GREENE COUNTY
SHERIFF’S DEPARTMENT
WESLEY HOLT
SHERIFF
GREENE COUNTY SHERIFF'S DEPARTMENT
ATTN: DETECTIVE SGT TOBY PRICE
116 EAST DEPOT STREET
GREENEVILLE, TN 37743
PURPOSE AND USE: The principal purpose of employment application forms is to collect information needed to determine qualifications and suitability of applicants for employment. Your completed application may be used to examine, rate and/or assess your qualifications. It is in your best interest to answer all questions. Omission of an item means you may not receive full consideration for a position in which this information is needed. A false answer to a question in the employment application will be grounds for not employing you or for dismissing you after you begin work. All statements are subject to investigation, including a check of your fingerprints, police records, criminal records, and former employers. All information you give will be considered in reviewing your statement.
After completing and returning the application, you will be notified of a time, date and place where the next civil service test will be given. These tests are given throughout the year. This is a test for employment as a correctional officer. If you are a P.O.S.T. certified officer in the state of Tennessee or another state, you will need to document this in the application. The Greene County Sheriff’s Department hires from the Correctional Officer Division for the Sheriff’s Office Patrol Division.
An interview for employment will be based strictly on your test score(s). This civil service test must be taken in order to be eligible for employment with the Greene County Sheriff's Department.
ELIGIBILITY REQUIREMENTS FOR CIVIL SERVICE EXAMINATION
Applicants for positions as sworn personnel of the Greene County Sheriff's Department must meet the following minimum requirements:
1) Applicant must be eighteen (18) years of age, bondable and a citizen of the United States of America. (Copy of diploma or certification to be attached to application)
2) Applicant must be a high school graduate or have equivalent certification. (Copy of diploma or certification to be attached to application)
3) Applicant must have no conviction of a felony or a misdemeanor involving moral turpitude, not have a release or discharge from any branch of the Armed Forces of the United States under any condition other than honorable.
4) Applicant will have their fingerprints taken and on file with the TBI for Criminal Identification. This is arranged for candidates by the Greene County Sheriff’s Department for employment purposes. Fingerprints from any other agency are not accepted. (Fingerprints will be taken at the Greene County Detention Center.)
5) Have a Valid Tennessee Driver's License.
6) Applicant will have to pass a physical examination by a licensed physician.
7) Applicants must be free of all latent or apparent mental disorders as verified by a qualified professional selected by the Greene County Sheriff's Department as to any position in Law Enforcement, Corrections, or Civilian classifications.
8) Must achieve the minimum score as set by the Civil Service Board on any required examination.
9) Applicants must be a person of good moral character as determined by thorough investigation.
TO THE CIVIL SERVICE BOARD OF THE
GREENE COUNTY SHERIFF'S DEPARTMENT
GREENEVILLE, TENNESSEE
APPLICATION TO TAKE THE CIVIL SERVICE EXAMINATION
I HEREBY MAKE APPLICATION TO TAKE AN EXAMINATION, WHICH IF SATISFACTORY PASSED, WILL PLACE ME ON THE ELIGIBLE LIST OF YOUR BOARD FOR THE POSITION OF DEPUTY SHERIFF. ON MAKING THIS APPLICATION, I UNDERSTAND FULLY THAT SATISFACTORILY PASSING SAID EXAM MERELY PLACES ME ON THE APPROVED ELIGIBLE LIST FOR THE PERIOD OF TIME SET OUT IN THE RULES AND REGULATIONS OF YOUR BOARD.
