HENDERSON COUNTY SHERIFF’S OFFICE
100 North Grove Street
Hendersonville, NC 28792
10-00c Rev. 2/2/2018 Policy Chapter 10 1000.4 Employment Standards
APPLICATION FOR EMPLOYMENT
Thank you for your interest in employment with the Henderson County Sheriff’s Office. The application process is a key
component in ensuring that we meet your expectations as an employer and that your personality, skills and work ethic meet
our expectations of employees at our agency. We are committed to maintaining high ethical standards which include honesty
and integrity.
The Henderson County Sheriff’s Office provides an employment selection and hiring process which is structured to ensure
that prospective employees possess requisite knowledge, skills, abilities and acceptable character traits. The purpose of the
selection process is to produce effective and respected members of our agency by hiring qualified individuals. It is the policy
of the Henderson County Sheriff’s Office to recruit, hire, train and promote employees without discrimination because of age,
national origin, physical disability, race, religion, sex or any other protected class.
The selection and hiring process includes many steps and can take up to four months to complete. This process is designed to
fully examine each applicant’s abilities and interest in employment with the Sheriff’s Office. During the course of the hiring
process, you will be asked to answer many questions and to provide a lot of detailed information about your life. We expect
you to be truthful and maintain a high level of integrity at all times. If you provide false information or engage in deception
during the process, you will be eliminated from further consideration immediately.
SUBMITTING YOUR APPLICATION FOR EMPLOYMENT
Your application may be submitted in person to the Sheriff's Office, by mail to The Henderson County Sheriff’s Office ~ 100 N.
Grove Street ~ Hendersonville, NC 28792 ~ Attn: Professional Standards, by fax to 828-698-4499 or via e-mail to
sheriffjobs@hendersoncountync.org
THE NEXT STEP
Upon receipt of your completed application, you will receive written notification (via regular mail or e-mail) advising you that
your application has been received. The Henderson County Sheriff’s Office reserves the right to modify the recruitment and
selection process at any time without prior notice.
CONSEQUENCES OF FALSIFYING INFORMATION OR MISSING DEADLINES / APPOINTMENTS
ANY misrepresentation, falsification or omission at any time during the selection and hiring process is just cause for rejecting
your application. It will also disqualify you from submitting an application in the future for positions with the Henderson
County Sheriff’s Office. In addition, missing a deadline or confirmed appointment during the selection and hiring process may
cause your application to be rejected.
COMPLETING THE APPLICATION
On the following page is a list of minimum requirements for positions within the Sheriff’s Office. If you meet the minimum
requirements listed for the job you are applying for, please complete the application and follow the instructions for submittal.
Ensure that EVERY question is answered.
QUESTIONS
If you have any questions concerning the information required, or the selection and hiring process in general, please contact
the Henderson County Sheriff’s Office for assistance via e-mail at sheriffjobs@hendersoncountync.org
HENDERSON COUNTY SHERIFF’S OFFICE
100 North Grove Street
Hendersonville, NC 28792
10-00c Rev. 2/2/2018 Policy Chapter 10 1000.4 Employment Standards
All applicants for the position must meet the following minimum requirements. Those who do not meet the minimum
requirements will be disqualified from the process.
