Willingness Questionnaire

STEELECOUNTY

DETENTIONCENTER

WILLINGNESS QUESTIONNAIRE

NAME:______

As a means to assist you in determining whether you would be interested in becoming a corrections officer, the following “willingness questionnaire” has been developed. This willingness questionnaire contains statements about work situations or tasks that corrections officers perform on the job. Please read each statement and decide if you are “willing” to perform this type of work.

Please answer each question with a “yes” or “no” response. YES NO

1. Are you willing to work any shift or any day of the week,

including weekends and holidays? ______

2. Would you be willing to work unscheduled assigned overtime? ______

3. Would you be willing to work in a setting where vacations may

be restricted based on staff availability? ______

4. Are you willing to supply and maintain on file, a current

address and phone number where you can be reached during

off-duty hours? ______

5. Are you willing to write inmate/staff incident and investigation

reports? ______

6. Are you willing to give testimony in internal and external court

systems? ______

7. Are you willing to follow SteeleCountyDetentionCenter policies

including maintaining appropriated professional boundaries with

inmates, their families and friends? ______

8. You may need to transport inmates off-grounds: are you willing

to do this? ______

9. Would you be able to set aside any personal prejudices

and be fair in dealing with the inmates regardless of their crime

and/or backgrounds? ______

10. Would you be willing, if necessary, to use weapons and riot

control devices in riot suppression or escape attempts? ______

YES NO

11. As a correctional officer, we are required to wear a uniform that

that includes a Steele County Sheriff’s shirt, pants, tie, vest and

various cold weather gear such as a sheriff’s coat and standard

sheriff’s hat. Do you feel that you can conform and comply with

our standard of a SteeleCounty uniform? ______

12. A correctional officer is key in the operation of the jail. As you

can guess, there will be many decisions made by supervisors

above you. Even if you don’t agree with them, you are expected

to enforce these decisions made by the supervisors, administra-

tion, sheriff and the county board. Is this something you can do? ______

13. You must understand that policies are subject to change at any

time, with or without notice. Are you able to conform to these

changes? ______

14. Employment with the SteeleCountyDetentionCenter will

include a 12 month probationary period. Employee must

understand that the position is “at will”, and that there is no

contract nor should any agreement for employment be con-

sidered a contract. Do you agree with this? ______

Signed:______

Dated:______

SteeleCountyDetentionCenter

Background Release Form

Date:____/____/____ Name:______

It is the policy of the SteeleCountyDetentionCenter, to perform criminal history checks on all candidates prior to considering that individual for employment. It is necessary to perform these checks since the Steele County Detention Centers’ responsibility for public safety and security requires that consideration be given to 1) the nature and seriousness of any past offenses; 2) the relation of the offense to the ability, capacity and fitness of the person to perform the job: and 3) evidence demonstrating that the candidate has been able to lead a law-abiding life for a specific period of time.

In order for the SCDC to do a criminal history check, we will need you to complete the private information below. This information will only be used by the SCDC for input into our computer to determine if you have past offenses, as well as the nature and disposition of the offense. Please be advised this information is voluntary, but refusal to provide that information may result in your not being allowed employment at the SteeleCountyDetentionCenter. Individuals who have access to this information include department human resources staff, legal counsel and any staff who are assisting with candidate background investigations. This instrument shall become invalid once the data requested has been provided in its entirety or within (1) year of the original date of signature hereunder, whichever occurs first.

______

Last Name First Name Middle Name

List previous name used: ______

______

Driver’s License Number:______State: ______

List any other states where you have had a driver’s license:

______

______

I declare that the information provided on this application is true and correct to the best of my knowledge. Further, I authorize the facility to conduct a routine criminal history check; the results of such check will be held as private.

______

SignatureDate