Pvt. Burt Ambrose documents

8/9/2019 Pvt. Burt Ambrose documents

1/53

6.

5'/r

/Et

K/4

.

4e ,

ffi

Hair

color

DYe

color

NO

Natural

Born

NO

7.

Are

you

a

U.S.

Citizen?

8,

Have

you

cvcl

used

any

other

name?

Ton

NO

Nicknam

Aliases

Used

9.

Have

you

ever

legally

changed

your

name?

YES

@

If

"YES",

what

was

your

forme

r

name?

"/t

What

Court

ordered

the

name

change?

44

MILITARY

SERVICE

Complete

Military

Service:

il.

10.

Service#

Dates

Served

Branch

11.

1a

Tyf"

"f

Dilt*rg"

(tf

"ther

than

Honorable'

cxplain)

If

member

of

Reserve

or Guard

Unit,

specify

Branch

and

Unit

13,

Did

you

ever

receive

any

type

of

disciplinary

action?

Court

Martial?

AWOL?

Reduction

in

Ranh?

Article

15?

'AnY

other?

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

YES

NO

14.

Namc

and

phone

number

of

thc

last

supervisor:


2/53


3/53


4/53

-).t.

1{

List

previous

ernploymcnt

fot'

the

past

ten

(10)

vears

beginning

r.r'ith

thc

most

rocent

t55ror

t

I

Name/Addlcss

of

AgencY

atuq

flz-

xqq'4q67

r

I(

e

Dates

of

EmPIoYment

Ileason

for

lcaving

Pa-il

?s-'3q?'Llqa7

Gil^*t

t"t.ph;e

number

of

immediatc

supcrvisor

S"bs

.Iob

Title

and

es

36.

a

Name/Address

of

AgencY

7fu

W

w6

lt""i,'l

4n

be",*p

af"Aol

lrs* 4t norsuC

[a"rt

lrvtl

t*v

c.nlNo*'*r66nt'g

4

Da{es

of

EmPloYment

Reason

for

leaving

5l-

rel

ffiffi

t"t.pLt.

"fiber

of

imrnediate

supervisor

l-t

4

a,J

()dnr*L)

Job

Title

and

Duties

itt*.1j'h"

pl

nok

a'tnb*'

Crnu'+

pt


5/53

Cr4t)

Namc

and

telephone

number

of

immediatc

supervisor

$up,vr*co(

6rt*wrwh

l+6(t1s

fl{-whnt6

3e.

Pq4

Gln"(s

noo

I

az.rc

lw

ft"r^

en

t'tw

Dates

Employment

Reason

for

leaving

and

Duties

f,

o1-

lil

u,6fu''

Sr,wi

lur,|t,ps

f49l'*i'It\'

*ilq/alor

lC,?d)b

0t"

;rtd"[b

Name/Address

of AgcncY

ffiffi..tTGph"t"

""mber

of

immediate

supervisor

Job

Title

vI.

4t.

42.

43.

44.

Have

you ever

been

arrested,

charged,

convicted

of

a

felony

offense?

Have

you ever

been

arrested,

charged,

convicted

of

a

firearms

or

exPlosives

charge?

Are

there

currently

any

charges

pending

against

you for

anY

criminal

offense?

Have

you ever

been

arrestedt

charged,

convicted

of

ony

oif"rrt",

related

to

alcohol

or

drugs?

Have

you ever

becn

arrested,

charged,

convicted

of

any

typc

of

offcnsc

(inctuding

traffic

citations'

warrants.

or

misdcmcanors)?

YES

@

YES

dD

YES

@

NO

45.

@No


6/53

JL. Havc vou

ever

becn

relused

a

licensc

by

any

statc?

YES

@

53.

Givc

details

of

any

motor

vehicle

accitlents

you have

bcon

involved

in'

VIII.

f,{.

Name:

Address:

Telephone:

Name:

Address:

Telephone:

Name:

Addrcss:

Telephone:

Personal

references

(other

than

family

members)

Name:

Address:

Telephone:

,^^

l/t*

/'6nnlt

o"

htaan

Type

of

Account:

Name:

Address:

Telephone:

Type

of

Account:

Narne:

Address:

'felephone:

x.

f,J.

Type

of Account:


7/53

X.

50. Marital

Status:

Married_

Widowcd

Single-}|-

Separated

Divorced

57,

Spouse:

(First/Middle/Maiden/Last)

58.

Spouse's

date

of

birth

Spouse's

place of birth

59.

Date

of

marriage

Spouse's

occupation

60.

Spouse's

employer

61.

62.

Spousets

employer

address

Spousets

employer's

Phone

Is

your

spouse

in favor

of

you becoming

a

Law

Enforcement

Officer?

Spouse's

length

of

emPloYment

YES

NO

63.

64.

Father's

full

name:

Address:

Living

Mother's

full

name:

Address:

Deceased

65.

Living

Deceased

66.

Brothers:

Narne:

Address:

Name:

Address:


8/53

67.

Sisters:

Namc:

Address:

Name:

Address:

68.

Father-in-law's

full

name:

Address:

69.

Mother-inJaw's

full

name:

Address:

'10.

Closest

living relative:

Address:

71.

List

every

child

born

to

You:

Child's

Name

Address

where

child

resides

Date

of

Birth

11

/J.

Are

you

supporting

all chiltlren

born

to

you

or

adopted

by

you?

Are

you related

to any

Chatham

County

employee?

If

"YES",

please

name

the

emPloYec:

What

department

do

theY

work

in?

Do

you

l


9/53


10/53


11/53

84.

85.

If

it

became

necessary

have

any reluctancy

to

in

the

course

of

policc duties

to take

a human

do so

becausc

of

religious

or

othcr

beliefs?

Iifc,

wouJ .you

YEs

/drD

In the space

provided

below,

givc a

bricf

biography

or

history

about

yourself' This

must

be

in

yout

otn'n

handwriting.

Begin

with your

past,

bring yourself into

thc

present, and

project

yourself

into

the

futurc.

Tcll

whcre

you werc born,

where

you

g."rn

up,

significant

experiences,

and

accomplishments

in

your

life'

Tell

something

i5out

yourlofbies,

special

interest,

and any

othcr

subject

wlticlt

"zeros"

in

'n

your

indiviiualify.

Dcscribe

your

reasons

for

a

position

in

Chatham

County

Law

Enforcement.

If

"YES",

give details:

I attest

I)y

my

signaturc

that

all

thc

information

supplicd

by

mc

is

true

and

correct

Signaturo

orvlcd

ge.

Datc

to th

zs//


12/53

|nthepast,manypeoplehavetakenthejobofCorrectionaIofficerWithoutcarefu||y

consideringtherequirementsofthework.|tisinyourbestinteresttoanswereachquestion

honestly.Foreachjobrequirementonthe|istbelow,circ|e,,YES,,ifyouarewi|lingtodoit,or

"NO"

if

vou

are

not

willing.

WILLINGNESS

CHECKLIST

Do

you believe

an inmate

can

be

rehabilitated?

Do

you

believe

that

you can

set

aside

any

personal

prejudices

and

be

fair

in dealing

with

inmates

convicted

of serious

crimes?

Are

you willing

to

work

a twelve

(12) hour

shift?

Are

you

willing

to

work

alternating

weekends?

Are

you

willing

to

work

all

holidays

which

are

not

on

your regular

days

off?

ln

the

event

of

an

emergency,

such

as a

shift

vacancy'

are

you

willing

to

work

on

Your

daY(s)

off?

Are

you willing

to

wear

a

uniform

to

work

every day?

Are

you

willing

to

work

in

a

tobacco

free

environment?

Are

you willing

to

participate

in

training

to

learn

and

develop

techniques

and

skills

required

of

a

Correctional

officer?

Are

you willing

to

use

reasonable

force

when

necessary'

such

as

controlling

disturbances,

breaking

up

fights,

etc"?

Are

you willing

to

give

first

aid,

including

CPR,

to

inmates

who

are

ill

or

injured?

Are

you willing

to

search

(frisk)

inmates

regardless

of

their

sEx

and

visually

search

(strip search)

the

body

cavities

of

inmates

the

same

sex

as

you

for

things

that

they

are

not

allowed

to

have?

Are

you willing

to

supervise

inmates,

regardless

of

tlreir

sex'

while

they

are

in

the

bathroom

or

shower

area?

NO

NO

6.)

@

@>

e

@

@

C9

@

@

v$/

@

@

NO

NO

NO

NO

NO

NO

NO

NO

NO

NO

'uFi

NO


13/53

ADDITIONAL

INFORMATION

SHEET

APPLICANT:

Social

Securily

5r,t,6.r'

F

Ilow

long

at

curretit

addres

"l

4 :L

ANY

ARRFIST,

CONVICTIONS,

WARRANTS

ISSUED

(ID:

GOOD

BEH{Y|OR'

CnIlo

sut't'oRT,

woRTHLuss

CITECKS,

AND

ANY

TRAFFIC

TICKIITS)

PLEASE L]ST

ALL

CITIES

LIVED

OVER

TI]E PAST

15

YEARS:

CITY

STATE

COUNTY

FROM

(MM/YY)

TO

(MM/YY)

Qfnlun

tt arr/*"+q

&cl,$r'r/i

114

{l

Qe.oroti,,'

kru nn

ilslwr

tt

t

lu[uu

lhor^,tx 114

UtI**

?;urnlt

?/7/?do

+o

tto/uoX

?rwic

fa/tlw,'"

f?t'0,,.4t

G'

St*' 1",;

(2ft'oz* a/tfzot,

UnG'

(

a(i

tail-4.

{'i'd,

(wo,r*

U,v,n

Qa Ao.n'J,*

312/ntt

h

Qol,nz

1/zlt{

+t

iF/rtn

Itn(nJ

I aA

tr

t-144

9^

6/rdb'

CHARGE

DA'TE

CITY

COUNTY

STATE

(ABV.)

DISPOSITION

{\tt

r

lc{((?

8Wcho1*,r

tpl

{;;,#:;';;rL*

I\J

V

J'


14/53

Review

of

Application

Professional

Standards

Unit

I,

for

employnent

with

tlte

Chatham

County

Sheriff

s

Departrnent

with

,

reviewed

my

apPlication

or,

lL

-

&

-?ntl.

I

attest

that

all

information

submitted

is

co'ect

and

trutSful

I

understaud

that

any

false

statements

made

klowing

or

willingly

by

me'

may

result

itr a

termination

of

my

application

with

this

Depalttneut.

^

., f)

h

A- //'(^'-

Sigriature

of

APPlicant

Signatule

of

Investigator

LAML0lFlt

'q

NOTMYNruC

cHAnNl

couffix

GE0mn

l{Y

C0Uul$KN

DfrRES

i,tARCil

17,

mfi

/r


15/53

t.

:i@Fso€,s )

ii6|,'./

{c"..'Y--: *'

(i-

1 Lt) Y'e

'J

LAUTENBERG

SCREENING

FORM

NOTICtr

Congrcss

cnactcd

lcgislation

that

prohibits

ccrtain

pcrsons

frorn

owning'

possessing'

storing,

or

tr'lnsporting

firearms,

ammunition

or

thcil'componcnt

parts'

For

tltis

reason,

it is

neccssary

to screcn

all

cmploymcnt

canditlatcs

(antl

in somc

cascs

our

curlcnt

enlployees

in

..for

causc,,

circumstances)

to t|etertninc

if

they

fa|l

witlrin

thc

prohibited

group

of

pcruons

cxcmpted

by

the

Lautcnberg

Act

(18

Unitccl

Statcs

Codc'

Section

922)

ft'ottt

possessing

fi..u.rn,

and/or

anrmunition.

The

Lautcnbcrg

Act

makes

it

a felony

for

any

person

in the

prohibited

gro[p to

won

or

possess

firearms

or

antntunilion'

Also' Lautenberg

makcs

it

a

felonious

act

for

any

person

10

providc

lircarms

or

ammunition

to

any

pel'son

who

falls

within

the

prohibited

group.

Therefore

it

lYould

be

unlarvful

fol

thc

department

to

"arm"

a

pelson who

falls

within

this

categoly.

It is,

or

shoultl

be

obvious,

that

larry

enforcement

officers

must

be

capablc

of

carrying

and

being

proficient

with

the

use

offirearms

to

be

able

to

perform

their routine

duiies

in

this state'

For

these

reasons'

it

is

essential

for

the

department

to

kno\Y

all

candidates

and

currcnt

employees

are

free

from

the

Lautenberg

prohibition

Tlterefore'

it

is

ncccssaty

and

imperatiYc

that

you urr.r""r

tlte

following

questions

truthfully

while

under

oath'

Yottr

written

responses

and

sign.ture

must

be

witnesscd

by

a

rcpresentative of this

department'

Canditlates

for

employment

may

choose

to

rcfuse

to

completc

this

lorm

but

in so

doing'

they

nrustunderstandthattlreywilleffectivelyrvitlrdrarvtheirapplicationfoliemploymentwiththis

depaltment'Candidateswhochoosenottocompletethisforrnanrlthel.ebywishtowitlrdllawtheir

applicationfromconsitlerationforenrploynrentshouklwrite..refuset|''ontheform,signit,antl

have

it.ryitnesse(l

b),

a

(lcpartnlent

repr.escntativc.

crtr'rent

cmployees

undergoing

atlministralive

inquiry

may

not

rclusc

to

completc

the

form

under

oath

without

subiecting

themselves

to

rliscipIinaryaction}Yhichmayinclutlesuspension,dcnrotion,or.termination.Cur.rentenrployecs

ryho

havc

qucstions

or

desirc

more

information

on

this

subject,

ate

encouraged

to

consult

the

Professional

Standattls

Unit.

ffilrarnCountySIreI.iffsDePartment,voluntariIyagrec

an(l conscnt

to

answer

th€

following

questions

truthfully,

rvhile

rrntlcr

onth'


16/53

CHATHAM

COUNTY

SI{T]RIFF'S

DEPAITTMENT

AGREEMENT

OF

CONFIDENTIALITY

,t t2

l,i

ll

l,

h /

-klLAUt-

,

by

affixing

my.signature

to

tt

i,

a*ffint

b.low3o

signify

and

agree

to

the

following

conditions

as

a

member

and

employee

of

the

Chatham

County

Sheriff

s

Department'

I

agree

to

perform

the

duties

of

my

position

in a

confidential

manner'

savefort-hatinformationopentopub|icdisc|osureasrequiredbylaw'oras

otherwise

authorized by

the

Sheriff'

I

further

agree

to

only

discuss

the

duties,

functions'

and

incidents

involving

the

Department

with

fellow

members

of the

Department'

and

other

public

aiencies,

and

always

within

the

confines

as stipulated

within

the

-

bheriff

s:Department

policy

and

procedure

Manual.

I agree

that

the

only,

exception

to

this

agreem"ttt

tttutl

l.

with

prior

consent

or

permission

of

the

sheriff

or

undersherif{,

I

agree

not

to

possess,

distribute,

sell,

deliver,

duplicate,

or carry

from

the confines

of the Chatham

County

Sheriffs

Department'

any

document,

duplicate

document,

or other

official

record'

or

article

which

produces

records

of

the

Department,

without

the

expressed

permission

or

consent

of

the Sheriff

or Undersheriff'

/* 1

.

t7

/

J

I

'-=

Date

Member


17/53

CRIMINAL

JUSTICtr

I{ELDASE

WAIVDIT

FOR

NEW

APPLICANI'S

'l'O:

Sl

IERIFF

AL

ST.

Ln

Wl{llNCt

CI-IA'II

IAI\4

COUNTY

SI'II]RITI':'S

COMPI,EX

I05O

CAI{L

CRIFFIN

DI{IVI]

SAvANNAII,

GA

31405

SNoar

ill

{Ic

Ifcscrlcc

ol

l{cvkcd.luly

2,

)001

-r'7UF')

Accepllhisis|n|nenl snr),PersonalIequeslandaulhoriznliontocond0ctaconrprohensivepersollal[)ackgroudi|vesiiga

pendirrgchargeso|arry


18/53

CHATHAM

COUNTY

SHERIFF'S

DEPARTMENT

Inundertakingthisagreement,Iunderstandthatlhavecertainrightsunderthe

Fair

Credit

Reporting

Act

which

include

but

are

not

limited

to

the

following;

You

must

be told

information

in

your

file

has

been

used

against

you'

You

can

find

out

what

is in

Your

file'

You

can

dispute

inaccurate

information

with

the

CRA'

Inaccurate

information

must

be

corrected

or

deleted'

You

can

dispute

inaccurate

itens

with

the

sources

of

information'

Outdated

infornation

nay

not

be

reported'

Your

consent

is

required

for

reports

that

are

providecl

to

employers,

or

reports

that

contain

medical

information'

You

may

seek

damages

from

violates'

Ifyoudesireamoredetailedexplanationofyourrights,youmayrequestacopyofa

,u*-ury

ofyour

rights

under

the

Fair

Credit

Reporting

Act

on

request

and

at

no

cost

fron

the

department

legal

office

or

from

the

Training

Unit'

Being

knowledgeable

of

my

rights

under

the

Fair

Credit

Reporting

Act'

I

hereby

authorize

the

Chatham

County

Sheriff

s Department

to

order

and

obtain

a

Consumer

Report

to

be

used

for

employment

consideration purposes'

/*2a-

zarz-

Signature


19/53

CRIMINAL

JUSTICE

REI,EASE

WAIVDR

TOR

NDW

APPLICANTS

'l'O:

SIilllllFF

Al-

S'l',

LAWRIINCE

cl.lATlIAM

COUN

I'Y

Sl'lllRlIl?'s

coMPl-llx

t050

cAI{l-

GltlFF|N

DRlVll

sAvANNAll,

CA

I

l40s

Swon

irr lhc

prcscnoc

oI

l{evised

Joly

12,2001

NUMB

Accspl

this irlslruDlert

as

pendillgchargesor{nydescriptiotl,lconp|ele1;m|trisror,c,irninattrisror(iDclr|digfrsloffenderslatt$,i|npp|icable)

report,Dedic trecords,fullandconp|etodisc|osureofeducationalinstittltiolls,fi[a|lciatslnlentenls.

admil|islra|io[;entp|oymcn|andpre-en]pIoyn1el]|records')cludilgb8ckgro

complairts

or

grievance by

or

sgaiisl

nre.

a",ti'i-lo",

i

""lu"otiril"

FULLY

coNsENTTo

UNDERGo

PHYSlcAL'

PsYcHo]-oclcAL

psl,cHoMETR C,

AND

URINALYSIs

DRU6

SCREEN

TESTING.

I

0n

tulty

awsre'

srd

co,rsent

lhal lhe

irfornulion

gnlhered in lhis

screeDiDgprocess'beknovnlolheofllcersand;nrployecsofchalhan)cotlllq,Sheri'l-sDepar|lnenl'[s\v

c|ra|hnIIcou0|yPersoDl'"|D"p",tn,"ntor'.ltt"ceirleel.eorficerssla

rc*rired

for applicstion

fo

Icefli$,lhalanyperso[(,1'*l'ou'oyrrr,ni.tl"u"i,i.

herebyreleasesaidperson1s1fronranyanaatttiatliiiq,;I'ij'*.yr'"i""i'"ed0siJestlofffl|d]i

TFrAT

TI.rE

INFORMATTON

ACQUTRED

IN

iiJiSitluesTlcalott

nu usED

FOR

EMPLOYMENT'

TERMINATIoN'

oR

D|sclPL|NARYDETERM|NATloNs,arr


20/53

gr"f+'*f*:

b:*:rrn

\C


21/53

CHATHAM

COUNTY

SHERIFF'S

DEPARTMENT

In

irnt|ertaking

this agrcement,

I understanr]

that

I

havc

certain

rights

undcr

the

Fair

credit

Reporting

Act

which

include

but

are

not

limitcd

to

thc

following;

You

must

be

told

information

in

your file

has

been

uscd

against

you'

You

can

find

out

what

is

in

Your

file'

You

can

dispute

inaccurate

information

with

the

CRA'

Inaccurate

information

must

be

corrected

or

deleted'

You

can

dispute

inaccurate

items

with

the

sources

of

information'

Outdated

information

may

not

be

reported'

Your

consent

is

required

lbr

reports

that

are

provided

to

employers,

or

reports

that

contain

medical

information.

You

may

seek

darnages

from

violates'

Ifyou

desire

a

more

detailed

explanation

ofyour

rights,

you may

request

a

copy

ofa

summary

ofyour

rights

under

the

Fair

Credit

Reporting

Act

on

request

and

at

no

cost

from

the

department

legal

office

or

from

the

Training

Unit'

Being

knowledgenble

of

my

rights

under

the Fair

Cretlit

Reporting

Act'

I

hereby

authorize

the

Chatham

County

Sheriffs

Department

to

order

and

obtain

a

Consumer

Report to

be

uscd

for

employment consideration

Purposes'


22/53


23/53

rik

F.r"rdFf

}:

S-*_ryf.c

u-s...=qtf

rnrrr

:

Ei-tF-t

,&1:


24/53

OFFICE

OF

THE SHERII

\-HATHAM

COUNTY,

GEORGTA

E

ht@

n

e.

t

OP. rat

o

6

Adn n

s Id Io.

Col, John

wilch6r

A$ L

E

nfo

r.

e n e n I Ope

B

I

o

^.

A CIE

i.D .

I @lOl

Majo.

B

an Counihan

J.il ope6tb6

Malol

Meior Thoma3

Gilb€q

Major &mb€ny

Middlelon

AugnsI24,2012

MR.

BURT

AMBROSE

R]CHMOND

HILL,

G

A,

3 1324

MR.

AMBROSE:

ONCE

AGAIN,

CONGRA

NS

WELCOME

ABOARD.

CAPTAIN

HARLEY/DIRECTOR

RECRUITMENT

AND

TRAINING

LII\IT

THE

CHATHAM

COLINTY

SIIERIFF'S

OFFICE

Enforcenrent

Burcau -

P O-

IloY

1

0026

-

Savannah'

(]A

3

14 l

2

Jail

-

1050

Carl

Cliffin

Drive'

Savannah,

CA

31405

TclcDhone

(9l?.)

652-?634

-

Fax

(ql2)

052-7660

't

clcphonc

(91 I

I

652-7152

-

Fr:\

(912)

652-11'15

"rt

ON

BEHALF

OF

SHERIFF

AL

ST.

LAWRENCE'

I

WOULD

LIKE

TO

WELCOME

YOU

AS

YOU

irenr

voun

cAREER

AS

oNE

oF

THE

NEwEST

MEMBERS

oF ouR

srAFF'

YoUAREToRxPoRTToTHETRAININGLTNIToNWEDNESDAY,AUGUST29TH'2012AT

8:30

AM

TO

PROCESS

PAPERWORK,

COMPLETE

PHYSICAI-

AND RECEIVE

YOUR

UNITORMS.

YoUR

START

DATE

WILL

BE

TUESDAY,

SEPTEMBER

4TH,2o|2

AT

0730

HOU^RS.-YOU

WILL

REPORT

TO

THE

RECRUIiMT'NT

NNO

TANTNING

UNIT

(THE RANGE)'

YOU

WILI-

BE

ADVISED

OF

YOUR

ASS]GNMENT

AT

THAT

TIME.

PLEASE

REMEMBER

THA'I'YOU

ARE

A PROBATIONARY

EMPLOYEE

AND

WILL

BE

PLACED

ON

PROBATION

I''OR-ONE

YEAR.

YOU

WILL

NOT

BE

ABLE

TO

TAKE

AT{Y

LtrA 'E

UI,{TIL

YOUR

I'ROBiTION

I{AS

BEIIN

COMPLETED'

ANY

LEAVI

YOU

TAKE

WITIIIN

THE

FIRST

SIX

(6)

NNONTHS

WILL

BE

CONSIDERED

"LEAVD

NO

PAY"'


25/53

)FFICE

OFTHE

SHERIF

CnATHAM

COUNTY,

GEORGIA

Ealo.@danl

aatu1tsl.Eld

Ll.

Coloml

Thmd Sl@k

E

@E

n

En I Ope

tatb

ns Adntnl

sl

Bto

I

Co[ Jorn

Wikh.r

Aetl.

Jail

AatnhElt

tott

Molor

Howlrd

tlE n

Mrior Kinbenv

MEdl6ton

May

14,2012

MR.

BURT

AMBROSE

MR.

AMBROSE:

ON

BEHALF

OF

THE

CHATHAM

COIJNTY

SHERIFF'S

DEPARTMENT'

WE

WOULD

LIKE

TO

THANK

YOU

F6il-'OUR

APPLICATION

FOR

DEPUTY

CORRECTIONS

OFFICER,

AND

DUE

TO

TTTS

iTMITEO

NUMBER

OF

STAFF

VACANCIES'

WE

CANNOT

OFFER

YOU

A

POSITION

AT

THIS

TIME.

HOWEVER,

YOUR

NAME

HAS

BEEN

PLACED

ON

AN

ELIGIBILiTY

LIST'

YOU

DO

NOT

NEED

TO

CALL,

EEaAUiE

A'S

OPENINGS

OCCUR,

WE

WILL

REVIEW

THE

STATUS

OF

OUR

ELIGINTT.iiV

TiSTMD

CONTACT

YOU

TO

SEE

IF

YOU

ARE

STILL

INTERESTED

IN

EMPLOYMENT.

It

RICHMOND

HILL,

G

A,

31324

srNcERELY,,,//

M,ru

ONCE

AGAIN,

THANK

YOU

FOR

YOUR

INTEREST

IN

THE

CHATHAM

COUNTY

SHERIFF'S

DEPARTMENT.

C,{PT.

HERBERT

HARLEY/

DIRECTOR

RECRUITMENT

AND

TRAINING

UNIT

CHATHAM

COLINTY

SHERIFF'S

DEPARTMENT

CC:

FILE

Enforcemcnt

Bureau

-

P.O.

llox

10026

-

Savannah'

GA

31412

Jail

-

1050

Carl

Grif{in

Drive,

Savannah,

CA

31405

Te leDho

ne

(

9 f

2

)

652-

'1

634

-

F^x

(912)

652-7

660

i"t"i,trun"

io

I

zi csz-7'ts2'

Fax

19t2)

t)52-7-l't

5


26/53

OFFICE

OF

THE

SHERII

CHATHAM

COUNTY,

GEORGIA

Aprrl

18,2012

E nlat@

nenl

Adnhtshatol

Major Thomas

Smoak

E

n lorce

ne

nl

O

pe

a I

o n

s

ad mi nisl

rcto

r

Col.

John

Wilcher

Assl.

Jail

Ad

nntsttabts

Malor Hwad

Ham

Major Thomas Gilberg

Ielcolronc

r9

| 2J

652-'1634

- l:a\

(91?

l

('5

2-7 660

'fcleplro'rc

L')

l?) 052

'1152

-

F:tx

(t]12)

'\t2"1'115

Richmond

Hill,

GA.

31324

Mr.

Ambrose:

Recently,

you

inte

iewed

for

the

position

of

Depufy

Corrections

Officer

with

the

ChathamCorrntySlrerif|soffice.Afterreviewingyourqualificalionsandtheresultsofyour

initialinterview,youhavebeenselectedforthefinalinterviewwiththeAdministratorsofthe

Jail.

Your

interview

has

been

scheduled

for

Thursdal"

April26th,20l2

at10:00

a'm'

Pleasedressintheappropriateinten'iewattire'Malesaretowearasuitandiieordressshirt'

slacksandtie.FemalesaretowearaSkirtSuitolpantsuit,dress,orslacksanddressblouseand

orskirtarrddressblouse.InterviewsessionswillbeheldattheChathanrCourrb,Slrerif|s

Department(Jail),l050CarlGriffinDrive.Pleaseentertlreflontlobbyofthejailandremarn

seatea

uotit

You

a:'e

called

Ifyouareunabletoattendyourinterviewsession,pleasecontacttheTrairringUnitat

(9|2)652-7795'Interviews"'-otb".",.h"duledrrrrtiltlrenexthi-r.ingrorrnds.Ifyoudonot

attend

and fail

to

contact

The

Recruitment

and

Training

Unit'

your appiication

will

be

filed

and

no

further consideration

will

be

given to

your

application'

eyl

Director

Chatham

County

Sheriff

s Depatltnent

Recntihlent

and

Training

Unit

cc:

tilc

Er)lbrce

errlBltreau

-

P.O.

Box

l(tl)26

-

Savannrrir'

(iA

31412

Jail

-

1050

Ctrrl

Crifin

Drile,

Savilnnah,

CA 3l'105

Mr.

Burt

A.

Ambrose


27/53

lJpon

successful

conpletion

o1'fJre

physical

fifness

test

and

oral

interview'

you

will

be

foru'ardecl

to

tlre

Professional

Stanriarcls

Unit

for

a

polygraph

test'

Af

fhis

time,

flre

Chatham

Counf'1'

Sheri{f

s

Department

is

offering

you

a

conclitional

offer

of

empiol'nrent'

This

offer

is

contingent

upon

successful

completion

of fhe

polvgraph

test'

final interview'

and

complete

background

in'r,esfigation.

If

is

important

fhat

you

-do

nof

resign

fl'om

your

current

emplol'ment

at

this

time,

. :

, -.

.:

-

(lhatham

County'$hcriJl's

Dt:partmcnt

Conditional

Off'er

of

Ernplo)'n'r

enf

2-,

,41- /?,'--

./'o


28/53

CHATHAM

COUNTY

SHERIFF'S

DEPARTMENT

trMPLOYEtr

DATA

SHDtrT

LAST

sEX

/il

4

{-(

"ETGHT

5'

lf"

SSN#

DRIVER'S

LICENStr

NUMBER

,ffi

nacn-

-rB1 --

AcD

L{l

oov

d,l/Lzfzo

wucur- ?f-

nvrs

4t-rl/

HAIR /3lL

MARITAL

STATUS

S I/

IT

f\

MAILING

ADDRBSS

STREET/P.O.BOX

CITY

STATE

ZIP

CURRENT

HOMtr

PHONE

#

EMAIL

ADDRESS

SPOUSE'S

NAME

NAME

OFHIGH

SCHOOL:

I}ENEFICIARY

ADDRESS

DO

YOU

HAVE

A

G.tr.D.

CERTIFICATE?

YTS

X

CIRCLD

HIGHEST

LEVEL

OF

EDUCATION:

HTcHScHooLDIPLoMA

@

BACHELOR'S

DEGRED

MASTDR'S

DEGITED

-

TELEPHONE

#

AT

WORK

NO

IN CASE

OF

EMERGENCY,

PLEASE

NOTIFY:

T..A

r

e

fi

t'

'

6/tl

?st'-tYqi

'''

'/z

6'?-/@

/-'t tf

-\

U2 t.U-et

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pHysrcAl,

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t,

^DDRDSFI?4 ,

tzqAw'l

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kA

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BOXDS)

RI',t,ATIONSHIP


29/53

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r

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30/53

Hill

Police

Dept.TC

:'^706

02/ 01

/20121

3:54

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32/53

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33/53

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35/53

uryljuryryrylryryvryryLvrytryrryrvlr

-

vvvvwvvvvsvvvvv14

DEPARTMENT

OTT

PUBLIC

INSl'RUCIION

HIGH

SCHOOL

EQUIVALENCY

DIPLOMA

ANTHoNY

B.

AMBROSE

.-

.

l'"i"c:"ll :j:,c:l':T:'ll:i:

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ini,

si"-,"_.

"i

wi,""",i"

Hish

schoor

Equivarencv

Diploma.

Civen

undcr

my

hand

and

seal

of

oflice

in

the

city

of

Madison,

Wisconsin'

this

1

3th

day

of

SePtember,

in

the

year

of l9

8o

Er;

uivalency

Diploma

No 1 -1-?25

Not valid

il name

has been

changed

or

alEted

"",

'"tt

*,*.

olficial

{isconsin

Se3l

is

aflixed

3D16.72

This

cetlilies

that

Pr,17a2


36/53

DL,S

lntemet

Servrces

- Lrrrvm.,.

I

nursday,

August

JU,

lull

rage

r

or

l

ffiffi"i"ffi,

(Non-CertifiedCopy)

Ot DturtJr

Sr:ar'l(Is

MVR Search

Results

as

of 08/30/2012

Confirmation#:

13612830866

Driver

HistorY

Years

Requested

:

3

A

ffi-

Driving

History

(N'[VR)

BURT

ANTHONY

AMBROSE

438

River

Bend

Rd

Richmond

Hill

GA31324-4308

Documents

Issued

License

Class:

CM

Issued*

Expires:G

Surrendered:

Not

Available

Non-Commercial

Privitege:

VALID

ConnercialPrivilege:

NOTLICENSED

Limited

Permit:

NA

Current

Points:

0

Original

Issue

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DOk04D7ll970

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Number:I-l

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Type:

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iIF

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YeaB

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0412711570

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Pvt. Burt Ambrose documents

Documents

Transcript of Pvt. Burt Ambrose documents