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MERIT SYSTEM COUNCIL

912 S. GAY STREET, SUITE L-100

KNOXVILLE, TN 37902

TELEPHONE (865) 215-4446 FAX (865) 215-4448

merit.systems@knoxcounty.org

APPLICATION FOR EMPLOYMENT

The following positions are all entry-level positions that maybe applied for through the Merit System. Please

understand you may be required to work any shift after employment. Please visit our website at

www.knoxcounty.org/meritsystem for immediate openings and benefit information.

 Correctional Officer

$34,329.21/yr.

 Patrol Officer (active P.O.S.T. certified only)

$38,875.75/yr.

 Support Services Tech I

$25,901.84/yr.

 Property Officer

$24,432.40/yr.

 Assistant Kitchen Manager

$29,759.51/yr.

 Commissary Assistant

$24,432.40/yr.

 Medical Assistant

$32,698.96/yr.

 Jail Licensed Practical Nurse (Entry level pay increases based on experience)

$41,218.00/yr.

 Jail Registered Nurse (Entry level pay increases based on experience)

$55,018.45/yr.

You must be a High School Graduate or have a GED to apply for any position. You must be at least twenty-

one (21) years old to apply for a Correctional Officer positon and eighteen (18) years old for all other

positions.

EFFECTS OF NON-DISCLOUSRE

Because the employment application forms request both optional (other skills, training, social security number, etc.)

and mandatory (qualifications and biographical, etc.) date, 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 section 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, credit records, and former employers. All information you give will be considered in

reviewing your statement.

A COPY OF THE FOLLOWING ITEMS MUST BE ATTACHED TO YOUR APPLICATION:

1). Birth Certificate

2). High School Diploma, GED, or High School Equivalency

3). Driver’s License

4). DD-214 (if applicable)

5). Nursing License (if applicable)

6). P.O.S.T. Certificate, Basic Police Academy Certificate, and hourly breakdown of academy curriculum (if

P.O.S.T. Certified outside the state of Tennessee) (if applicable)

AMERICAN DISABILITIES ACT – NOTICE TO APPLICANTS

Applicants are considered for all positions without discrimination on the basis of race, sex, color, religion, national

origin, disability, or veteran status in employment opportunities or benefits. This application is but one part of the

hiring and employment process. Other parts may include an interview, an employment examination, and an ability to

perform the essential functions of the job. If you need accommodations in order to complete any part of the hiring

and employment process, including this application, please call one of the following numbers: (865) 215-2952

ADA Office or (865) 215-4446 Merit System Council.

MINIMUM REQUIREMENTS FOR POSITIONS WITH KNOX COUNTY SHERIFF’S OFFICE

1). Be at least 21 years of age and bondable (required only for employees in law enforcement). Other employees

must be at least 18 years of age.

2). Be a citizen of the United States

3). Be a high school graduate or its equivalent (GED)

4), Cannot be convicted of, or plead guilty to, or entered a plea of nolo contendere to any felony charge or to any

violation of any federal or state laws or municipal ordinances relating to force, violence, theft, dishonesty, gambling,

liquor or controlled substances, this includes misdemeanor convictions and moving violations that include alcohol

and/or controlled substance such as driving under the influence. (Chapter No. 849, Senate Bill No.3189, July 2006)

5). Cannot have been released or discharged under any other than honorable discharge from any of the armed forces

of the United States.

6). Must have fingerprints on file with the Tennessee Bureau of Investigation. This is arranged for candidates, as the

Knox County Sheriff’s Office for employment purposes must fingerprint every candidate. Fingerprints from any

other agency are not accepted.

7). Must have or be eligible for a valid Tennessee Driver’s License, for those employees normally required to

operate motor vehicles.

8). Must be free of all latent or apparent metal disorders as verified by a qualified professional selected by the Merit

System for any position in Law Enforcement, Corrections, or Civilian classifications, and in all other positions

unless waived by the council

9). Must have passed the departmental physical examination by a licensed physician.

