Texas Form Pers 282 – Fill Out and Use

6.Have you previously been employed by the TDCJ or worked in a TDCJ facility on a contract basis? Yes If yes, give unit(s)/department(s) and dates:

No

7.Are you related to any employee of the TDCJ or member of the Texas Board of Criminal Justice? Yes If yes, list name, relationship and unit/department of assignment:

No

Unknown

8. May we contact your present employer for a reference? Yes

No

Not presently employed

9e. Have you been involved in any substantiated incidents of sexual harassment? Yes If yes, please explain:

No

10. Are you willing to work any day of the week required for the position for which you are applying? Yes

11. If you are a male, age 18 through 25, have you registered with the Selective Service? Yes			No
If no, are you exempt from registration? Yes	No	I am not a male, age 18-25

No

12d. Are you on a current TDCJ offender’s visitation list? Yes	No
If yes, provide the name of the offender(s):

Unknown

12e. Have you corresponded in the past year with a current TDCJ offender? Yes If yes, provide the name of the offender(s):

No

•If you answered yes to Question 12a, 12b, 12c, 12d, or 12e, above, you are required to complete and submit a PERS 282A, Additional Offender Information form. This form is available from the TDCJ website.

•If you have a personal relationship with an offender, who is not a relative, be sure to read the “Offender Relationships” paragraph on Page 4 of this Supplement.

14.Are you on parole or probation, deferred adjudication or under a pre-trial diversion agreement? Yes If yes, please explain:

No

Conviction	Felony or
Date	Misdemeanor

Offense

Offense

Class

City & State

Punishment

16b. Are there any legal restrictions against you carrying a firearm? Yes

No

If yes, please explain:

17. Are you now or have you ever been a member of a street gang? Yes

No

Minimum Standards for all Applicants

1.Must be a U.S. citizen or an immigrant with lawful status, who is authorized to work in the U.S.

2.Must be at least 18 years of age

3.Must possess a High School Diploma from an accredited senior high school or equivalent or a state-issued General Education Development ( GED ) certificate

4.Must not be on probation for any criminal offense

5.Must not have pending charges for any criminal offense or have an outstanding warrant

6.Convicted felons (or those convicted of an equivalent offense under the Uniform Code of Military Justice) do not become eligible for consideration until 10 years have elapsed since termination of sentence.

7.Must not be on active duty in the military (persons on terminal leave from active duty may apply)

8.Males, age 18 through 25, must be registered with the Selective Service if required to do so by Federal Law.

9.Must be able to perform the essential functions of the position applied for, with or without reasonable accommodation

10.Must pass the TDCJ drug test

11.All applicants, who may have contact with offenders, are ineligible for employment if they have committed any activity described in questions 9b, 9c, or 9d.

Additional Minimum Standards for Correctional Officer and other Security Applicants

1.Never have been convicted of a felony

2.Not have been convicted of a Class A misdemeanor, or the equivalent, within the last 10 years

3.Not have been convicted of a Class B misdemeanor, or the equivalent, within the last 5 years

4.Never have been convicted of an offense that involved domestic violence

5.Not have been discharged from the Armed Forces under dishonorable conditions

6.Must pass the TDCJ pre-employment test and physical agility test

The GUN CONTROL ACT, 18 U.S.C. § 922(g), makes it unlawful for certain categories of persons to possess firearms or ammunition, to include a person:

1.Who has been convicted in any court of a crime punishable by imprisonment for a term exceeding one year;

2.Who is a fugitive from justice;

3.Who is an unlawful user of or addicted to any controlled substance (as defined in 21 U.S.C. § 802);

4.Who has been adjudicated as a mental defective or has been committed to a mental institution;

5.Who is an illegal alien;

6.Who has been discharged from the Armed Forces under dishonorable conditions;

7.Who has renounced his or her United States citizenship;

8.Who is subject to a court order restraining the person from harassing, stalking, or threatening an intimate partner or child of the intimate partner; or

9.Who has been convicted in any court of a misdemeanor crime of domestic violence.

Requirement to Report to Work in Emergency Situations

In an emergency situation that presents an immediate or potential threat to public safety as determined by a Warden or Department Head, it is mandatory that the following essential staff report to work: a) correctional officers and supervisors; b) parole officers and parole supervisory staff; and c) staff necessary to support emergency operations. Employees may be required to work overtime, have work schedules changed, have days off cancelled, and be temporarily reassigned to a different work location. If an employee is absent based on a claim of illness or injury on a day or days the employee was required to

report to duty during an emergency response situation, the employee may be required to furnish a health care provider’s

statement within two workdays after the employee returns to work.

Mandatory evacuation orders given by local or state officials (e.g., for anticipated landfall of a hurricane) do not relieve employees from the requirement to report to work as required by their assigned daily schedule card or as directed by a supervisor in emergency situations. Failure to report to duty or remain on duty may result in disciplinary action up to and including dismissal from employment.

Important Note

For purposes of employment with the TDCJ, convictions include sentenced to confinement, paid fine, time served, placed on probation (includes deferred adjudication) and

court-ordered restitution.

Additional Standards for Non-Security Applicants are stated in job posting and position descriptions. In addition, Parole Officers are required to have access to and be willing to use their own transportation for work and that they carry liability insurance. Parole Officers must not have been convicted of any offense involving domestic violence, and must not have been discharged from the Armed Forces under dishonorable conditions. Minimum standards for entry level Substance Abuse Counselor applicants will be explained by the contact person listed on the job posting.

