Official SealDepartment of Budget and Management

Supplemental Questionnaire

Last Name
First Name


***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. 


Are you between the ages of 18 and 20?

Yes No

Are you younger than the age of 21?

Yes No

Are you older than the age of 17?

Yes No

Are you a U.S. Citizen or Legal Resident Alien?

Yes No

Did a Department of Public Safety and Correctional Services employee refer you to this position?

Yes No

If you answered yes to the question above, please indicate the following:

  • Referring employee's full name
  • Employee's work location/assignment

If you answered no to the question above, please enter N/A.


This position (Correctional Officer Cadet) is eligible for participation in the new hire incentive program.  A one-time bonus shall be awarded to new appointments; 40% is payable after successful completion of the Correctional Officer Academy and 60% is payable after successful completion of one (1) year of service.  Additional terms and conditions apply and are subject to change.

I acknowledge that I have read the incentive statement.

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