marion county - squarespace · by florida statues 943.13. a felony is defined by florida law as any...

MARION COUNTY

EMPLOYMENT APPLICATION

EQUAL OPPORTUNITY EMPLOYER

Inside Front CoverBLANK

EMPLOYMENT APPLICATION

SIGNIFICANT JOB REQUIREMENTS

Among the requirements necessary for employment by the Office of the Sheriff, Marion County, applicantsmust be citizens of the United States. Also, personnel must reside within county limits. State certified positionsrequire a minimum of nineteen years of age. All positions require that the applicant be either a high school graduateor possess a G.E.D. certificate. G.E.D. test scores must also be provided.

As an employee of the Office of the Sheriff, Marion County, you may be required to work any hour of the day,any day of the week, and any recognized holiday. You may be required to work in any area of the County. You willbe required to maintain proficiency in the use of any equipment related to your job classification. You will berequired to work with and for persons of differing race, sex, religious affiliation, age group and physical disability.


The Office of the Sheriff is an Equal Opportunity Employer and does not discriminate in recruiting, hiring,training, promoting or other employment practices for reasons of age, race, color, religion, sex, national origin; ormarital, veteran, or disability status.

CRIMINAL CONVICTIONS

Any individual convicted of a felony shall be ineligible for appointment to the Office of the Sheriff as mandatedby Florida Statues 943.13. A felony is defined by Florida law as any offense for which a person may receive one(1) year of confinement in a state or federal institution.

With respect to all other convictions which are not felonies, on a case by case basis, the Department willconsider whether the applicant's prior criminal conviction or military offense conviction will have a bearing on thequalifications or suitability for the job for which he or she is applying. This will be done in accordance with FloridaStatute 943.1 3. The date and nature of the offense, the requirements of the position for which the applicant isbeing considered, as well as the applicant's other qualifications, will be evaluated.

CONFIDENTIALITY

During the selection and placement process, it will be necessary to inform the appropriate persons participat-ing in the selection process of the information contained in the employment application.

Pursuant to Florida Statutes 119, the Public Records Act, documents made or received by the Office of theSheriff in the course of processing the application are public records and open for inspection by the public.However, records such as examination questions and answers are exempt under the public records law andtherefore may not be disclosed. Moreover, reference information supplied during any background investigation willbe privileged to the Office of the Sheriff.

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APPLICANT CHECKLIST

Please check your application, including all forms, to assure that all questions have been completely answeredand all forms signed.

If any of the below listed documents apply to you, please be sure to submit copies of the documents. Copiesshould be submitted on 8-1/2 x 11 paper.

Your application will not be processed until copies of all required documents have been submitted.

1. Birth Certificate

2. High School Diploma/Transcript or GED with Score

3. Driver's License, if applicable, or State-issued Identification Card

4. Social Security Card

5. Recent Photograph (can be taken at our Human Resources Office)

6. College Degree/Transcript

7. DD214/Military Discharge (Submit a separate DD214 for each tour)

8. Police Standards Certificate/Corrections Standards Certificate

9. Proof of all legal name changes (Adoption, Marriage, Dissolution of Marriage or other reason)

10. Naturalization Certificate (Present original for verification)

11. Marriage Certificate

12. Any other documents which reflect your qualifications for a position with the Office of the Sheriff.

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Position(s) Applying for:

Deputy Sheriff

Corrections Officer

Corrections Assistant

Bailiff

9–1–1 Operator

Support Staff (Clerical, Secretary)

Other

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PERSONAL HISTORY

Date submitted:

Place recentphotograph

here

1. Full Name: 2. Social Security Number:_______-_____-_______

( ) ( )

3. Other: List all other names you have used, including circumstances and time periods you used them. (For example: maiden name, former name(s), alias(es), or nickname(s).)