10). Have a good moral character as determined by a background investigation.

11). Must have passed an entry-level exam.

MERIT SYSTEM COUNCIL

APPLICATION FOR KNOX COUNTY SHERIFF’S OFFICE

Position(s) applied for:

Name:

(First)

(Middle)

(Last)

List all other names you have used: including maiden name or other legal name change(s):

Address:

(Street)

(City)

(State)

(Zip Code)

Telephone Number(s):

U.S. Citizen

YES

Date of Birth:

Place of Birth:

Social Security Number:

Email Address:

High School or Issuer of GED:

Graduation Date or GED Date:

Military Service:

YES

(If answer is yes, please answer questions below)

Date of Discharge:

Type of Discharge:

PERSONAL DECLARATIONS

Have you ever used any illegal drugs?

YES

Do you use or have you used any of the following in the last 12 months: Marijuana, Cocaine, or any

other illegal drugs?

YES

Have you ever been accused of any previous incidents of institutional or community sexual misconduct

or sexual abuse?

YES

COURT RECORD

Have you ever been arrested or charged with any violation of local, state or federal ordinances?

YES

 If you have a conviction that has been expunged, please attach a copy of the court documents.

If you answered “yes” to the question above, please fill out the information below.

Date:

Place:

Charge:

Disposition:

Date:

Place:

Charge:

Disposition:

Date:

Place:

Charge:

Disposition:

These charges will show up when your criminal history is checked. If you do not list them and they

show up on the history check, you will have submitted a false application and will be eliminated

from any consideration for employment unless they have been dismissed or expunged. Please be

aware if you have been convicted of, pled guilty to, or entered a plea of Nolo Contendre to any

felony charge or to any misdemeanor violation of any Federal, State or Municipal ordinances

relating to force, violence, theft, dishonesty, gambling, liquor (including D.W.I) or controlled

substances, you are not eligible for employment with the Knox County Sheriff’s Office and should

NOT proceed with this application.

Have you ever been a plaintiff or defendant in a court action?

YES

Do you have any pending cases?

YES

If you answered “YES” to either question please give the date, place, names or parties involved, nature of

action and disposition.

EMPLOYMENT HISTORY

Beginning with your current employer please list the last ten years of employment. Please include any casual

employment and all period(s) of unemployment. Be sure to include any military experience if applicable. If

additional space is needed to complete your employment history, please attach.

Name of Employer:

Position/Title:

Address:

City:

State:

Zip Code:

Phone Number:

Dates Employed:

Reason for Leaving:

Description of work duties be sure to include any supervisory or managerial experience if applicable.

Name of Employer:

Position/Title:

Address:

City:

State:

Zip Code:

Phone Number:

Dates Employed:

Reason for Leaving:

Description of work duties be sure to include any supervisory or managerial experience if applicable.

Name of Employer:

Position/Title:

Address:

City:

State:

Zip Code:

Phone Number:

Dates Employed:

Reason for Leaving:

Description of work duties be sure to include any supervisory or managerial experience if applicable.

Please list any previous law enforcement position(s) you have held:

Specify if the position was patrol, jailor, or civilian related.

Agency:

Position:

Dates of Employment:

Agency:

Position:

Dates of Employment:

Agency:

Position:

Dates of Employment:

Have you previously submitted an application for employment with the Knox County Sheriff’s Office?

YES

Have you ever been dismissed or asked to resign from any employment or position you have held?

YES

If you answered “YES” please explain below indicating the name of the company, dates of employment,

and the reason(s) for your resignation/dismissal. If you answered “NO” to the above question and your

employment background check finds that you have been terminated, you will have submitted a false

application and will be eliminated from any consideration of employment.