Assignments

Initial assignment locations within the TDCJ are determined by applicant preference, consistent with the needs of the agency. The TDCJ reserves the right to reassign employees to different locations if necessary to meet its needs. Employees may submit a request for reassignment to another location in accordance with published procedures. However, there are many requests on file for certain areas and the waiting time for reassignment to these areas may be excessive.

Employee Drug and Alcohol Testing

All employees are subject to reasonable suspicion drug and alcohol testing.

Overtime

Employees who are authorized overtime and required to work overtime will be given Fair Labor Standards Act (FLSA) compensatory time. This compensatory time will be banked, used or cashed out consistent with TDCJ policy.

Continued on next page

Falsification of Application

It is important that the employment application be filled out completely and accurately. Any determination that the application has been falsified is grounds for refusing employment or terminating employment if already employed.

Organizational Affiliations

Affiliation with organizations that threaten the safety and security of a TDCJ facility may result in disqualification or termination of employment.

Employment Rights

Employees of the TDCJ are “at will” employees. This means that employment is for no definite period and may, regardless of the date or payment of wages and salary, be terminated at any time without prior notice.

Offender Relationships

TDCJ employees are prohibited from continuing or establishing a relationship with an offender or an offender’s family member,

if the relationship jeopardizes or has the potential to jeopardize the security of the TDCJ or compromises the effectiveness of the employee. Prohibited relationships include those involving cohabitation, sexual misconduct or actions that jeopardize or have the potential to jeopardize the security of the TDCJ. This means that employees may not have personal contact or relationships with offenders currently incarcerated or on parole

outside of their official duties if this contact or relationship would jeopardize or has the potential to jeopardize the security of the TDCJ. Prohibited contact includes living together,

writing letters or notes, telephone contact, visitation and depositing funds into an offender’s trust fund. If an employee

had a child together with an offender, employee contact with the offender or offender’s family may be limited to that which

is necessary to foster a relationship with the child. As a condition of employment with the TDCJ, employees with prohibited relationships must sever those relationships. Sever means to cease any and all cohabitation, intimate encounters, verbal or written communications, visitation and other prohibited contact. Continuation of a prohibited relationship after employment with the TDCJ may result in dismissal from employment if a determination is made by the TDCJ that the relationship jeopardizes or has the potential to jeopardize the security of the TDCJ.

Additional Information

Information concerning any event that may affect eligibility for employment with the TDCJ that occurs after the application has been submitted, to include criminal charges, must be provided in writing immediately to the Section Director,

Employment, TDCJ Human Resources Headquarters, 2 Financial Plaza, Suite #600, Huntsville, TX 77340. Failure to do so may be considered falsification of the application for employment and may result in disqualification or termination of employment.

1.A copy of your current DRIVER’S LICENSE with a photograph and/or date of birth, sex, height, eye color and address. Receipts are not acceptable without the license with photograph. You will also need to present the original license during screening for Correctional Officer applicants or during employment in-processing for non-correctional applicants. (SEE NOTE 1 AND 2, BELOW.)

2.A copy of your SOCIAL SECURITY CARD. This must be a copy of the original card issued by the Social Security Office. The following are not acceptable: metal or other reproductions; altered cards; laminated cards that were not

signed before lamination; laminated cards that have the statement, “This card is invalid if laminated” on the back and cards that contain the statement, "Valid for work only with DHS Authorization.” You will also need to present the original card at the same time you present your driver’s license.

3.For positions that do not require a college degree: A copy of a DIPLOMA or TRANSCRIPT that documents the highest level of education completed or a copy of a state or military- issued GED Certificate. For positions that do require a college degree: A copy of your COLLEGE DIPLOMA or TRANSCRIPT. Windham School System requires official college transcripts verifying highest degree conferred. SEE NOTE 3, BELOW.

4.A copy of the DD Form 214 you were issued for the final period of active duty, if you served in the U.S. military. This must be a complete Member 4 Copy or other copy, which includes the type of discharge. If you are on terminal leave from active duty, attach a letter from your commander indicating the date of discharge and type of discharge. The DD Form 214 must be submitted after the discharge date. If you no longer have your copy of your DD Form 214, you may request a copy on-line at: http://www.archives.gov/research_room/vetrecs

5.If you are a male, age 18 through 25, you must provide a copy of your SELECTIVE SERVICE REGISTRATION CARD or proof of exemption from Selective Service registration. If your card is not available, you may obtain proof of registration from the Internet and submit a printed copy of this proof. You may obtain proof of registration or register at the following address: http://www.sss.gov/regist.htm

6.A DISPOSITION for each item reported in questions 13, 14 and 15. A disposition is a statement of the charge, date and the results of the case. If the charge was dismissed, the disposition must state the reason for dismissal. Dispositions can normally be obtained from the clerk of the court having jurisdiction over the case.

NOTES:

1.Your original unexpired Driver’s License and Social Security Card may be used to verify your identity and eligibility for employment in the U.S. Both will be immediately returned to you. Verification of eligibility for employment in the U.S. is required by the Immigration Reform and Control Act of 1986.

2.If you do not have a driver’s license, any of the following documents are acceptable: unexpired State-issued ID Card; U.S. Military ID Card; School ID Card with photograph; unexpired ID Card issued by a federal, state, or local government agency; Voter Registration Card; U.S. Passport; Unexpired Foreign Passport with Employment Authorization; or, Alien Registration Card with photograph.

3.Foreign/International diplomas or education credentials must be evaluated by a TDCJ-approved evaluation service or a member organization of the National Association of Credential Evaluation Services (NACES).