In addition to the above, the following are required for:
All positions:
High school graduate or the equivalent
Be of good moral character as determined by a background investigation
Must be authorized to work in the United States
Must be fingerprinted
Must pass a drug screening test
Must take a pre-employment written and oral psychological evaluation
Must take a pre-employment polygraph examination
Must not be a current user of illegal drugs
Must make full disclosure of criminal charges and Domestic Violence Orders, both upon application and while employed
Must wear protective / safety equipment as mandated by OSHA and Henderson County
Deputy Sheriff:
Must be a U.S. citizen
Must be at least 21 years of age at time of employment
Must be able to work a varied work schedule
Must have visual acuity sufficient to safely and efficiently perform the essential job functions
Must have a pre-employment medical examination by a licensed physician
Must not have been convicted of a felony or have any criminal action pending against you
Must have received an honorable discharge or a general discharge under honorable conditions if having served in any branch of
the armed forces of the United States
Must be vaccinated for Hepatitis B, have provided evidence of immunity or have signed a declination form within 10 days of
initial employment
Must be certified as a sworn law enforcement officer by the North Carolina Sheriff’s Standards and Training Commission
Must possess a valid North Carolina driver’s license
Must not be prohibited by federal or state law from possessing a firearm
Must not have had certification as a peace officer permanently revoked in another state
Detention Officer:
Must be a U.S. citizen
Must be at least 21 years of age at time of employment
Must be able to work a varied work schedule
Must have visual acuity sufficient to safely and efficiently perform the essential job functions
Must have a pre-employment medical examination by a licensed physician
Must not have been convicted of a felony or have any criminal action pending against you
Must have received an honorable discharge or a general discharge under honorable conditions if having served in any branch of
the armed forces of the United States
Must be vaccinated for Hepatitis B, have provided evidence of immunity or have signed a declination form within 10 days of
initial employment
Must be certified as a detention officer or successfully complete Detention Officer Training within one (1) year of employment
as required by the North Carolina Sheriff’s Training and Standards Commission
Telecommunicator / Call Taker:
Must be a U.S. citizen
Must be at least 18 years of age at time of employment
Must be able to work a varied work schedule
Must have visual acuity sufficient to safely and efficiently perform the essential job functions
Must be certified as a Telecommunicator or successfully complete Telecommunicator Training within
one (1) year of
employment as required by the North Carolina Sheriff’s Training and Standards Commission
HENDERSON COUNTY SHERIFF’S OFFICE
100 North Grove Street
Hendersonville, NC 28792
10-00c Rev. 2/2/2018 Policy Chapter 10 1000.4 Employment Standards
APPLICATION FOR EMPLOYMENT
Answer each question on this form. If additional information must be submitted in relation to a specific question, please submit this information
on additional sheets. Although a copy of your current resume is required to be submitted along with this application, it will not be accepted in
lieu of a completed application. “See Resume” is NOT acceptable. Honesty is the most important part of the selection process. There will be a
thorough background investigation conducted to verify all information. Be honest in all your responses. Deception is the foremost reason for
being rejected, not the content of what is reported.
Please print or type application. Applications must be completed in full.
Date of Application
Last Four Digits of Social
Security Number
XXX-XX-
Last Name
Middle Name
Mailing Address
City
State
Zip
County of Residence
Main Phone
( ) -
Alternate Phone
( ) -
E-mail Address
List any maiden or other names that you have ever used including all married names, nicknames, etc.
POSITIONS APPLYING FOR
Check all that apply. Sworn Deputy Detention Officer Call Taker / Dispatcher Administrative
Other (please specify) Full time Part time / Reserve
Please rank positions according to your interest:
1. 2. 3.
AVAILABILITY
Are you currently, or have you ever been, an employee of Henderson County Local Government?
Yes No If yes, list dates, department and position.
Do you currently reside in the same household with any person now working for the Henderson County Sheriff’s Office?
Yes No If yes, list name of person and relationship to you.
Are you at least 21 years of age if applying for a Sworn Deputy or Detention Officer position (18 if applying for any other positions within the
agency including Communications)?
Yes No
If hired, can you provide written evidence that you are authorized to work in the U.S.?
Yes No
Federal law requires males age 18 through 25 to register with the Federal government to comply with the Military Selective Service Act. North
Carolina GS 143B-421.1 prohibits local governments from employing any males who have not complied with the federal Selective Service
Registration regulations. If this requirement pertains to you, have you complied with the Federal law?
Yes No Not Applicable
EDUCATION
Check box of highest completed: High school graduate GED AA BS Masters Other
School Type
School Name / City / State
Graduated
Degree (if applicable)
High School
Yes No
GED
Yes No
College
Yes No
College
Yes No
College
Yes No
HENDERSON COUNTY SHERIFF’S OFFICE
100 North Grove Street
Hendersonville, NC 28792
10-00c Rev. 2/2/2018 Policy Chapter 10 1000.4 Employment Standards
ADDRESS HISTORY
List all residences where you have lived since your 18
th
birthday, regardless of the time you lived there.