4. Date and Place of Birth:

Date of Birth City County State Country (if not the United States)

5. Are you a United States citizen? Yes No Are you prevented from lawfully becoming employed

in this country because of Visa or Immigration Status? Yes No

If naturalized, please provide:

6. Marital Status: Married Divorced Separated Widowed Never Married

7. Do you have or have you ever applied for a passport? Yes No Passport No.

8. Can you travel if your job requires it? Yes No Date(s)

9. Have you ever filed an application with us before? Yes No Date(s)

10. Have you ever been employed by us before? Yes No Date(s)

Last Name First Middle Abbrev.

Mailing Address Physical Address if Different from Mailing

City State Zip

Home Telephone Number Alternate Telephone Number List Type: Pager, Work, Cell Phone, etc.

Name Circumstances Dates FromMo./Yr.

Dates ToMo./Yr.

Date Place

Court Naturalization No.

REFERENCES

1. References: Give six (6) references (not relatives) who are responsible adults of reputable standing in theircommunities, such as property owners, business or professional men or women, who have known you well forthe past five (5) years. If retired, give former occupation.

4

Mailing Address:

City, State, Zip:

Home Phone: ( )

Business Address:

City, State, Zip:

Business Phone: ( )

1. Complete Name Mr. / Mrs. / Ms. / Miss

Years Acquainted Occupation

Mailing Address:

City, State, Zip:

Home Phone: ( )

Business Address:

City, State, Zip:

Business Phone: ( )

Mailing Address:

City, State, Zip:

Home Phone: ( )

Business Address:

City, State, Zip:

Business Phone: ( )

Mailing Address:

City, State, Zip:

Home Phone: ( )

Business Address:

City, State, Zip:

Business Phone: ( )

Mailing Address:

City, State, Zip:

Home Phone: ( )

Business Address:

City, State, Zip:

Business Phone: ( )

Mailing Address:

City, State, Zip:

Home Phone: ( )

Business Address:

City, State, Zip:

Business Phone: ( )











EMPLOYMENT HISTORY1. List chronologically your places of employment beginning with present employment, including summer and

part-time employment while attending school.

Please account for any periods of unemployment. Use additional paper if necessary and include all requestedinformation.

Name & Address of Employer1. Name

Mailing Address

City, State, Zip

Area Code & Phone No. Full

Part-time

From

Dates WorkedMo./Yr.

To Salary

Titleor

Position

Nameof

Supervisor

Reasonfor

Leaving

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2. Name

Mailing Address

City, State, Zip


Part-time

3. Name

Mailing Address

City, State, Zip


Part-time

4. Name

Mailing Address

City, State, Zip


Part-time

5. Name

Mailing Address

City, State, Zip


Part-time

EMPLOYMENT HISTORY Continued

2. Have you ever been dismissed, asked to resign, or left by mutual agreement from any employment or positionyou have ever held? Yes No

3. Have you ever had any disciplinary action taken against you as a result of any position you have ever held forany reason, including allegations of misconduct or unsatisfactory job performance? Yes No If yes to#2 or #3, please provide details including approximate dates.

4. Have you ever applied to or performed paid or unpaid services for a law enforcement agency not listed previouslyas an employer? Yes No If yes, please provide name of agency and date of application or service.

5. Do you own a business or are you a partner or corporate officer in any business or organization not listedpreviously as a current or former employer? Yes No If yes, please provide name and address ofbusiness, corporation or organization and describe your relationship or position.

6. Does this business do business with the Sheriff's Office or County? Yes No If yes to question #5 or #6,please provide name and address of business, corporation or organization and describe your relationship or position.

7. May we contact your present employer? Yes No

8. On what date are you available for work?

9. Are you available to work Full Time Part Time Shift Work Nights or Weekends?

10. Are you available to work rotating shifts? Yes No

1. Actual places of residence for the past 10 years—list chronologically all addresses, including residences whileat school and in military. For on-campus college residences, give dormitory name, city and state. If residencesin military service cannot be shown as street address, indicate complete military unit designation and locationby city and state. If post office box, give location of post office.

