Correctional Officer Supplemental Application

Referral Information

Ad Referral

Ad Start Date

Event Referral

Event Category

Event Date

If you received the referral link from a current FDC employee, their information is shown below.

Referral FDC ID

Referral First Name

Referral Last Name

Referral Email

If you were referred to the position by a current Florida Department of Corrections employee, you may enter their information below.

I want to provide the name of the FDC employee who referred me to the position. *

Yes

No

Referring Employee First Name: *

Referring Employee Last Name: *

FDC Employee ID: * 🛈

Referring Employee Email:

Personal Information

First Name *

Middle Name

Last Name *

Suffix

Social Security No. * 🛈

List all names you have ever used (include maiden, married, and nicknames). *

Physical Address *

City *

County *

Physical Address Line 2

State *

Zip Code *

Primary Phone *

Secondary Phone

Other Phone

I would like to receive text updates regarding my application status at the primary phone number listed above. I understand that standard messaging charges may apply, and I may choose to opt-out at any time. *

Yes

No

Driver License Number *

State issued by *

Email Address *

Have you lived outside of the United States in the past five years? *

Yes

No

If yes, please include the location and dates. *

Birth/Citizenship

Date of Birth * +

Sex *

Male

Female

Race *

Birth City *

Birth State *

Birth Country *

US Citizen? *

Yes

No

If yes: *

By Birth

By Naturalization

Military Service

Military experience? *

Yes

No

Service Branch *

Type of Discharge *

Dates of all periods of military service *

Institution Preference

Click here to see a map of the major institutions.

First Choice *

Second Choice *

General Information

1. Have you applied in the People First system at jobs.myflorida.com? *

Yes

No

To be considered for the position, you will also need to complete the State of Florida application.

After submitting this form, you will be provided a link to do so.

2. Are you related to anyone presently employed
with the Florida Department of Corrections? *

Yes

No

Give name, relationship, and place of their employment *

3. Do you have a business or personal relationship with
anyone presently incarcerated or under the supervision
of the Florida Department of Corrections system? *

Yes

No

Give name, relationship, and place of incarceration or supervision. *

4. Have you ever held a position (including internship,
volunteer, contract, or OPS positions) with the
Florida Department of Corrections? *

Yes

No

Give location(s), position(s), and date(s). *

5. Have you ever worked for an entity (i.e. private contractor) that
held any contractual relationship or financial interest with the
Florida Department of Corrections? *

Yes

No

Provide the name of the contractor, location, and dates of employment. *

6. Have you ever applied for or been employed by any law enforcement
agency as a Correctional Officer, Probation Officer, or Law Enforcement Officer? *

Yes

No

Give name of agency, position(s), and dates of employment. *

7. Indicate below if you have taken a Florida Department of Law Enforcement (FDLE) state officer certification exam. Select all that apply. *

Correctional Officer

Probation Officer

Law Enforcement Officer

None

8. Indicate below if you have ever been a certified
law enforcement officer. Select all that apply. *

Correctional Officer

Probation Officer

Law Enforcement Officer

None

In which State were you certified? *

9. Has your FDLE certification ever been suspended,
revoked, terminated, or expired? *

Yes

No

If yes, please explain. *

10. Have you ever had any type of disciplinary action taken against you while employed as a Correctional Officer, Probation Officer, or Law Enforcement Officer? *

Yes

No

If yes, please explain. *

11. Have you ever used or experimented with any illegal substances or drugs? *

Yes

No

12. Have you ever sold, delivered, manufactured, smuggled, or trafficked in illegal substances or drug paraphernalia? *

Yes

No

List type of illegal substance, drug or drug paraphernalia involved, and date last used. *

13. Have you ever been civilly or administratively adjudicated guilty to have engaged in any sexual abuse or sexual harassment? *

Yes

No

If yes, please explain. *

14. Have you ever had your privileges to carry a firearm revoked? *

Yes

No

If yes, please explain. *

15. Do you now or have you ever had any affiliation with a known “gang” or threat group? *

Yes

No

If yes, describe the circumstances in detail. *

16. Do you have any “gang” or threat group related tattoos or tattoos that may appear to be “gang” or threat group related? *

Yes

No

If yes, please explain. *