List them in chronological order with your most recent address FIRST. Attach additional sheets if necessary.
From (mm/yy)
To (mm/yy)
Address
City / State
TRAINING AND CERTIFICATIONS
NC Basic Law Enforcement Officer certified? Yes No Currently enrolled in training program
School where certification was earned or where you are currently enrolled:
Date of certification or anticipated graduation date (mm/yyyy):
If certification is currently being held by another agency in any capacity, list name of agency.
Certification status Active Inactive
NC Detention Officer certified? Yes No
Is certification still active? Yes No
NC Telecommunicator certified? Yes No
Is certification still active? Yes No
NC DCI certified? Yes No
Expiration date (mm/yyyy):
Are you currently a NC General Instructor? Yes No
List any specialized instructor certifications which are currently active that you hold:
Foreign Language Skills (specify):
DRIVER’S HISTORY
Do you currently have a valid driver’s license? Yes No State of issuance: Driver’s License Number:
List any previous states you have had a driver’s license in.
Has your license ever been suspended or revoked? Yes No
If yes, when and under what circumstances.
Other than standard restrictions, has your license ever been restricted or subject to limited driving privileges? Yes No
If yes, when and under what circumstances.
Have you ever been charged with DWI / DUI? Yes No
If yes, when and where.
HENDERSON COUNTY SHERIFF’S OFFICE
100 North Grove Street
Hendersonville, NC 28792
10-00c Rev. 2/2/2018 Policy Chapter 10 1000.4 Employment Standards
CITATION HISTORY
List all citations you have received in your driving history. Attach additional sheets if necessary.
Date of citation:
State and county of offense:
Type of violation:
Disposition:
Date of citation:
State and county of offense:
Type of violation:
Disposition:
Date of citation:
State and county of offense:
Type of violation:
Disposition:
Date of citation:
State and county of offense:
Type of violation:
Disposition:
Date of citation:
State and county of offense:
Type of violation:
Disposition:
Date of citation:
State and county of offense:
Type of violation:
Disposition:
WORK HISTORY
Attach additional sheets if necessary.
Current or Last Employer
City/State
Job Title
Telephone Number
( ) -
Date Employed (mm/yy)
Date Separated (mm/yy)
Reason / Desire for Leaving
Full Time Part Time
Duties:
Ending Salary
Previous Employer
City/State
Job Title
Telephone Number
( ) -
Date Employed (mm/yy)
Date Separated (mm/yy)
Reason / Desire for Leaving
Full Time Part Time
Duties:
Ending Salary
Previous Employer
City/State
Job Title
Telephone Number
( ) -
Date Employed (mm/yy)
Date Separated (mm/yy)
Reason / Desire for Leaving
Full Time Part Time
Duties:
Ending Salary
HENDERSON COUNTY SHERIFF’S OFFICE
100 North Grove Street
Hendersonville, NC 28792
10-00c Rev. 2/2/2018 Policy Chapter 10 1000.4 Employment Standards
Previous Employer
City/State
Job Title
Telephone Number
( ) -
Date Employed (mm/yy)
Date Separated (mm/yy)
Reason / Desire for Leaving
Full Time Part Time
Duties:
Ending Salary
Previous Employer
City/State
Job Title
Telephone Number
( ) -
Date Employed (mm/yy)
Date Separated (mm/yy)
Reason / Desire for Leaving
Full Time Part Time
Duties:
Ending Salary
Previous Employer
City/State
Job Title
Telephone Number
( ) -
Date Employed (mm/yy)
Date Separated (mm/yy)
Reason / Desire for Leaving
Full Time Part Time
Duties:
Ending Salary
Previous Employer
City/State
Job Title
Telephone Number
( ) -
Date Employed (mm/yy)
Date Separated (mm/yy)
Reason / Desire for Leaving
Full Time Part Time
Duties:
Ending Salary
HENDERSON COUNTY SHERIFF’S OFFICE
100 North Grove Street
Hendersonville, NC 28792
10-00c Rev. 2/2/2018 Policy Chapter 10 1000.4 Employment Standards
WORK HISTORY CONTINUED
You may attach additional sheets as necessary to fully explain your answers.