RESIDENCES

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Dates ResidedMo./Yr.

From To Apt. No. Street Address City County State

EDUCATION/TRAINING

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High SchoolName/Address

YearsCompleted

Dates AttendedMo./Yr.

From To

Did YouGraduate?

Type ofDiploma

*College/UniversityName/Address

Area ofStudy

CreditHoursEarned


From ToDid You

Graduate?

Type ofDegree orCertificate

*College/UniversityName/Address

*Attach diploma or official transcript from last institution of higher education attended.

Major Minor

3. Other Schools (Trade, Vocational, Business or Military)

4. Describe any awards, honors, citations, positions held in school organizations, and any other specialrecognition you received while attending school:

5. Indicate any foreign language you can Speak:Read:Write:

6. Indicate any law enforcement education/training and any type of special licenses such as pilot, radio operator, etc.:

7. If you received a certificate or license for this training, indicate where license was issued and date current licenseexpires: Certificate/License No.

8. Has your law enforcement certificate ever been suspended, revoked or subject to discipline or investigation bythe CJSTC? Yes No

9. Describe any word processing or computer skills and list all software used:

10. State approximate number of words per minute typing:

11. Indicate any special skills you possess and equipment you can use that may be related to law enforcement work.(For example: two-way radio communications, intoxilyzer, noise or speed detectors, firearms, computers):

Fluent Good Fair

Area ofStudy

CreditHoursEarned


From ToDid You

Graduate?

Type ofDegree orCertificate

1.

2.

ARREST HISTORY/COURT DATA

DRIVING HISTORY

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1. Have you ever been arrested, charged or received a notice or summons to appear, been convicted, pled nolocontendere or pled guilty to any criminal violation, regardless if the record was sealed or expunged?

Yes No If yes, provide dates and details below.

2. Have you ever been convicted of a felony? Yes No If yes, provide dates and details below.

If yes to question #1 or #2, list all such matters even if not formally charged, or no court appearance, orfound not guilty, or nolo contendere to any charge for which adjudication was withheld, or matter settled bypayment of fine or forfeiture of collateral. (Include your juvenile charges and charges which have beensealed, if any.) Add additional sheets if needed.

3. Have you ever received a ticket or been charged with a traffic violation (excluding parking tickets)? Yes NoIf yes, provide dates and details below.

4. Have you or your spouse ever been a plaintiff or defendant in a court action? Yes No If yes, providedates and details below. Include any liens, lawsuits, bankruptcy, domestic violence injunctions, etc.

5. Have you ever been detained and/or questioned by any law enforcement officer for investigative purposes, or to yourknowledge have you ever been the subject of or a suspect in any criminal investigation? Yes NoIf yes, provide dates and details below.

6. Have you ever been fingerprinted for any reason (arrest, job application, military, etc.)? Yes NoIf yes provide dates and details below.

1. Do you have a valid Florida Drivers License? Yes No License#

2. Do you have or have you ever had a Drivers License in another state? Yes NoIf yes, please provide state(s), name used and approximate dates license(s) was/were held.

3. During the past five (5) years have you received a ticket or been charged with a traffic violation? Yes No

4. Have you ever been denied issuance of a license or have you ever had a license suspended or revoked?

Yes No

Agency Name/Location Date Charges Disposition

ORGANIZATION MEMBERSHIP

BUSINESS INTERESTS & LICENSES

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1. List all clubs and/ or societies of which you are or have been a member:

Name

2. Are you now or have you ever been a member of any foreign or domestic organization, association, movement,group or combination of persons who has adopted or shows a policy of advocating or approving the commissionof acts of force or violence to deny other persons their rights under the Constitution of the United States, orwhich seeks to alter the form of government of the United States by unconstitutional means?

