Hernando County Sheriff's Office
Non-Emergency Call   1-352-754-6830
Apply for IT Administrative Support Technician

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Summary
Title:IT Administrative Support Technician
ID:1576
Department:Information Technology
Salary Range:Starting Salary $40,312.00
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Contact Information
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* Last Name:
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Address 2:
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* Date of Birth:
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* Were you previously employed with an FRS employer?: Yes    No    Unknown   
* In the past 12 months, have you retired from a FRS employer?: Yes    No   
* Do you have any association with a past or present Hernando County Sheriff's Office employee?: Yes    No   
If yes, please list:
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2024 New Application for Employment
JOB REQUIREMENTS
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Yes   No
Yes   No
Yes   No
PERSONAL
Yes   No

If yes, please list below.

Alias 1

Alias 2

Alias 3

Alias 4

Alias 5
RESIDENCES

List chronologically all residences for the past 5 years.

Current Residence

Previous Residence

Previous Residence

Previous Residence

Previous Residence
EMPLOYMENT HISTORY

List chronologically all employers for the past 5 years - include summer job, part-time work, volunteer, self employment and any periods of unemployment. ALL Law Enforcement and Correctional experience should be listed regardless of when the position was held.

Employer 1

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Employer 2

Employer 3

Employer 4

Employer 5


Yes   No   N/A-no work history
Yes   No   N/A-no work history
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Yes   No
Yes   No
EDUCATION

Give record of all high schools, colleges, universities and vocational/technical schools you have attended.

School 1

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School 2

School 3

School 4

School 5
ARREST HISTORY
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If yes, please list below:

Arrest 1

Arrest 2

Arrest 3

Arrest 4

Arrest 5


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CITATION HISTORY
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Citation 1

Citation 2

Citation 3

Citation 4

Citation 5
ASSOCIATE HISTORY
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Associate 1

Associate 2

Associate 3

Associate 4

Associate 5
DRIVERS LICENSE INFORMATION
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Do you have or have you ever held a driver license in another state? If yes, please list below

Drivers License 1

Drivers License 2

Drivers License 3

Drivers License 4

Drivers License 5
VETERAN STATUS
Yes   No

If yes, provide information below

Yes   No   N/A
Yes   No

NOTE: If an applicant claiming veterans' preference for a vacant position is not selected for the vacant position, he/she may file a complaint with the Florida Department of Veteran's Affairs, 11351 Ulmerton Road, Suite 311-K, Largo, FL 33778-1630.

SOCIAL MEDIA
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If yes, provide information below

Social Media Account 1

Social Media Account 2

Social Media Account 3

Social Media Account 4

Social Media Account 5
TATTOO and BODY MODIFICATIONS
Yes   No
Yes   No
DRUG USE

The Hernando County Sheriff's Office is a drug free workplace and employees and applicants are subject to random drug screens

The information contained herein MAY BE a confidential medical record under Americans with Disabilities Act if the applicant is a rehabilitated drug or alcohol abuser or under F.S. 119.071(4)(b) if medical information, if disclosed, would identify the applicant

Yes   No
Yes   No
Substance Last time Used Number of times Used
* Amphetamines
Yes   No
* Barbiturates
Yes   No
* Cocaine Powder
Yes   No
* Crack Cocaine
Yes   No
* Fentanyl
Yes   No
* Ecstasy (MDMA)
Yes   No
* GHB/GBL
Yes   No
* Hashish
Yes   No
* Heroin
Yes   No
* Inhalants/Whippets
Yes   No
* LSD/Hallucinogens
Yes   No
* Marijuana/THC
Yes   No
* Mushrooms
Yes   No
* Opium
Yes   No
* PCP/Angel Dust
Yes   No
* Quaaludes
Yes   No
* Rohypnol/Roofies
Yes   No
* Speedballs
Yes   No
* Steroids
Yes   No
* Other
Yes   No
APPLICANT'S CERTIFICATION
(Please read and initial each section below)