Do you object to wearing a uniform? Yes No
Do you object to working nights? Yes No
Do you object to working holidays or weekends? Yes No
Do you object to working rotating shifts? Yes No
Do you object to being away from home overnight or for periods of time as required for training, meetings, etc.? Yes No
Are you currently in a hiring process with any other criminal justice agencies? Yes No
If yes, list which ones and the current status of your application.
Have you ever been removed from an employment process with a criminal justice agency after a conditional offer was made?
Yes No If yes, list the agency and describe the circumstances.
Have you ever received a disciplinary action, been asked to resign or been terminated by an employer?
Yes No If yes, explain your answer and provide specific details regarding the situation.
Have you ever resigned from employment while under an internal investigation? Yes No
If yes, list the employer and describe the circumstances.
CRIMINAL HISTORY
List any incidents where you were arrested or otherwise charged with a criminal offense.
Note: For this section, ‘charged’ includes being issued a citation or civil summons in lieu of arrest.
Attach additional sheets if necessary.
Date of offense:
State and county of offense:
Offense charged:
Disposition:
Date of offense:
State and county of offense:
Offense charged:
Disposition:
Date of offense:
State and county of offense:
Offense charged:
Disposition:
Date of offense:
State and county of offense:
Offense charged:
Disposition:
Date of offense:
State and county of offense:
Offense charged:
Disposition:
Date of offense:
State and county of offense:
Offense charged:
Disposition:
HENDERSON COUNTY SHERIFF’S OFFICE
100 North Grove Street
Hendersonville, NC 28792
10-00c Rev. 2/2/2018 Policy Chapter 10 1000.4 Employment Standards
CRIMINAL HISTORY CONTINUED
Have you ever had any type of Domestic Violence Restraining Order issued against you? Yes No
If yes, when and under what circumstances?
Have you ever been placed on court ordered probation or paid a court imposed fine? Yes No
If yes, when and under what circumstances?
DRUG HISTORY
Have you ever used any illegal drugs to include even one time or experimental usage at any time in your life? (This includes but is not limited to:
marijuana, synthetic or designer drugs, steroids, opiates, pills, heroin, cocaine, crack, LSD, methamphetamines, etc.) Yes No
If yes, list the following information for each drug used. Type of drug, circumstances under which usage occurred, total number of times drug
was used and when the last usage occurred (month & year).
Have you ever taken any prescription medication that was not prescribed to you by a physician? (This refers to any prescription medication
prescribed to another person which you took even for a valid medical reason.) Yes No
If yes, list the following information for each drug used. Type of drug, circumstances under which usage occurred, whom the drugs were
received from, total number of times drug was used and when the last usage occurred (month & year).
Have you ever purchased, manufactured, grown, delivered or sold any amount of illegal drugs, controlled substances or prescription medications?
Yes No
If yes, when and under what circumstances?
Other than in an official law enforcement capacity, have you been in the presence of anyone possessing / using drugs illegally in the last 12
months? Yes No
If yes, when and under what circumstances?
HENDERSON COUNTY SHERIFF’S OFFICE
100 North Grove Street
Hendersonville, NC 28792
10-00c Rev. 2/2/2018 Policy Chapter 10 1000.4 Employment Standards
MILITARY HISTORY
Are you a veteran? Yes No
Did you successfully complete basic training? Yes No
What branch did you serve in?
Date of entry into Active Service
Date of separation from Active Service
Type of separation
Were you ever subject to a court martial, tried on charges or the subject of a summary court, captain’s mast or company punishment or receive
any other disciplinary action while a member of the armed forces? Yes No
If yes, under what circumstances?
FINANCIAL HISTORY
Explain your current credit rating and the status of your financial obligations.
Explain the status of any delinquent accounts or accounts that have been sent to collections within the past 3 years.
