis of race, color, National origin, sex, religion, or disability in employment or provision of services.

Newton County Sheriffs Office

The following documents are required to begin the application/recruitment process and must be submitted with the application:

COMMITTED TO EXCELLENCE

15151 Alcovy Rd., NE • Covington, Georgia 30014 • Phone: (678) 625-1403 • www.newtonsheriffga.org

PERSONAL INFORMATION

EDUCATION

LAW ENFORCEMENT EXPERIENCE

CRIMINAL HISTORY CONSENT FORM

*****Sheriff ’s Office Use Only*****

THIS FORM MUST BE COMPLETED AND NOTRIZED

NEWTON COUNTY HUMAN RESOURCES

AUTHORIZATION TO RELEASE INFORMATION

NEWTON COUNTY HUMAN RESOURCES

NOTICE TO JOB APPLICANTS NEWTON COUNTY’S DRUG SCREENING POLICY

Sheriff ’s Office Use Only