PERSONAL REFERENCES

Please list your references (please exclude relatives and present co-workers) who are responsible adults of

reputable standing in their communities, such as property owners, neighbors, business or professional

men or women, who have known you for at least five (5) years. You must list a complete mailing

address or a complete email address for each reference.

Complete Name:

Years Acquainted:

Address:

City:

State:

Zip Code:

Phone Number

Email:

Complete Name:

Years Acquainted:

Address:

City:

State:

Zip Code:

Phone Number

Email:

Complete Name:

Years Acquainted:

Address:

City:

State:

Zip Code:

Phone Number

Email:

Complete Name:

Years Acquainted:

Address:

City:

State:

Zip Code:

Phone Number

Email:

EMERGENCY CONTACT

Name:

Address:

City:

State:

Zip Code:

Relationship to Applicant:

Phone Number(s):

Cell:

Work:

ATTENTION: THIS STATEMENT MUST BE SIGNED

I also understand that all appointments are probationary for a period of one year at the discretion

of the Sheriff, subject to the rules and regulations of the Merit System Council. I agree to submit

to a physical examination and all other testing when requested. I understand that an appointment

tendered to 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 Knox County Sheriff’s Office 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.

PRINT OR TYPE COMPLETE NAME:

APPLICANT SIGNATURE:

DATE:

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signature

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AUTHORITY TO RELEASE INFORMATION AND RECORDS (PLEASE PRINT CLEARLY)

I AGREE TO AND UNDERSTAND THE FOLLOWING:

In authorizing a background investigation, it is understood that an investigative consumer report may

be prepared whereby information is obtained through personal interviews with your neighbors, friends,

or others with whom you are acquainted. This inquiry includes information as to your character,

general reputation, personal characteristics, and mode of living. You have the right to make a written

request within a reasonable period to receive additional, detailed information about the nature and

scope of the investigation.

To: Any person having knowledge of my conduct or activities, or any past employer; Credit Bureau,

Retail Merchant Association, Bank, Financial Institution, or any other Credit Extending Organization;

or any Dean, Registrar, Principal, Counselor, Instructor, or other authorized person at school,

(University, College, High School, Trade School, or other); or any Doctor, Hospital, Clinic or

Sanitarium, or any department or agency of a City, County, State, or Federal Government.

hereby authorize the

Knox County Sheriff’s Office or its duly authorized representative, to conduct a background check

including, but not limited to, personal interviews for determination of my eligibility to occupy a

positon of trust in maintaining the public health and safety. I authorize all persons who may have

information relevant to this check to disclose it to the Knox County Sheriff’s Office or its agents, and I

release all persons providing information to the Knox County Sheriff’s Office from liability on account

of such disclosure. This would include a review of my military service personnel and medical records

in the same manner as would be permitted if I represented myself for this purpose. Information to be

reviewed may include un-deleted DD Forms 214 and drug/alcohol related information. I hereby further

authorize that a photocopy of this authorization may be considered as valid as the original.

APPLICANT SIGNATURE:

DATE:

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signature

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KNOX COUNTY SHERIFF’S OFFICE

CRIMINAL HISTORY CHECK FOR: MERIT SYSTEM/EMPLOYMENT

Last Name:

First Name:

Complete Middle Name:

List all other names you have used, including nicknames; if female furnish your maiden name. IF you have used

any surnames other than your true name. If you have legally changed your name, give a date and court.

Date of birth:

Place of birth (City/State):

List all states of residence:

Driver’s License Number

State:

Expiration Date:

Sex:

Race:

(Used for criminal history check only)

Social Security Number:

Hair Color:

Eye Color:

***** DO NOT WRITE BELOW THIS LINE – KCSO USE ONLY *****

QH:

IQ (LIST STATES QUERIED)

IQ RESULTS

QWA:

QPO:

LOCAL WARRANTS:

JIMS HISTORY:

DRIVING RECORD:

EXPIRATION DATE:

SOR:

SOR STATUS:

Printouts Attached for all Positive Results

Completed By:

Date:

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