Have you ever declared bankruptcy? Yes No
If yes, when and under what circumstances?
Have you ever had a vehicle or other personal possession repossessed? Yes No
If yes, when and under what circumstances?
Have you been sued or had a civil judgment rendered against you (i.e. evictions, executions, etc.)? Yes No
If yes, when and under what circumstances?
PERSONAL REFERENCES
List at least (3) three references you have known well for at least (3) three years.
They must be responsible adults of reputable standing within their community.
DO NOT USE relatives or former or present employers.
Include their full names, correct contact numbers and complete addresses where they may be reached during normal business hours.
Full Name
Phone Number
Address
City / State
( ) -
( ) -
( ) -
( ) -
( ) -
HENDERSON COUNTY SHERIFF’S OFFICE
100 North Grove Street
Hendersonville, NC 28792
10-00c Rev. 2/2/2018 Policy Chapter 10 1000.4 Employment Standards
ESSAY QUESTION
Please explain why you are interested in this position and specifically in joining the Henderson County Sheriff’s Office.
PERSONAL RESUME
Note: A copy of your current resume must be attached to this application. Your application cannot be fully processed without it.
Resume attached. Yes No
APPLICANT AFFIRMATION
I hereby certify that there are no willful misrepresentations, omissions or falsifications in the foregoing statements and answers to the questions.
I am aware that should an investigation disclose any misrepresentation, omission or falsification, my application may be rejected, or if already
employed, my employment may be terminated.
Signature of Applicant:
Date:
HENDERSON COUNTY SHERIFF’S OFFICE
100 North Grove Street
Hendersonville, NC 28792
10-00c Rev. 2/2/2018 Policy Chapter 10 1000.4 Employment Standards
AUTHORIZATION AND ACKNOWLEDGEMENT
FOR ACCESS TO PERSONAL INFORMATION
FOR EMPLOYMENT PURPOSES
NOTE TO CANDIDATES
None of the following actions will occur unless you are selected to participate in a hiring process. At which time, you will be notified and informed
that the process is taking place, and your desire to participate will be confirmed in advance.
AUTHORIZATION AND ACKNOWLEDGMENT
I hereby acknowledge that any or all information provided by me is subject to verification, and I hereby authorize the Henderson County Sheriff’s
Office to conduct a personal background investigation on me including any current or prior criminal arrests, convictions, criminal history, sex
offender registry and driving history.
By my signature below, I authorize the Henderson County Sheriff’s Office to contact my current and former employers as well as schools or other
educational institutions that I may have attended and obtain any information about my qualifications for employment including current or prior
work history, scholastic ratings and records and any other information they may have regarding me, whether or not it is on their records.
I also authorize past and present employers, educational institutions, associations, registration and licensing boards and any others contacted to
release any information requested by the Henderson County Sheriff’s Office concerning my qualifications and background.
I also understand that the Henderson County Sheriff’s Office will run an official credit check on me, and the results may be used for employment
consideration. I hereby authorize access to my credit reporting information for such purposes.
I understand that I also will be subject to a polygraph, drug screening and written and oral psychological evaluation. Information received through
these checks is privileged information and is not a public record but is for the exclusive use of the department and those persons authorized under
North Carolina law to receive the information.
If hired, I authorize Henderson County and its agencies, the Henderson County Sheriff and the Henderson County Sheriff’s Office to retain this
document on file to act as ongoing authorization for the procurement and possession of reports at any time during my employment period. I fully
release Henderson County and its agencies, the Henderson County Sheriff and the Henderson County Sheriff’s Office from all claims of damages
related to the investigation of my background and provision of information as set forth in this disclosure and authorization. I agree that information
possessed by Henderson County and its agencies, the Henderson County Sheriff and the Henderson County Sheriff’s Office may be supplied for
legally permissible purposes.
I acknowledge that this authorization is valid for one (1) year unless I am hired at which time the authorization will be ongoing for employment
purposes as outlined above. A copy of this document is considered valid, just as the original.
Signature of Applicant:
Date: