Correctional Officer Trainee Electronic Applicant Data Form

All information submitted here is considered confidential. After receiving your information, you will be notified of the next screening process once a scheduled test date has been determined.

Please note: Submitting multiple applications could delay the scheduling of your application.
First Name*
MI
Last Name*
Race*
Sex*
Address*
City*
State*
Zip Code*
County*
Phone Number* ( ) -
Alternate ( ) -
Social Security Number* - -
Date of Birth* (mo/day/year) / /
License Number*
E-Mail Address*
Confirm E-Mail Address*
Please ensure your email address is accurate. All screening packets are sent electronically. Paper copies are not sent out.