Yes No

3. Have you ever made a financial or other material contribution to any organization of the type described inquestion #2 above? Yes No If yes to questions #2 or #3, answer questions #4 and #5 also.

4. At the time of your membership, participation, or contribution, did you know of any unlawful aims of theorganization? Yes No

1. Do you have or have you ever owned any stock or interest in any firm, partnership or corporation dealing whollyor partly in the sale or distribution of alcoholic beverages? Yes No

2. Are you now issued or have you ever been issued a license to engage in a business or profession? Yes No

3. Was the license ever cancelled, suspended or revoked? Yes NoIf yes to question #1, #2 or #3, please provide details including the type of license or certificate, the agencythat issued the license, effective date of license and license number:

City & State Former Present(List position held & describe activity)

PRE-EMPLOYMENT QUESTIONNAIRE

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Applicant NameApplicant Number

1. Where are you currently employed?

2. Explain the duties and responsibilities of your current position or the last position held.

3. Have you read and do you understand the essential job functions required for the position for which you

have applied?

4. Why do you desire to be a at the Marion County Sheriff’s Office?

5. What attributes do you possess that would make you the best candidate for the above named position at

the Marion County Sheriff’s Office?

6. What work-related experience do you have in relationship to the position applied for?

7. Have you ever been subject to disciplinary action at another agency due to misconduct complaints either

on or off duty? Yes No If yes, please explain:

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Tell us about yourself and explain why you qualify for this position:

CONFIDENTIAL EMPLOYEE HISTORY

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THE INFORMATION CONTAINED HEREIN IS CONFIDENTIALAND WILL NOT BE MADE AVAILABLE FOR PUBLIC INSPECTION

1. Applicant’s Current Address:

Name

Address City State Zip

Telephone Number County

2. Spouse’s Name and Address:

3. Children’s Names and Ages:

Name

Name

Address City State Zip

Date of Birth

4. Former Spouse’s Name and Address:

5. Are you now able to participate in defensive tactics, firearms or physical training, operation of a motorvehicle, or otherwise perform the duties set forth in the job description or task analysis related to the position

for which you applied? Yes No

6. If your answer to question #5 is “No,” would you be able to perform these tasks with an accommodation?

7. If a test or examination is required for this position, would you be able to take this test or examination with an

accommodation? Yes No

8. Explain what accommodation(s) you would need to perform these tasks or take the test or examination:

Name

Address

City County State Zip

Age Address (if different)

( )

12. Please provide name and address of next of kin or other person to be contacted in case of an emergency:

13. Please provide the name and address of your personal or family physician to be contacted in case of anemergency:

I understand that the “Applicant’s Certification” applies in all respects to the responses provided in numbers 1-13above in this “Confidential Employee History.”

Witnessed by:

Signature of the applicant as usually written Date

10. Do you currently use any narcotic or controlled substance, such as those listed in question 9, or have you

used such a narcotic or controlled substance within the last year? Yes No

11. Do you now or have you within the last year abused or illegally obtained, possessed or sold any prescription

drug? Yes No If yes, provide details, including drug, date, and circumstances.

9. Do you now or have you ever illegally experimented with, obtained, possessed, supplied or sold any narcoticor controlled substance such as, but not limited to, marijuana, hashish, cocaine, LSD, amphetamines, heroin,

steroids, or any drug of a similar nature? Yes No If yes, please complete the following:

a: Drug:

b: How Taken:

c: Circumstances:

d: Approximate number of times:

e: First time (approximate month/year):

f: Last time (approximate month/year):

Name

Address

City State Zip

Home Telephone Business Telephone

CONFIDENTIAL EMPLOYEE HISTORY Continued

13

( ) ( )

Name

Address

City State Zip

Home Telephone Business Telephone( ) ( )

MILITARY HISTORY

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1. Have you ever served on active duty in the Armed Forces of the United States? Yes No

Branch of Service: Highest Rank:

Serial #: Duty Dates: From: To: From: To:From: To: From: To:

2. Date and type of discharge:

3. Are you now or have you ever been a member of a reserve unit of the National Guard or Military? Yes No

4. If yes, state the branch of service, name and location of your unit and whether you attend drills, meetings, or camps:

5. Was any type of disciplinary action taken against you in the service? Yes No If yes, please provide: Date: Place: Nature of Offense:Action Taken:

6. Have you ever served in the Armed Forces of a foreign country? Yes No If yes, please specify countries and dates:

7. Are you designated as disabled because of any military service? Yes No

8. VETERAN'S PREFERENCE: Check the appropriate block if you are claiming veterans' preference. Documentationsubstantiating your claim must be furnished at the time of application.

1. A veteran with a service-connected disability who is eligible for or receiving compensation, disabilityretirement or pension under public laws administered by the U.S. Veteran's Administration and theDepartment of Defense, or

2. The spouse of a veteran who cannot qualify for employment because of a total or permanent disabilityor the spouse of a veteran missing in action, captured, or forcibly detained by a foreign power, or

3. A veteran of any war who has served on active duty for 181 consecutive days or more, or who hasserved 180 consecutive days or more since January 31, 1955, and who was honorably discharged fromthe Armed Forces of the United States of America if any part of such active duty was performed duringa wartime era, excluding active duty for training, or

4. The unremarried widow or widower of a veteran who died of a service-connected disability

Have you claimed and been employed using veterans' preference since October 1, 1987? Yes No

If yes, please give name of employer:

Note: Under Florida law, preference in appointment shall be given first to those persons included in #1 and #2above, and second to those persons included in #3 and #4 above. If an applicant claiming veterans'preference for a vacant position is not selected for the vacant position, he/she may file a complaint withthe Division of Veterans Affairs, P.O. Box 1437, St. Petersburg, Florida 33731.

DRUG CERTIFICATION FORM

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I, an applicant with the Office of the Sheriff, hereby certify that I am not currently using, taking or injecting any drug, narcotic, marijuana, or other habit forming substance illegallywithout such substance being legally prescribed by and under the direction of a licensed medical doctor.

I understand and agree that any falsification or misrepresentation with respect to this certification will disqualify me from consideration foremployment with the Office of the Sheriff.

THIS DOCUMENT MUST BE RETURNED WITH APPLICATION

APPLICANT DRUG TESTING CONSENT FORM

I understand that as part of the pre-employment process, the Office of the Sheriff will conduct an in-depth background investigation in aneffort to determine my suitability to fill the position for which I have applied.

In keeping with the efforts of the Office of the Sheriff to identify the individuals best fit for the law enforcement profession, I do herebyvoluntarily consent to the sampling and subsequent testing of my body fluids, including urine and blood.

I understand that refusal to supply the necessary samples may be grounds for rejection of my application for employment. I furtherunderstand that the results of the testing may be utilized in conjunction with any other information developed during the pre-employmentprocess to determine my eligibility for the position for which I have applied. Drug test results under this policy will not be disclosed for purposesof criminal prosecution.

Applicant Signature Date Witness Signature

Applicant refused to sign consent form.

TO BE SIGNED AND NOTARIZED IF YOU HAVE NEVER BEEN ENLISTED IN, OR SERVEDIN, ANY BRANCH OF THE ARMED FORCES OF THE UNITED STATES OR ANY OTHER

PRIVATE, STATE OR NATIONAL MILITARY OR MILITIA, FOREIGN OR DOMESTIC.

I, , have never been enlisted in, or served in, any branch of the Armed Forces of theUnited States or any other private, State or National military or militia, foreign or domestic.

(MUST BE SIGNED IN THE PRESENCE OF A NOTARY.)

Applicant Signature Date

Applicant Signature Date Witness Signature

Do not wish to sign.

STATE OF FLORIDA

COUNTY OF MARION

Sworn and subscribed before me this day of , 20 .

Notary Public

AFFIDAVIT

Personally Known

Produced Identification

APPLICANT’S CERTIFICATION

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APPLICANT: PLEASE READ CAREFULLY BEFORE SIGNING THIS APPLICATION. IF YOU HAVE ANY QUESTIONSREGARDING THE FOLLOWING STATEMENT OR ANY QUESTIONS CONTAINED IN THIS APPLICATION, PLEASE CONTACTTHE HUMAN RESOURCES DIVISION OF THE OFFICE OF THE SHERIFF, MARION COUNTY, BEFORE SIGNING.

I understand that my appointment or employment will be contingent upon the results of a complete background investigation. Iam aware that any omission, falsification, misstatement or misrepresentation will be the basis for my disqualification as an applicantor my dismissal from the Sheriff's Office. I agree to these conditions and certify that all statements made by me on this applicationare true, correct and complete to the best of my knowledge. I agree to inform the Sheriff’s Office of any additional informationrelating to questions raised on this application which may occur or come to my attention subsequent to the completion of thisapplication. I acknowledge that failure to update any information relating to questions on this application may be cause fordisqualification as an applicant or my dismissal from the Sheriff’s Office. I further consent to a polygraph examination concerning theveracity of my responses to the information requested on this application or which is discovered as a result of the backgroundinvestigation, or any physical contingent upon satisfactory completion of all pre-employment procedures, including but not limited tothose addressed below. I further understand that this employment application shall become the property of the Sheriff's Office andthat it and the information received in response to the background examination are public record.

I further understand and agree that my employment or appointment will be contingent upon the results of a complete drug testand that I may be required to take drug tests during the term of my employment or appointment with the Sheriff's Office.

I understand that the use of drugs or alcohol is not permitted, during work or duty time, whether paid or unpaid, in the areas,including vehicles, where work is performed by employees or appointees.

I understand that my continued employment or appointment may be contingent upon the result of medical or psychologicalexaminations that I may be required to take during the term of my employment or appointment and the maintenance of personalphysical fitness to satisfactorily perform the duties of my position or assignment with the Sheriff's Office.

I understand and agree that any employment or appointment offered to me will be contingent upon my acceptance ofcompensatory time off, instead of cash, in payment of overtime hours that I work, to the extent allowed by law. I understand,however, that the Sheriff has the absolute discretion to periodically substitute cash, in whole or part, of my compensatory time.

In the event of employment, and in consideration thereof, I authorize the Sheriff's Office and any person or concern it mayauthorize, without further notice or consent to use any picture or photograph of me or recording of my voice in any mannerconsistent with Florida Laws.

I authorize any of the persons or organizations referenced in this Sheriff's Office application to furnish information, personal orotherwise, regarding my ability or fitness for employment or appointment with the Sheriff's Office, and I relieve all such persons orparties from any and all liability for damages that might result from furnishing such information to the Sheriff's Office.

I agree to conform to the rules, regulations and orders of the Sheriff's Office and acknowledge the rules, regulations and ordersmay be changed, interpreted, withdrawn or added to by the Sheriff’s Office, at its discretion, at any time and without any prior noticeto me.

Should I be employed, I understand that such employment will be on a trial period of one year (12 months) from the first date ofemployment. I further understand that my employment will not result in an employment contract for any specific term. I agree thatthe Sheriff's Office can withhold my wages to cover any shortages or damages that I am responsible and accountable for.

(MUST BE SIGNED IN THE PRESENCE OF A NOTARY.)

Applicant’s Signature

STATE OF

COUNTY OF

The foregoing instrument was acknowledged before me this day of , 20 by

, who is personally known to me or who has produced the following instrument

as identification , and who did or did not take an oath.

