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Full Name
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Email Address
Your answer
Phone Number
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What City Do You Live In? (This helps us determine the closest correctional center near you.)
Your answer
Zip Code (This helps us determine the closest correctional center near you.)
Your answer
By entering your phone number and email address, you agree to receive a call, text email from a recruiter regarding this job posting. We will never send you spam.
Yes, I understand and agree.
No, I do not agree. Please do not call, text or email me about this job posting.
Other:
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Gender
Male
Female
I refuse to identify
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Are you over 18 years old?
Yes
No
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Do you currently have a valid driver's license?
Yes
No. My License is currently suspended.
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How many speeding tickets or moving tickets have you had in the past 12 months? A few speeding tickets will not disqualify you.
Your answer
How many speeding tickets or moving tickets have you had in the past 3 years? A few speeding tickets will not disqualify you.
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How many speeding tickets or moving tickets have you had in the past 10 years? A few speeding tickets will not disqualify you.
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Do you have a felony? - Department of Corrections will not hire someone with a felony conviction.
Yes
No.
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Do you have a misdemeanor? - You may still get hired even with a misdemeanor, depending on VADOC requirements and at their discretion.
Yes
No.
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Enter all the times and days you are available for a conference call this week or next week?
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Electronic Signature (Full Name)
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