If you have additional employment history to add, please include as an attachement on the next page.
If you have additional educational history to add, please include as an attachement on the next page.
List names, addresses, phone numbers, and relationships of three individuals who have not supervised you and are not related to you
If you have a resume or other additional documentation you would like to include, please submit here.
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.
In order to efficiently process applications, the following information is required. Be honest and as accurate as possible.
Please list the names, ages, phone numbers, occupations, places of employment and residences 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.
DD-214 Upload - Please upload a copy of your Certificate of Release or Discharge from Active Duty
List situations in which you were stopped and/or detained by law enforcement officials and did/did not receive a citation (ie, speeding, warning, field sobriety test, etc.)
List any criminal charges* either as a juvenile or adult
* Convictions include Virginia juvenile adjudications for Capital Murder, First and Second Degree Murder, Lynching, or Aggressive Malicious Wounding, if you were age fourteen (14) to eighteen (18) when charged.
List any situations in which you were stopped or otherwise detained by law enforcement and not criminally charged (ie, witness to a crime, suspect in a crime, etc.)
Authority for Release of Information