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Correctional Officer Supplemental Application
Referral Information
Ad Referral
Ad Start Date
Event Referral
Event Category
Event Date
Personal Information
First Name
*
Middle Name
Last Name
*
Suffix
List
all legal names
you have ever used (include adoption, maiden and married).
Social Security No.
*
🛈
Date of Birth
*
+
Sex
*
Male
Female
Race
*
White
Black
Hispanic
Asian
American Indian/Alaska
Native Hawaiian/Pacific Islander
2+Races
US Citizen?
*
Yes
No
Military experience?
*
Yes
No
Service Branch
*
Air Force
Army
Coast Guard
Marine Corps
Navy
Space Force
I have a driver's license issued by:
*
Florida
Another State
N/A
Issuing State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Driver's License Number
*
Physical Address
*
Physical Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Do any of the following apply?
- I was convicted of, had adjudication withheld, pled guilty, or pled no contest for a felony offense.
- I was convicted of, had adjudication withheld, pled guilty, or pled no contest for a crime involving perjury or false statement.
- I was convicted of, pled guilty, or pled no contest withheld for a crime involving Domestic Violence.
- I have an active protection order against me.
- I received a dishonorable discharge from service in the United States armed forces.
*
Yes
No
Opt-In if you would like to receive text alerts about your application from the Florida Department of Corrections. Message frequency will vary. Message and data rates may apply.
*
Opt-In
Opt-Out
SMS Terms/Privacy Policy:
http://fldocjobs.com/privacy/
Where Do You Want To Work?
Click here
to see a map of the major institutions.
Institution
*
Apalachee CI (Sneads, FL)
Avon Park CI (Avon Park, FL)
Baker CI (Sanderson, FL)
Calhoun CI (Blountstown, FL)
Century CI (Century, FL)
Central FL Reception Center (Orlando, FL)
Charlotte CI (Punta Gorda, FL)
Columbia CI (Lake City, FL)
Cross City CI (Cross City, FL)
Dade CI (Florida City, FL)
Desoto CI (Arcadia, FL)
Everglades CI (Miami, FL)
FL Women's Reception Center (Ocala, FL)
Florida State Prison (Raiford, FL)
Franklin CI ( Carrabelle, Fl)
Gadsden Re-entry (Havana, FL)
Gulf CI (Wewahitchka, FL)
Hamilton CI (Jasper, FL)
Hardee CI (Bowling Green, FL)
Hernando CI (Brooksville, FL)
Holmes CI (Bonifay, FL)
Homestead CI (Florida City, FL)
Jackson CI (Malone, FL)
Jefferson CI (Monticello, FL)
Lake CI (Clermont, FL)
Lancaster CI (Trenton, FL)
Lawtey CI (Lawtey, FL)
Liberty CI (Bristol, FL)
Lowell CI (Ocala, FL)
Madison CI (Madison, FL)
Marion CI (Ocala, FL)
Martin CI (Indiantown, FL)
Mayo CI (Mayo, FL)
NW FL Reception Center (Chipley, FL)
Okaloosa CI (Crestview, FL)
Okeechobee CI (Okeechobee, FL)
Polk CI (Polk City, FL)
Putnam CI (East Palatka, FL)
Reception and Medical Center (Lake Butler, FL)
Santa Rosa CI (Milton, FL)
S. FL Reception Center (Doral, FL)
Sumter CI (Bushnell, FL)
Suwannee CI (Live Oak, FL)
Taylor CI (Perry, FL)
Tomoka CI (Daytona Beach, FL)
Union CI (Raiford, FL)
Wakulla CI (Crawfordville, FL)
Walton CI (Defuniak Springs, FL)
Zephyrhills CI (Zephyrhills, FL)
Attestation and Submission
Fingerprinting Acknowledgement
I acknowledge that a fingerprint-based record check will be conducted for all individuals seeking employment with the Florida Department of Corrections. The purpose of the records check is to conduct a search of any Florida and National criminal history records that may pertain to the applicant/employee. By submitting fingerprints, I am authorizing the dissemination of any state and national criminal history record that may pertain to me to the Florida Department of Corrections. The fingerprints submitted are retained by the Florida Department of Law Enforcement (FDLE) and the Federal Bureau of Investigation (FBI). The fingerprints will be retained with the agency until such time as employment separation occurs. In the event of subsequent arrests, FDLE and the FBI will notify the agency of a records hit based on those retained fingerprints.
If I believe that the criminal history record is incomplete or inaccurate, I may conduct a personal review as provided in s. 943.056, F.S., and Florida Administrative Code Rule 11C-8.001 by calling FDLE at (850) 410-7898. If I believe the national information is in error, I may contact the FBI at (304) 625-2000. I can receive any national criminal history record that may pertain to me directly from the FBI, pursuant to 28 CFR Sections 16.30-16.34. I have the right to a reasonable amount of time to obtain a determination as to the validity of my challenge before a final decision is made about my status as an employee.
Terms of Service/Privacy Policy:
http://fldocjobs.com/privacy/
Terms & Conditions Acknowledgement
*
I acknowledge and agree to the fingerprint policy, privacy policy, terms, and conditions.
Signature
*
clear
Date
*
+
DC2-854 Revised 04/27/2023
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