CONDITIONS OF EMPLOYMENT

CDCR Adult And Youth Facility Listings Only

This form is only for candidates whose application is already on file and proceeding through the selection process and who want to make changes to their form. Mark all locations where you are willing to accept employment.

First Name

Last Name

E-mail Address

Last Four Digits of Social Security Number

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PLEASE MARK THE APPROPRIATE BUBBLE(S) OF YOUR CHOICE-YOU WILL NOT BE OFFERED A JOB IN LOCATIONS NOT MARKED.

		If you are successful in this examination, your name will be placed on an active employment list and referred to fill vacancies according to the conditions you specify on this form.
		If after you are contacted for a job, you are unwilling to accept work, you will be charged with a waiver. After three such waivers and/or you do not reply promptly to the contact, your name will be placed inactive. Once your name is placed inactive, it cannot be reactivated.
		Before you mark this form, there are some things you should consider. If you are not planning to relocate or are not willing to travel to a distant job location, do not select locations that are a long way from your residence.
		You may choose up to 15 different locations. If you choose more than 15, you will be certified for anywhere in the State.

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Note: California State Prison has been abbreviated to "CSP". Youth Correctional Facility has been abbreviated to "YCF".

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Type Of Appointment You Will Accept

(D) Permanent Full-Time	(R) Permanent Part Time (Includes Intermittent)
(L) Limited-Term	(A) Any

If all are marked and you receive an appointment other than permanent full-time, your name will continue to be considered for permanent full-time positions.

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Anywhere In The State

Note: If above box, "Anywhere In The State" is checked, no further selection is necessary. Just scroll down to the bottom of this form and click submit.

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UPPER NORTHERN REGION - If this bubble is marked, no further selection is necessary.

ADULT FACILITIES:
Pelican Bay State Prison; Crescent City, Del Norte County
California Correctional Center; Susanville, Lassen County
High Desert State Prison; Susanville, Lassen County

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NORTHERN REGION - If this bubble is marked, no further selection is necessary.

ADULT FACILITIES:
Mule Creek State Prison; Ione, Amador County
CSP, San Quentin; San Quentin, Marin County
Folsom State Prison; Represa, Sacramento County
CSP, Sacramento; Represa, Sacramento County
Deuel Vocational Institution; Tracy, San Joaquin County
California Medical Facility; Vacaville, Solano County
CSP, Solano; Vacaville, Solano County
Sierra Conservation Center; Jamestown, Tuolumne County
YOUTH FACILITIES:
O.H. Close YCF; Stockton, San Joaquin County
N.A. Chaderjian YCF; Stockton, San Joaquin County

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CENTRAL REGION - If this bubble is marked, no further selection is necessary.

ADULT FACILITIES:
Pleasant Valley State Prison; Coalinga, Fresno County
Wasco State Prison-Reception Center; Wasco, Kern County
North Kern State Prison; Delano, Kern County
Kern Valley State Prison; Delano, Kern County
Avenal State Prison; Avenal, Kings County
CSP, Corcoran; Corcoran, Kings County
Central California Women's Facility; Chowchilla, Madera County
Valley State Prison for Women; Chowchilla, Madera County
Correctional Training Facility; Soledad, Monterey County
Salinas Valley State Prison; Soledad, Monterey County
California Men's Colony; San Luis Obispo, San Luis Obispo County
CA Substance Abuse Treatment Facility; Corcoran, Kings County

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SOUTHERN REGION - If this bubble is marked, no further selection is necessary.

ADULT FACILITIES:
Calipatria State Prison; Calipatria, Imperial County (North)
Centinela State Prison; Imperial, Imperial County (South)
California Correctional Institution; Tehachapi, Kern County
CSP, Los Angeles; Lancaster, Los Angeles County
California Rehabilitation Center; Norco, Riverside County
Chuckawalla Valley State Prison; Blythe, Riverside County
Ironwood State Prison; Blythe, Riverside County
California Institution for Men; Chino, San Bernardino County
California Institution for Women; Corona, San Bernardino County
R.J. Donovan Corr. Fac. at Rock Mountain; San Diego, San Diego County
YOUTH FACILITIES:
Southern Youth Corr. Reception Center and Clinic; Norwalk, LA County
Ventura YCF; Camarillo, Ventura County

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Click here for a map of correctional institutions if you need help.

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PLEASE TYPE THE DISTORTED WORDS IN THE BOX ABOVE.