Application Application Form Employee Application form Step 1 of 10 10% APPLICANT NOTICE Applicants requesting employment with the Columbia County Sheriff’s Office must provide copies of the below-listed documents when submitting an application. Have these ready prior to starting the application process and upload them where appropriate on the application. Driver’s License Full body length photograph of frontal and side profile in business casual Social Security Card Birth Certificate High School / College Diploma DD214 (if prior military) Please provide phone numbers for personal references and ensure that present/past employer information is current. Failure to comply with the above requests will result in rejection of your application. Thank you for your interest. The elements of the selection process are as follows: Interview, Administrative Review, Qualifications (if appropriate), and psychological/medical/drug screens. Additional information about the process may be found on the Sheriff’s Office website at www.columbiacountyso.org under the Jobs tab. Reapplication 9-1-1 applicants who fail the multitasking data entry test may test again in 30 days, if no other disqualifying aspects exist. Rejected applicants may reapply for consideration in six months; however, those applicants who are disqualified for reasons which assure another rejection shall not be reconsidered. Duration of the Selection Process Completion of the recruitment and selection process can take from 30 to 120 days. Applicants found eligible, but not immediately selected, may be contacted for subsequent placement. Reapplication shall be required if the applicant is not selected within one year. Application documents prepared(Required) I understand the Applicant notice and have all documents needed prepared for the application. Evaluations of applications are based on individual merit. Information MUST BE COMPLETE so that all applications can be given equitable consideration. All qualified applicants will receive consideration for employment regardless of race, color, religion, sex, age, national origin, or disability. One application must be completed for each position for which you apply. THIS APPLICATION MUST BE SIGNED AND DATED. INCOMPLETE APPLICATIONS MAY BE REJECTED. RESUMES ARE NOT ACCEPTED IN LIEU OF COMPLETED APPLICATIONS.Your Personal InformationYour Name(Required) First Middle Last Suffix Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Your Email Address(Required) Enter Email Confirm Email Primary Phone(Required)Work PhoneSecondary PhoneSocial Security Number(Required)Drivers license Number(Required)State(Required)Date of Birth(Required) Month Day Year Sex(Required) Male Female Height (In inches)(Required)Weight (In lbs)(Required)Eyes(Required)Hair(Required)Are You over 18 years old?(Required) Yes No Are you a citizen of the U.S.?(Required) Yes No Have you Ever Been Bonded(Required) Yes No If yes, on what jobs(Required)Were you previously employed by the CCSO(Required) Yes No If yes, when(Required) EducationHigh School Name and Location(Required)Highest Grade Completed(Required)12111098Graduated(Required) Yes No Do you have your GED(Required) Yes No Colleges UniversitiesName of SchoolAddressMajorDegree Earned Add RemoveVocational or business courses you have taken which relate to the job for which you are applyingDescribe special vocational or business courses you have taken which relate to the job for which you are applyingSkills, Qualifications, and CertificationsSpecial skills, qualifications, and certification (including language skills. typing skills, and business equipment or machine operating skills) which relate to the job for which you are applying.For clerical position complete the following approximate words per minute.TypingShorthand Have you received any traffic Citations in the past 3 years(Required) Yes No Please indicate the type of offenses and dates(Required)Have you (since the age of 18) ever been convicted of or plead guilty or no contest to a misdemeanor(Required) Yes No If yes, describe the circumstances(Required)Have you (since the age of 18) ever been convicted of or plead guilty or no contest to a felony(Required) Yes No If yes, describe the circumstances(Required) Military RecordSelective Service Classification(Required)If eligible but have not taken any steps towards joining the military or claiming an exemption choose 1-A1-A Available for unrestricted military service1-A-O Conscientious objector available for noncombatant military service only1-C Member of the Armed Forces of the United States, the National Oceanic and Atmospheric Administration, or the Public Health Service1-D-D Deferment for certain members of a reserve component or student taking military training1-D-E Exemption of certain members of a reserve component or student taking military training1-H Registrant