SIGNATURE

NAME (PRINTED OR TYPED)

Date

AFFIDAVIT

TO SATISFY EQUAL EMPLOYMENT OPPORTUNITY REPORTING AND RESEARCHREQUIREMENTS, THE FOLLOWING INFORMATION IS NEEDED FOR STATISTICALPURPOSES:

RACE:WhiteBlackHispanicAsian/Pacific IslanderAmerican Indian/Alaskan Native

SEX:MaleFemale

VETERAN: Yes No

Referral Source:

REFERRAL SOURCE

01 POSTED JOB ANNOUNCEMENT BULLETIN

02 CURRENT EMPLOYEE

03 SCHOOL/COLLEGE

04 NEWSPAPER/MAGAZINE AD

05 RADIO/TELEVISION MEDIA

06 COMMUNITY AGENCY (such as Florida State Employment Office)

07 PERSONNEL OFFICE

08 OTHER LAW ENFORCEMENT AGENCY

09 FRIEND

10 OTHER


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Thank you for your interest in employment with the Marion County Sheriff’s Office.

Please be advised that the application must be returned to us in person so that initial processing can be completed for thebackground investigation. We receive a large volume of calls per day and request that you do not call our office to check onthe status of your application. If you are not being considered for employment, you will be notified in writing.

CONDITIONAL OFFER OF EMPLOYMENT — An interview with the Human Resources Director or his/her designee will be conducted.Applicants not selected for appointment may reapply after one (1) year.

KEYBOARD TESTING (if applicable) — Human Resources will conduct a keyboard test for all positions requiring typing skills. Ifstandards are not met on initial testing, the applicant is eligible to schedule a re-take, after a reasonable time has been met, to “brushup” on typing skills.

FINGERPRINT REQUIREMENT — Fingerprints will be a part of the application process and will be processed through the FederalBureau of Investigations and also the Florida Department of Law Enforcement.

BACKGROUND INVESTIGATION — A background investigation will be completed, utilizing the information contained in theapplication as well as any other information that may be divulged during the process. You should be made aware at this time thatsensitive or confidential aspects of your personal life may be explored if it is determined that it may have a bearing in being consideredfor employment with the Marion County Sheriff’s Office.

POLYGRAPH EXAMINATION — All applicants may be subject to a polygraph examination, if warranted. Areas under considerationin this exam will include any criminal behavior, any illegal drug usage or involvement, employment history and/or any items revealedduring the background investigation.

MEDICAL ASSESSMENT/EKG/DRUG SCREEN — All applicants are required to complete a basic medical exam, EKG, and drugscreen. Certain other positions might require additional testing, as appropriate. These may include vision, audio, and/or psychologicalexam. All medical exams required in the application process are paid for by the Sheriff’s Office.

DIVISION COMMANDER INTERVIEW — All applicants will be interviewed by the appropriate Division Commander or his/her designee.

CHIEF OF STAFF INTERVIEW & SHERIFF INTERVIEW — All applicants will be interviewed by a Chief of Staff & Sheriff.

ALL APPLICANTS UPON EMPLOYMENT MUST COMPLY WITH THE RESIDENCY REQUIREMENT

*IMPORTANCE OF HONESTY*

The Marion County Sheriff’s Office is seeking applicants who demonstrate certain characteristics. Honesty is the most importantcharacteristic that you must demonstrate. Therefore, it is extremely important that you are completely truthful when answering allquestions.

While filling out documents, you are cautioned to take your time, to be thorough, and to be specific in all your answers. If you haveany doubt in your mind concerning a particular question or if you are unsure whether to include certain information, the answer is“Yes, include it.” Not being truthful will exclude you from further consideration. Answer each question as completely and honestlyas possible. Many applicants are not accepted because of an omission and/or concealment due to previous behavior. Anysuch omission or concealment will be considered deception.

I have read and understand the above information.

Applicant’s Signature__________________________________________________

MEDICAL PLAN — Coverage is through Blue Cross/Blue Shield of Florida and is effective the first day of the month following 30days of employment.

