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 *

US Citizen? *

Yes

No

Military experience? *

Yes

No

Service Branch *

I have a driver's license issued by: *

Florida

Another State

N/A

Issuing State *

Driver's License Number *

Physical Address *

Physical Address Line 2

City *

State *

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

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Where Do You Want To Work?

Click here to see a map of the major institutions.

Institution *

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