not subject to processing for induction1-O Conscientious objector to all military service1-O-S Conscientious objector to all military service (separated)1-W Conscientious objector ordered to perform alternative service2-D Registrant deferred because of study preparing for the ministry3-A Registrant deferred because of hardship to dependents3-A-S Registrant deferred because of hardship to dependents (separated)4-A Registrant who has completed military service4-B Official deferred by law4-C Alien or dual national4-D Minister of religion4-F Registrant not acceptable for military service4-G Registrant exempted from service because of the death of his parent or sibling while serving in the Armed Forces or whose parent or sibling is in a captured or missing in action status4-T Treaty alien4-W Registrant who has completed alternative service in lieu of induction4-A-A Registrant who has performed military service for a foreign nationBranch(Required)Rank Attained(Required)Date of Entry(Required) Month Day Year Date of Discharge(Required) Month Day Year Type of Discharge(Required)Employment HistoryDescribe the last nine jobs held beginning with your current or most recent job. Failure to give complete information may result in your disqualification.Name of CompanyPhoneDates EmployedAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Official Job TitleMay we contact employer Yes No Name of SupervisorDescribe Specific DutiesSpecific Reason for LeavingAdd another Employer 1 Add another Employer Name of CompanyPhoneDates EmployedAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Official Job TitleMay we contact employer Yes No Name of SupervisorDescribe Specific DutiesSpecific Reason for LeavingAdd another Employer 2 Add another Employer Name of CompanyPhoneDates EmployedAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Official Job TitleMay we contact employer Yes No Name of SupervisorDescribe Specific DutiesSpecific Reason for LeavingAdd another Employer 3 Add another Employer Name of CompanyPhoneDates EmployedAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Official Job TitleMay we contact employer Yes No Name of SupervisorDescribe Specific DutiesSpecific Reason for LeavingAdd another Employer 4 Add another Employer Name of CompanyPhoneDates EmployedAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Official Job TitleMay we contact employer Yes No Name of SupervisorDescribe Specific DutiesSpecific Reason for LeavingAdd another Employer 5 Add another Employer Name of CompanyPhoneDates EmployedAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Official Job TitleMay we contact employer Yes No Name of SupervisorDescribe Specific DutiesSpecific Reason for LeavingAdd another Employer 6 Add another Employer Name of CompanyPhoneDates EmployedAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Official Job TitleMay we contact employer Yes No Name of SupervisorDescribe Specific DutiesSpecific Reason for LeavingAdd another Employer 7 Add another Employer Name of CompanyPhoneDates EmployedAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Official Job TitleMay we contact employer Yes No Name of SupervisorDescribe Specific DutiesSpecific Reason for LeavingAdd another Employer 8 Add another Employer Name of CompanyPhoneDates EmployedAddress Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Official Job TitleMay we contact employer Yes No Name of SupervisorDescribe Specific DutiesSpecific Reason for Leaving Applicant Data SheetDear Applicant: We are an equal opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, national origin, sex, age, disability, or veteran status. To help us comply with federal equal opportunity record keeping requirements, please answer the questions on this survey. In addition, the information will assist us in ensuring that our recruitment efforts are reaching all areas in the community and that all protected classes are represented in our applicant population.Where did you hear about this position Recruitment Card Social Media Web Page Other This data is for periodic government reporting and will be kept in a confidential file separate from the Application for Employment.Name First Middle Last Suffix Date of ApplicationMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Position you are applying for:(Required)Patrol DeputyDeputy Jailer (Sworn)Bailiff Deputy – Part Tome (Sworn)Communications OfficerSchool Crossing GuardSexConfidential Information: Please indicate appropriate sex Male Female UntitledConfidential Information: Please indicate appropriate ethnic background category Caucasian African American Asian / Pacific Islander Hispanic Native American / American Indian Other Notice to ApplicantsAll applicants are entitled under the law to equal employment opportunity. If you believe you have been discriminated against in employment on the basis of race, color, religion, national origin, sex, age, disability or veteran status, you are entitled to notify the Equal Opportunity Commission, 2401 E Street N.W., Washington, D.C., 20506, or other appropriate agencies. The selection process elements are: Application Screening Background Investigation Interviews Medical Exam/Drug Screen Psychological Exam Aptitude Testing Administrative Review Completion of the recruitment and selection process can take from 30 to 120 days. Applicants rejected may reapply in one year, however those applicants who are disqualified for reasons which would assure another rejection shall not be reconsidered.List three personal references. Do not list relatives or former employers.