STATUTORY LIFE BENEFIT — All full time employees are covered under our Statutory Life policy. Here are the current benefits:• $200,000 In the Line of Duty Death• $150,000 Fresh Pursuit• $150,000 Unlawful & Intentional Death

BASIC LIFE COVERAGE — Coverage is effective on the employee’s hire date and the entire premium is paid by the Sheriff’s Office.The amount of this policy is one times the employee’s annual base salary.

ACCIDENTAL DEATH & DISMEMBERMENT — Coverage is effective on the employee’s hire date and the entire premium is paid bythe Sheriff’s Office. The amount of this policy is one times the employee’s annual base salary.

SUPPLEMENTAL LIFE INSURANCE — Employee pays 100% of the premium and is effective upon approval by the insurancecompany. The amount of this policy adds an additional one times the employee’s annual base salary of Basic Life coverage with anadditional one times the employee’s annual base salary for Accidental Death & Dismemberment.

DEPENDENT LIFE INSURANCE — Coverage is effective on the employee’s hire date and the family monthly premium of $5.50 ispaid by the employee. This is a $10,000 basic life policy which covers all qualified dependents.

DENTAL & VISION PLAN — Coverage is effective the first day of the month following 30 days of employment. Premium is paid infull by the employee

LONG-TERM DISABILITY — Coverage is effective the first day of the month following 30 days of employment. Premium is paid infull by the Sheriff’s Office.

FLORIDA RETIREMENT SYSTEM — Contributions are paid 100% by the Sheriff’s Office. Regular members may retire after six ormore years of service AND age 62, or 30 years of service regardless of age. High Risk (Law Enforcement and Corrections Officers)may retire after six or more years of service AND age 55, or 25 years of service regardless of age.

FLEXIBLE COMPENSATION PLAN — Allows reduction of “Taxable income” through Medical reimbursement and/or child carereimbursement accounts, as well as insurance premium conversion. Premium Conversion is automatic and the other accounts areavailable during our Open Enrollment period.

LEAVE TIME —• Sick leave accrues at the rate of 3.6 hours bi-weekly

Annual or vacation leave accrues according to length of serviceBereavement Leave for Immediate Family MembersMilitary Leave available at a maximum of 17 days per calendar yearNine paid holidays annually plus One Personal Day (8 Hours) off per year

EDUCATIONAL ACHIEVEMENT PAY — Non-sworn/certified employees are eligible for Educational Achievement Pay for degreesobtained from an accredited college at the following rate:

$30 per month for a two-year degree$80 per month for a four-year degree

SALARY INCENTIVE — Sworn and certified employees are eligible for a maximum of $120 per month ($130 per month if theemployee has obtained a degree from an accredited college). Incentive will be paid as follows:

Two-year Degree – $30 per month; orFour-year Degree – $80 per month; and/orFDLE approved Law Enforcement Career Development Course payable at $20 per month for each 80 hours of instruction.

SPECIAL DETAIL PAY — Special details are available throughout the year for sworn law enforcement officers. Employees may workthese details on their off time and will be paid at the current special detail amount of pay.

OVERTIME COMPENSATION — Employees receive compensation for overtime. They may receive pay, compensatory time,administrative time, or flextime, depending on their position and at the discretion of their supervisor.

HIGHER EDUCATION REIMBURSEMENT — Reimbursement is limited to two courses of no more than six credit hours persemester at a per credit hour for CFCC course(s) and shall be limited to a maximum of six credit hours at the CFCC rate per eligibleemployee per semester. Tuition reimbursement is also limited to costs not funded by other programs such as scholarships, grants,G.I Bill or other subsidies.

LONGEVITY PAY — Employees receive longevity pay based on a percentage of their base salary each anniversary date. Thepercentage paid increases at five- and ten-year continuous service increments.

DEFERRED COMPENSATION PLAN — A tax shelter and supplemental retirement plan.

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