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Detention Center Open Hiring Tour

  1. First, Middle Initial, Last

  2. Which date do you plan on attending?
  3. Have you ever been convicted of a violation of the law other than a minor traffic violation?*
  4. If your answer is yes, please list that person's name.

  5. Disclaimer and Signature

    I certify that my answers are true and complete to the best of my knowledge and that intentional misrepresentations or omissions may be cause for the rejection of entrance into the detention facility.

    By typing my electronic signature below and clicking submit button, I acknowledge the above information is a true and accurate representation, to the best of my knowledge, and that all of the above information is required for the YCDC to allow entrance into the detention facility.

  6. Leave This Blank:

  7. This field is not part of the form submission.