Official SealHuman Resource Services Department


#19-8625-01
Supplemental Questionnaire

Last Name
First Name

 

Thank you for your interest in the recruitment for Captain (Promotional), Examination #19-8625-01

Applicants must answer the following questions as required by the Prison Rape Elimination Act (PREA), Standard 11.17/116.117/116.217/116.317.


1.

Have you ever engaged in sexual abuse in a prison, jail, lock-up, community confinement facility, juvenile facility, or other institution (as defined by 42 U.S.C. 1997)?

Yes No
2.

Have you ever been convicted of engaging or attempting to engage in sexual activity in the community facilitated by force, overt or implied threats of force, or coercion, or if the victim did not consent or was unable to consent or refuse?

Yes No
3.

Have you ever been civilly or administratively adjudicated to have engaged in the activity described in Question #2?

Yes No

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