*
 I understand that my appointment or employment will be contingent upon the results of a complete background investigation. I am aware that any omission, falsification, misstatement or misrepresentation will be the basis for my disqualification as an applicant or my dismissal from the Sheriff's Office. I further fully understand and consent to a computer voice stress analysis examination concerning the truthfulness of my responses to the information requested on this application or which is discovered as a result of the background investigation, or any physical examination or drug test. I also understand that I will be fingerprinted. I understand that this employment application shall become the property of the Sheriff's Office and that it and the information received in response to the background examination are public records.
*
 I further understand and agree that if applying for a special risk or mandatory testing position, my employment or appointment will be contingent upon the results of a complete drug test and that I may be required to take drug tests during the term of my employment or appointment with the Sheriff's Office.
*
 I understand that the use of drugs or alcohol is not permitted, during work or duty time, whether paid or unpaid, in all areas, including vehicles, where work is performed by employees or appointees.
*
 I understand that all Candidates for employment are prohibited from the use of any tobacco products. Tobacco products include cigarettes, electronic cigarettes, cigars, vape devices, pipes, and smokeless tobacco, including chewing tobacco and snuff. Candidates shall sign an agreement affirming that they do not now, and will not in the future use *ANY* tobacco products.
*
 I understand that my continued employment or appointment may be contingent upon the results of medical or psychological examinations that I may be required to take during the term of my employment, and the maintenance of personal physical fitness, to the degree necessary, to satisfactorily perform the duties of my position or assignment with the Sheriff's Office.
*
 I further authorize the Sheriff's Office or agent of the Sheriff's Office, without need of further authorization, to obtain medical records allowed by law if I claim rights to payment or receipt of any benefit pursuant to state or federal law.
*
 I further agree to execute any authorization as may be required by the Health Insurance Portability Accountability Act of 1996 (HIPAA) for health care providers to release the necessary medical information to process my application for employment.
*
 I authorize any of the persons or organizations referenced in this application to furnish information, personal or otherwise, regarding my ability and fitness for employment or appointment with the Sheriff's Office and I release all such parties from any and all liability for any damage that might result from furnishing such information to the Sheriff's Office.
*
 I agree to conform to the rules, regulations and orders of the Sheriff's Office and acknowledge that these rules, regulations and orders may be changed, interpreted, withdrawn or added to by the Sheriff's Office, at its discretion, at any time and without any prior notice to me.
*
 I understand an investigation will be conducted on all of the information listed on this application.

By my electronic signature, I certify that all statements made by me on this application are true, correct and complete, to the best of my knowledge.

Equal Opportunity Employment
We are an equal opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
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Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond
Veteran Status: (Please check all that apply)
Individual with a Disability
An individual with a disability is a person who has a physical or mental impairment which substantially limits one or more of such person's major life activities, or who has a record of such impairment.
Vietnam Era Veteran
A person who 1) Served on active duty for a period of more than 180 days, and was discharged or released therefrom with other than a dishonorable discharge, if any part of such active duty occurred; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases; or 2) Was discharged or released from active duty for a service-connected disability if any part of such active duty was performed; a. in the Republic of Vietnam between February 28, 1961, and May 7, 1975; or b. between August 5, 1964, and May 7, 1975, in all other cases.
Disabled Veteran
1) A veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or 2) A person who was discharged or released from active duty because of a service-connected disability.
War/Campaign/Expedition Veteran
A veteran who served on active duty in the U.S. military, ground, naval or air service during a war or in a campaign or expedition for which a campaign badge has been authorized.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order No. 12985. To identify the military operations that meet this criterion, check your DD Form 214, Certificate of Release or Discharge from Active Duty.
Recently Separated Veteran
Any veteran during the three-year period beginning on date of such veteran's discharge or release from active duty in the U. S. military, ground, naval or air service.
I Choose Not to Respond

I agree that this form may be electronically signed and agree that my typed signature is the same as a handwritten signature for the purposes of validity, enforceability, and admissibility.
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