Job-application | Harrison County Sheriff's Office

Emergency: 911 Non-Emergency: 228-865-7060

Applicant Information

First Name

Last Name

Social Security Number

Driver's License Number

D.L. State

Date of Birth

Home Phone

Work Phone

Cell Phone

Email *

Current Address

Street Address

Address 2

City

State

Zip code

Mailing Address

Street Address

Address 2

City

State

Zip code

List any alias names or ID numbers you may have used in the past (include Maiden and Nicknames).

POSITION APPLIED FOR

1st

2nd

3rd

Date Available to Start

Date of Application

WORK EXPERIENCE / EMPLOYMENT HISTORY

List ALL employment, full-time and part-time. Attach a separate sheet at the end if necessary.

Current Employer

Phone Number

Start Date

End Date

Street Address

Address 2

City

State

Zip code

Job Title

Start Salary

End Salary

Supervisor's Name: First

Last Name

Work Performed

Reason for Leaving

Former Employer

Phone

Start Date

End Date

Street Address

Address 2

City

State

Zip code

Job Title

Start Salary

End Salary

Supervisor's Name: First

Last Name

Work Performed

Reason for Leaving

Were you disciplined, counseled, warned, discharged or asked to resign because of job performance or for violating the company rules of this organization?

If yes, Explain

Former Employer

Phone

Start Date

End Date

Street Address

Address 2

City

State

Zip code

Job Title

Start Salary

End Salary

Supervisor's Name: First

Last Name

Reason for Leaving

Were you disciplined, counseled, warned, discharged or asked to resign because of job performance or for violating the company rules of this organization?

Criminal History

Have you ever been arrested, detained, charged, convicted or pled guilty to a misdemeanor or felony offense?

Have you ever been convicted of or pled guilty to any of the following misdemeanor offenses as an adult?

Have you ever used marijuana or marijuana derivative? (e.g. hashish)

Have you ever used other illegal drugs? (e.g. cocaine, heroin, GHB, LSD)

Additional Information

Family members (List parents, siblings and spouse)

First Name

Last Name

Relation

Street Address

Address 2

City

State

Zip code

First Name

Last Name

Relation

Street Address

Address 2

City

State

Zip code

First Name

Last Name

Relation

Street Address

Address 2

City

State

Zip code

First Name

Last Name

Relation

Street Address

Address 2

City

State

Zip code

First Name

Last Name

Relation

Street Address

Address 2

City

State

Zip code

First Name

Last Name

Relation

Street Address

Address 2

City

State

Zip code

Are you related in any way to a current member of the Harrison County Sheriff's Office?

The following information is being collected to distinguish each applicant when running background checks.

Height

Weight

Hair Color

Eye Color

Scars / Marks / Tattoos and Location

Recent Photo Please upload files less than 5MB for best results. Allowed file types: All files

Social Security Card Please upload files less than 5MB for best results. Allowed file types: All files

Drivers Licence Please upload files less than 5MB for best results. Allowed file types: All files

DD214 Please upload files less than 5MB for best results. Allowed file types: All files

How did you hear about this position?

HCSO General Order #3.21 - Tattoos, body art, piercings and/or branding on the face, head, neck or hands, or any tattoo or markings that are extremist, sexist, racist or indecent in nature are strictly forbidden.
If you do not attach your Photo, Driver's License and/or Social Security Card, you must send copies to the address listed at the top of this application.
If you are contacted for an interview, please have the following required documents available to submit: • Birth Certificate • High School Diploma/GED • Valid Driver's License • Social Security Card • DD214 (if applicable)
Please make sure you have completed ALL portions of this application. Incomplete applications will not be considered.

Apply Online

Applicant Information

List any alias names or ID numbers you may have used in the past (include Maiden and Nicknames).

POSITION APPLIED FOR

WORK EXPERIENCE / EMPLOYMENT HISTORY

Criminal History

Military Service

Education / Skills

Indicate if you have any of the following skills

References

BUSINESS / PROFESSIONAL REFERENCES (Supervisors and / or co-workers are acceptable)

Personal References

Additional Information

The following information is being collected to distinguish each applicant when running background checks.