Welcome to the Bristol County Sheriff's Office Online Application Form. Please read each question carefully and answer all required information. This is a secure form and all your information shall be kept confidential. We recommend using the "Save & Return" feature in order to save your progress in the event the application is not finished in one sitting.

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AN EQUAL OPPORTUNITY EMPLOYER

THE BRISTOL COUNTY SHERIFF'S OFFICE IS AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER.

THE BRISTOL COUNTY SHERIFF'S OFFICE DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, AGE, GENDER, SEXUAL ORIENTATION, ANCESTRY, NATIONAL ORIGIN, RELIGION, HANDICAP (DISABILITY), GENETICS, GENDER IDENTITY, GENDER EXPRESSION, MILITARY STATUS, OR ANY OTHER LEGALLY PROTECTED CLASS.

ALL APPLICATIONS ARE KEPT CONFIDENTIAL

Minimum Requirements for Employment with the Bristol County Sheriff's Office

-Valid Massachusetts Driver's License*

-High School Diploma or Equivalency**

-Proof of Citizenship (Naturalization Documents / Birth Certificate)

* If licensed in another state you must be eligible for a Massachusetts Driver's License

** Unless otherwise specified for posted positions

PAUL HEROUX

Sheriff of Bristol County

AN EQUAL OPPORTUNITY EMPLOYER

THE BRISTOL COUNTY SHERIFF'S OFFICE IS AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER.

THE BRISTOL COUNTY SHERIFF'S OFFICE DOES NOT DISCRIMINATE ON THE BASIS OF RACE, COLOR, AGE, GENDER, SEXUAL ORIENTATION, ANCESTRY, NATIONAL ORIGIN, RELIGION, HANDICAP (DISABILITY), GENETICS, GENDER IDENTITY, GENDER EXPRESSION, MILITARY STATUS, OR ANY OTHER LEGALLY PROTECTED CLASS.

ALL APPLICATIONS ARE KEPT CONFIDENTIAL

PERSONAL INFORMATION

Position Applying For *

First Name *

Middle Initial *

Last Name *

Date

List your current address where you actually reside, not a mailing address:

Number and Street *

City *

State *

Zip Code *

How long have you lived there? *

Landlord's Number (If Applicable)

Please list your contact information below:

Home Telephone:

Work Telephone:

Cell Phone: *

Email Address *

Is your mailing address different from your physical address? *

Yes

No

Please list your mailing address that is different from your physical address:

Number and Street *

City *

State *

Zip Code *

Are you a citizen of the United States? (Must submit copy of Proof of Citizenship) *

Yes

No

Place of Birth *

Birth Date: * +

Are you age 19 or older? *

Yes

No

In accordance with the Federal Privacy Act of 1974, disclosure of your Social Security number is voluntary.

The SSN will be used for identification purposes to ensure proper records are obtained.

SSN:

EDUCATION

Are you a High School Graduate or received an equivalency diploma? (Must submit copy of High School Diploma or equivalency) *

Yes

No

Please list Name of School you received diploma from *

Please list date of the certificate * +

Did you attend college? *

Yes

No

Did you graduate? *

College #1

College name *

City *

State *

Major *

Date Began +

Date End +

Credits

Add another college? *

Yes

Skip

College #2

College name *

City *

State *

Major *

Date Began +

Date End +

Credits

Add another college? *

Yes

Skip

College #3

College name *

City *

State *

Major *

Date Began +

Date End +

Credits

EXPERIENCE AND EMPLOYMENT

BEGINNING WITH YOUR MOST CURRENT EMPLOYMENT, please list current and previous jobs, including military service you have held in the last ten years. All time periods must be accounted for. Jobs include self-employed, part time, temporary work, voluntary work and internships. You must list all employment regardless of the length of employment. Addresses must be complete, current, and accurate. If you had intervening periods of unemployment, please list those periods in sequence in the spaces provided.

Are you currently unemployed? *

Yes

No

List start date of unemployment * +

List end date of unemployment +

Please list your employment history. This form only requires the two most current employments, though you may include more on your resume.

Employer #1

Start Date * +

End Date (Leave blank if still employed) +

Company Name *

Address *

Phone *

Job Title *

Supervisor's name *

Describe your duties *

Reason for leaving (be specific) *

Employer #2

Start Date * +

End Date (Leave blank if still employed) +

Company Name *

Address *

Phone *

Job Title *

Supervisor's name *

Describe your duties *

Reason for leaving (be specific) *

Use this section to explain any gaps in employment (if applicable)

Have you ever been investigated by your employer or supervisor for improper conduct, illegal activities, sexual harassment, or Equal Employment Violations which resulted in your being found in violation of any policies, regulations, rules, or any State of Federal laws? *

Yes

No

Please provide the following information:

Date * +

Employer *

Details and results of the investigation *

Have you ever been suspended by an employer or received a formal written reprimand? *

Yes

No

Please provide the following information:

Date * +

Employer *

Explain *

MILITARY SERVICE

Have you ever served in any Armed Forces, National Guard or Military Reserves? *

Yes

No

What is your current status within the military? *

Active

Reserve

Inactive

Discharged

Enlistment Date * +

Discharge Date (If applicable) +

Branch *

Unit *

Service Number *

Highest rank *

Rank at discharge *

Type of discharge *

List your C.O.'s name

Were you ever investigated for any criminal activity while in the military or military reserves? *

Yes

No

Date of violation * +

Violation *

Penalty *

Did you receive an honorable discharge? *

Yes

No

Explain *

Legal

Have you ever been convicted of a criminal offense? (Excluding motor vehicle and juvenile offenses) *

Yes

No

PREA Standard 115.17(f)

Pursuant to the Prison Rape Elimination Act (PREA), applicants for hire or for promotion to positions that may have contact with inmates must answer the following:

Have you ever engaged in sexual abuse in a prison, jail, lockup, community confinement, juvenile facility, or other institution defined in 42 U.S.C. 1997? *

Yes

No

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

Yes

No

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

Yes

No

Please be advised that material omission regarding such misconduct or the provision of materially false information shall be grounds for termination (for employees) or non-hire (for applicants)

RESIDENCE

Please list your last previous residence

Previous address *

City *

State *

From * +

To * +

REFERENCES

Please list as references, three (3) individuals you have known for at least two (2) years who have knowledge of you and your qualifications. Examples can be personal friends, fiancée, partner, friends of the family, roommates, teachers, neighbors, classmates, co-workers, past supervisors and military supervisors or acquaintances. DO NOT include relatives or family members.

Reference #1

Name *

Relationship *

How long have you known this person? *

Best contact number *

Reference #2

Name *

Relationship *

How long have you known this person? *

Best contact number *

Reference #3

Name *

Relationship *

How long have you known this person? *

Best contact number *

AFFIRMATIVE

Government agencies require periodic reports on sex, ethnic background, handicap, and veteran status of any and all applicants. This data is for analysis and affirmative action only. Submission of information in this section is voluntary.

If you wish to volunteer this information, select the Volunteer option, otherwise you may choose Skip this section. *

Volunteer

Skip

Gender

Male

Female

Race / Ethnic group

ADDENDUM

You may use this section as an addendum or supplemental to any questions you've responded to. Please specify the question(s) you are referring to before responding.

CODE OF ETHICS

The orderly and efficient operation of a Bristol County correctional facility requires that employees maintain discipline and proper personal standards of conduct at all times.

The following are some examples of rules of conduct. See policy number BCSO 01.07 for a complete version of the Bristol County Sheriff's Office Code of Ethics policy.

Relationships with clients, colleagues, other professionals and the general public:

All BCSO staff members shall respect and protect the civil and legal rights of all clients, shall serve each case with the appropriate concern for the client's welfare and with no purpose of personal gain, shall be of such character as to promote mutual respect with the profession and improvement of its quality and service, and shall respect and protect the rights of the public and be safeguarded from criminal activity.

Professional Conduct and Practices:

No BCSO staff member shall use their official position to secure privileges or advantages for themselves, shall not accept any gift or favor of a nature to imply an obligation, each staff member shall report without reservation any corrupt or unethical behavior that could affect either a client or the integrity of the organization, shall not discriminate against any client, employee, or prospective employee on the basis of race, color, sex, religion, age, handicap, creed, or national origin.

Conflict of Interest: Gifts and Political Activities:

No staff member of the Bristol County Sheriff's Office, consultant, or contractor to the Sheriff's Office or any staff member's family shall be able to accept a gift or loan made either directly or indirectly to someone acting on behalf of the intended recipient from the following individuals: Former inmate, Member of a present or former inmate's family, Person, Group, or organization acting on behalf of present or former inmates. Any staff member whom unknowingly accepts a gift must report the matter to the Sheriff of Bristol County as soon as possible after the discovery.

Inmate Record Information:

No BCSO staff member shall disclose criminal offender record information (CORI) except to authorize agencies individuals and as directed by the Criminal History Systems Board regulations. A staff member in violation of this policy is subject to a fine up to $5,000 and/or imprisonment for up to one year.

Sexual Harassment:

Any employee found to have engaged in sexual harassment in violation of this policy of the Bristol County Sheriff's Office Sexual Harassment Policy (BCSO 03.05) shall be subject to disciplinary action, up to and including, termination of employment.

Reportable Information:

A BCSO staff member is responsible for promptly reporting the following information to the ADS Human Resources and the facility Deputy Superintendent: Change in home address, summer address or telephone number, the commitment of a relative or close friend, any involvement with law enforcement, including investigation, arrests, court appearances, and any other employment or second job.

*

I have read the above and understand that I am responsible for reviewing and making myself familiar with the complete Bristol County Sheriff's Office Code of Ethics Policy (BCSO 01.07) if I am appointed as an employee of this agency.

REFERRALS

Did a current BCSO employee refer you to the Bristol County Sheriff's Office for employment? *

Yes

No

What is the employee's name? *

Where did you hear about us? *

APPLICANT NOTIFICATION AND RELEASE

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Federal, State, and local government are not affected by the law.

An applicant for employment with a sealed record on file with the commissioner of probation may answer "no record" with respect to an inquiry herein relative to prior arrests, criminal court appearances or convictions. An applicant for employment may answer "no record" with respect to any inquiry to prior arrests, court appearances and adjudications in all cases of delinquency or as a child in need of services which did not result in a complaint transferred to the superior court from criminal prosecution.

You may include any verified work performed on a volunteer basis.

The information that I have provided on this application is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume, or any other materials, or during interviews, can be justification for refusal of employment, or if employed, termination from employment.

Any offer of employment that I receive from the Bristol County Sheriff's Office is contingent upon my successful completion of the pre-employment screening process, including Bristol County Sheriff's Office receiving references that it considers satisfactory, and my satisfactory completion of any post-offer, pre-employment physical examination that Bristol County Sheriff's Office may require.

I understand that, as a condition of employment, the Bristol County Sheriff's Office may verify all of the information provided by me, or may produce or have prepared a consumer or an investigative consumer report for this purpose concerning, among other things, my prior employment or military record, education, character, general reputation, personal characteristics, criminal record, and mode of living. I understand that upon written request to the Bristol County Sheriff's Office, I will be informed whether an investigative consumer report was requested and given full information as to the nature and scope of the investigation.

I authorize and request that all of my present and former employers and those individuals I have listed as personal references furnish information about my employment record, including a statement of the reason for the termination of my employment, work performance, abilities, and other qualitied pertinent to my qualifications for employment. I hereby release my present and former employers and those individuals I have listed as personal references from any and all liability for damages arising from furnishing the requested information.

*

Check here to acknowledge the above Applicant Notification and Release form

The Bristol County Sheriff's Office is a law enforcement agency. All employment applicants are subject to a background investigation. Applicants are advised that any false or misleading statements in the employment application may lead to rejection of application or dismissal after hiring.

DISCLOSURE OF NAMES OF FAMILY MEMBERS WHO ARE STATE EMPLOYEES

Disclosure Required by G.L. c. 268A, Sec. 6B

Name of Applicant for Employment *

Date

Is your spouse, parent, brother, sister or child, or the spouse of your parent, brother, sister or child, a state employee? *

Yes

No

Please list below the name(s) of any state employee who is your spouse, parent, brother, sister or child, or who is the spouse of your parent, brother, sister or child, and indicate their relationship to you. Please also list the name of the state agency that employs those relatives. (Use the "+" to add lines and "-" to remove lines)

Relative #1

Name of relative *

Relationship to Applicant *

Name of State Agency *

Add another relative? *

Yes

No

Relative #2

Name of relative *

Relationship to Applicant *

Name of State Agency *

Add another relative? *

Yes

No

Relative #3

Name of relative *

Relationship to Applicant *

Name of State Agency *

Add another relative? *

Yes

No

Relative #4

Name of relative *

Relationship to Applicant *

Name of State Agency *

Add another relative? *

Yes

No

Relative #5

Name of relative *

Relationship to Applicant *

Name of State Agency *

Add another relative? *

Yes

No

Relative #6

Name of relative *

Relationship to Applicant *

Name of State Agency *

Add another relative? *

Yes

No

Relative #7

Name of relative *

Relationship to Applicant *

Name of State Agency *

SOCIAL MEDIA

Do you use social media? *

Yes

No

Please list which social media accounts you use *

Please list your Facebook username. *

Please list your X username. *

Please list your Snapchat username. *

Please list your Instagram username. *

Please list your LinkedIn username. *

Please list your TikTok username. *

Please list your Other social media account's username *

SUBMISSION OF APPLICATION

After all information has been properly and accurately entered, please click Submit at the bottom of this page to send your Application to Human Resources.

edited 01/25/2024