IN SUPPORT OF MY APPLICATION, I HEREBY SUBMIT THE FOLLOWING INFORMATION:
PERSONAL INFORMATION
* APPLICANT'S FULL NAME
* APPLICANT'S ADDRESS
* APPLICANT'S PHONE NUMBER
* SOCIAL SECURITY NUMBER
* AGE
* PLACE OF BIRTH
HEALTH AND PHYSICAL CAPACITY FOR PUBLIC SERVICE
* HEIGHT FT
* HEIGHT IN
* WEIGHT
If Yes List the name and state of agency:
IF ANSWER IS YES, DESCRIBE DISABILITY
IF DISCHARGED OTHER THAN HONORABLE GIVE DETAILS
NUMBER OF DEPENDENTS
PERIOD OF RESIDENCE IN GREENE COUNTY:
PERIOD OF RESIDENCE IN TENNESSEE:
* EDUCATION: HIGHEST GRADE COMPLETED:
* DEGREE:
SPECIAL COURSES OF TRAINING OR EXPERIENCE WHICH GIVES PARTICULAR FITNESS FOR THIS TYPE OF WORK:
IF YES, PLEASE GIVE DETAILS:
IF YES, PLEASE GIVE DETAILS:
EMPLOYMENT FOR PAST FIVE YEARS
Give your full employment record, starting with your current or most recent employment
Employer 1
Employer 2
Job Title
Company Name
Company Address
Company Phone
Supervisor Name
DESCRIPTION OF WORK. DESCRIBE YOUR SPECIFIC DUTIES, BEING SURE TO INCLUDE ANY SUPERVISORY, MANAGERIAL, OR SCIENTIFIC PROFESSIONAL EXPERIENCE, IF APPLICABLE
Employer 3
Job Title
Company Name
Company Address
Company Phone
Supervisor Name
DESCRIPTION OF WORK. DESCRIBE YOUR SPECIFIC DUTIES, BEING SURE TO INCLUDE ANY SUPERVISORY, MANAGERIAL, OR SCIENTIFIC PROFESSIONAL EXPERIENCE, IF APPLICABLE
Employer 4
Job Title
Company Name
Company Address
Company Phone
Supervisor Name
DESCRIPTION OF WORK. DESCRIBE YOUR SPECIFIC DUTIES, BEING SURE TO INCLUDE ANY SUPERVISORY, MANAGERIAL, OR SCIENTIFIC PROFESSIONAL EXPERIENCE, IF APPLICABLE
Employer 5
Job Title
Company Name
Company Address
Company Phone
Supervisor Name
DESCRIPTION OF WORK. DESCRIBE YOUR SPECIFIC DUTIES, BEING SURE TO INCLUDE ANY SUPERVISORY, MANAGERIAL, OR SCIENTIFIC PROFESSIONAL EXPERIENCE, IF APPLICABLE
Employer 6
Job Title
Company Name
Company Address
Company Phone
Supervisor Name
DESCRIPTION OF WORK. DESCRIBE YOUR SPECIFIC DUTIES, BEING SURE TO INCLUDE ANY SUPERVISORY, MANAGERIAL, OR SCIENTIFIC PROFESSIONAL EXPERIENCE, IF APPLICABLE
ADD EMPLOYER
EMPLOYMENT TERMINATION
Employer
Address
Location of employment
Phone Number
Supervisor
Applicant's position
Explain in detail the circumstances of Termination
RECORDS CHECK INFORMATION
GREENE COUNTY SHERIFF’S DEPARTMENT
* Last Name
* First Name
* Complete Middle Name:
* List the Name you go by:
* Social:
* Drivers License Number
* D.L. State:
* Race (This is used for criminal history checks only)
* Gender
* List all states of residence:
IN MAKING APPLICATION TO TAKE SAID EXAMINATION, I PLEDGE THAT I WILL COMPLY FULLY AND COMPLETELY WITH THE RULES AND REGULATIONS OF THE CIVIL SERVICE BOARD, AND IF EMPLOYED THAT I WILL STRIVE TO UPHOLD THE STANDARDS ESTABLISHED BY SAID BOARD.
ATTENTION THIS STATEMENT MUST BE SIGNED: I understand that all appointments are probationary for a period of one year at the discretion of the Sheriff, subject to rules and regulations set forth by the Greene County Sheriff’s Department. I agree to submit to a physical examination and all other testing when requested. I understand that any appointment tendered me will be contingent upon the results of a complete character and fitness investigation. I am aware that willfully withholding information or making false statements on this application will be the basis for dismissal from the Greene County Sheriff’s Department and may constitute a violation of various criminal statutes. I agree to these conditions and I hereby certify that all statements made by me on this application are true and complete, to the best of my knowledge.
* Signature (type name)
AUTHORIZATION FOR THE RELEASE OF INFORMATION
I DO HEREBY AUTHORIZE , a review of and full disclosure of all records, or any part thereof, concerning myself, to and by a duly authorized agent of the Greene County Sheriff’s Department, whether said records are of a public, private, and/or confidential nature.
THE INTENT OF THIS AUTHORIZATION IS TO GIVE MY CONSENT for a full and complete disclosure of records including, but not limited to , those held by educational institutions, financial institutions, credit institutions or credit agencies, including records of deposits, withdrawals, and balances of checking and savings accounts and loans, and also the records of commercial retail agencies (including credit reports and/or credit ratings); records held by public utility companies; employment and pre-employment records, including the results of background investigation reports and polygraph examination results, efficiency ratings and/or performance evaluations, records of complaints and/or grievances filed by or against me, and salary records; real and personal property records, and other financial statements and records, wherever filed; records of complaint, arrest, trial and/or conviction(s) for alleged or actual violations of law, including criminal and/or traffic offense records and records of civil nature made by and/or against me or another person in any case in which I presently am involved or have had an interest.
I ALSO CONSENT TO THE FULL REVIEW OF ALL SOCIAL MEDIA PLATFORMS to which I hold an account and use or have used in the past. This search will include both public and private areas of my account. I understand I am to provide both Username and Password for those aforementioned accounts.
I REITERATE AND EMPHASIZE THAT THE INTENT OF THIS AUTHORIZATION is to provide full and free access to background and history of my personal life, for the specific purpose of pursuing a background investigation , which may provide pertinent data for the Greene County Sheriff’s Department to consider in determining my suitability for employment by said Department.
IT IS MY SPECIFIC INTENT TO PROVIDE ACCESS TO PERSONAL INFORMATION , however personal, private, or confidential it may appear to be, and the source(s) of information specifically identified herein.
I UNDERSTAND THAT ANY INFORMATION OBTAINED during the course of the background investigation which is developed directly or indirectly, in whole or in part, upon this AUTHORIZATIONFOR THE RELEASE OF INFORMATION, will be considered in determining my suitability for employment with the Greene County Sheriff’s Department.
I FURTHER UNDERSTAND that in the event my employment application and/or resume is disapproved, not considered, or otherwise does not result in my appointment to the Greene County Sheriff’s Department, the source(s) of confidential information CANNOT AND WILL NOT BE RELEASED AND/OR REVEALED TO ME
VADDITIONALLY, I AGREE TO INDEMINIFY AND HOLD HARMLESS the person(s) to whom this AUTHORIZATION FOR THE RELEASE OF INFORMATION is presented and his/her agents and employees, from and against all claims, damages, losses and expenses, including reasonable attorney’s fees, arising out of, or by reason(s) for complying with the request for information that this AUTHORIZATION provides.
LASTLY, IT IS FURTHER UNDERSTOOD BY ME THAT A PHOTOCOPY , including a facsimile (or FAX) copy of the actual original of this AUTHORIZATION FOR THE RELEASE OF INFORMATION will be valid as an original hereof, even though the said photocopy of facsimile does not contain an original writing of my signature
* Signature (type name)
APPLICANT
* Applicants Name
* Sex
* Race
* Height:
* Weight
* Hair Color
* Eye Color:
* Scars, Marks, and Tattoos:
* Home address:
* Phone: Home
* Work:
* Cell:
* Nicknames or AKA:
* Maiden Name or Former Married Name(s)
* Social Security Number:
* Driver’s license #:
* State:
* Place of Birth:
* State
Applicant Addresses for the last 10 years
ADDRESS (Current to past)
* 1).
2).
3).
4).
5).
6).
7).
8).
9).
10).
APPLICANT'S EDUCATIONAL BACKGROUND
APPLICANTS MILITARY STATUS
If yes, list branch
Type of Discharge:
If other than Honorable, explain:
Service Number
Type of Classification
If yes, explain
If yes, explain
If yes, list branch
CRIMINAL HISTORY
If yes, explain
If applicable, complete the following:
Offense #1:
Jurisdiction in which the offense was committed:
How was the charge placed? (Arrest Indictment Summons Citation)
Explain
Offense #2:
Jurisdiction in which the offense was committed:
How was the charge placed? (Arrest Indictment Summons Citation)
Explain
Offense #3:
Jurisdiction in which the offense was committed:
How was the charge placed? (Arrest Indictment Summons Citation)
Explain