(Required)If address is not known put unknown in the address field.NameAddressPhone # (Home, Work, Mobile, Fax)Years Known Add RemoveList relatives employed with the County.If address is not known put unknown in the address field.NameAddressPhone #Relationship Add Remove Upload Your Resume (Optional)Upload your resume in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 100 MB.Required DocumentsApplicants requesting employment must provide copies of the below documents when submitting an applicationDrivers License Full body Length photograph of frontal and side profile in business casual Social Security Card Birth Certificate High School/College Diploma DD214 (if prior military) Drivers LicenseAllowed file types jpg, pdf, doc, docx Drop files here or Select files Accepted file types: jpg, pdf, doc, docx, Max. file size: 100 MB. Please provide phone numbers for personal references and insure that present / past employer information is current. Please do not provide pager numbers. Failure to comply with above requests will result in rejection of your application. Thank you for your interest. The elements of the selection process are as follows: Interview, Administrative Review, Qualifications (if appropriate), and psychological/medical/drug screens. Additional information about the process may be found on the Sheriff’s Office website at www.columbiacountyso.org under the Jobs tab. Reapplication – 9-1-1 applicants who fail the multitasking data entry test may test again in 30 days, if no other disqualifying aspects exist. Rejected applicants may reapply for consideration in six months; however, those applicants who are disqualified for reasons which assure another rejection shall not be reconsidered. Duration of the Selection Process – Completion of the recruitment and selection process can take from 30 to 120 days. Applicants found eligible, but not immediately selected, may be contacted for subsequent placement. Reapplication shall be required if the applicant is not selected within one year. DOMESTIC VIOLENCE CONVICTION ATTESTATIONI do hereby swear and affirm that I have never been convicted of any crime, misdemeanor, or felony involving an act of family violence or domestic violence in the state of Georgia or any other state of the United States. I understand it is Federal law that anyone convicted of a crime involving domestic / family violence must surrender all of his / her firearms and may not be in possession of any firearm. I further understand that if I knowingly and willfully lie on this form, I may be charged with criminal and administrative charges.Name First Last Suffix Date of acceptanceMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Consent I agree with the Domestic Violence Conviction Attestation stated above CRIMINAL HISTORY RECORD INFORMATION CONSENT FORM(Sworn Position Purpose Code “Z”) (Non-Sworn Position Purpose Code “J”)The passage of revisions to the federal Omnibus Consolidation Appropriations Act of 1997 and its amendment to the Gun Control Act of 1968 makes it unlawful for any person convicted if a “misdemeanor crime of domestic violence” to ship, transport, possess, or receive firearms or ammunition, including law enforcement personnel. There are no provisions in this law for exemptions. I hereby give my consent for a criminal history record check to be conducted. I understand this consent is voluntary, however, I acknowledge that refusal to give this consent may have an adverse effect on my continued employment as a law enforcement officer.Name First Middle Last Suffix Date of BirthMonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Social Security NumberConsent I agree to the Criminal History Record Information Consent Form Law Enforcement Investigation AttestationHave you been the subject of an investigation with any law enforcement agency Yes No The circumstances surrounding the investigation are as follows:Name First Middle Last Suffix Date MM slash DD slash YYYY LEIA I agree that the above information within the Law Enforcement Investigation Attestation is correctEmailThis field is for validation purposes and should be left unchanged.
