New Employee Onboarding
Please fill out your information below.
Personal Information
Name
First Name
Last Name
Birth Date
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Month
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Day
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Year
Address
Street Address
Street Address Line 2
City
State
Post Code
Phone Number
E-mail
example@example.com
Emergency Contact Name
Emergency Contact Phone Number
Veteran Status
Disabilities
Position Information
Position Title
Employment Type
Please Select
Full Time
Part Time
Internship
Start Date
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January
February
March
April
May
June
July
August
September
October
November
December
Month
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1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
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1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
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1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
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Uniform Request
Please fill out the following data to allow us to outfit you with a uniform. Standard dress is a uniform shirt, khaki pants, black shoes and belt. A temporary uniform will be assigned until one can be customized for you, and to the closest fit and length of your request available.
Name (Last Name Will be Printed on Uniform Exactly as Written Below)
First Name
Last Name
Uniform Shirt Size
Please Select
XS
S
M
L
XL
XXL
XXXL
Long Sleeve or Short Sleeve Preference
Please Select
Short
Long
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General and Team Communication
The Powell County Detention Center uses the Band app for team communication, as well as general messaging within the facility. This app is required to be used during your employment here, as critical information is relayed through it daily. All transcripts are backed up for public record. To access the group, answer the following questions below and scan the QR code provided with your camera to connect to the Powell County Detention Center.
Name
First Name
Last Name
Email
example@example.com
Team Assignment
Please Select
Team A
Team B
Team C
Team D
Transport Team
Scan the QR code below with your phone's camera to access the PCDC Band channel
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Identification
In the fields below, please upload a photo of the requested form of identification for our records.
Valid State-Issued Drivers License
Browse Files
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Choose a file
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Social Security Card
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Verification
I hereby verify that all above information is correct and has been successfully completed and submitted upon the signature of this document.
Signature
Date
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Month
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Day
Year
Date
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