Powell County Employment Application Form

Powell County Detention Center Employment Application

Please fill out all forms below completely and accurately.
Name*

First NameLast Name
Birth Date

MonthDayYear
SSN*
Phone Number*
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Desired Position*
Desired Salary*
Preferred Shift*

FirstSecondThirdWeekends
Available Starting Date*

MonthDayYear
How were you referred to us?*

Walk-InReferralSocial MediaOther (please specify)
If you have a resume or other certificates of merit, please include below.

Cancelof
Training and Certifications

Employment History

Please list your last three (3) employers
May We Contact this Employer?*
If No, Please Explain
May We Contact this Employer?*
If No, Please Explain
May We Contact this Employer?*
If No, Please Explain
References

Please list three (3) references that are familiar with your work life.
Reference 1
Reference 2
Reference 3

Have You Ever Been Charged with a Sex Crime or Convicted of a Felony?*
Have You Been Incarcerated in the Past 24 Months?*
Have You Been Served with an EPO, DVO or IPO Within the Past Five Years?*
If you answered yes to any of the above, please elaborate below.
Have You Worked for the Powell County Detention Center Before?*
Do you have a valid Kentucky Drivers License?*
By checking this box I agree that I am a citizen of the United States or otherwise authorized to work in the United States.*

Yes, this is correct.
By checking this box, I consent to a full background check, criminal history and drug screening pre-employment.*

Yes, I consent to all of the above.

Powell County Detention Center is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Powell County Detention Center makes hiring decisions based solely on qualifications, merit, and business needs at the time.
With this signature I certify that my answers are true and complete to the best of my knowledge. I understand (and consent to the fact) that all employees are subject to random drug testing and breathalyzer screenings at any time without notice. I understand that any individual introducing contraband into our facility is subject to arrest and felony charges. I also consent to the search of my person or property at any time while on the property of the Powell County Detention Center. Should this application lead to employment, I understand that false or misleading information in my application, interview or pre-employment screening process may result in termination.

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Date & Time
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Education and/or Military Experience