SOP 208.06-att-13: Contractor/Volunteer Verification Form – Sexual Abuse/Sexual Harassment (PREA)

SOP 208.06
Attachment 13

06/23/22

GEORGIA DEPARTMENT OF CORRECTIONS

SEXUAL ABUSE/SEXUAL HARASSMENT

PRISON RAPE ELIMINATION ACT (PREA)

CONTRACTOR/VOLUNTEER VERIFICATION

Employee Type (Check one):

`☐` Contractor

`☐` Volunteer

PREA Prohibitions: The Georgia Department of Corrections (GDC) must adhere to the United
States Department of Justice Final Rule on the “National Standards to Prevent, Detect, and
Respond to Prison Rape Under the Prison Rape Elimination Act (PREA) Standards” at 28 C.F.R.
Part 115 Docket No. OAG-131. GDC may not hire or promote anyone who may have contact with
inmates, residents or offenders under supervision who answers “Yes” to any of the following
questions:

1. Have you ever engaged in sexual abuse in a prison, jail, lockup, community confinement
facility, juvenile facility, or other institution? Yes `☐` No `☐`

2. Have you ever been convicted of engaging or attempting to engage in sexual activity in the
community facilitated by force, or coercion, or if the victim did not consent or was unable
to consent or refuse? Yes `☐` No `☐`

3. Have you been civilly or administratively adjudicated to have engaged in the activities
described? Yes `☐` No `☐`

I acknowledge and understand that should I become subject to the PREA prohibitions in my current
position or any subsequent departmental position I may hold, I will notify departmental
management within twenty-four hours of my involvement in any of the above. I understand the
Department has the authority to conduct random criminal background checks to ensure compliance
with these federal standards in relation to the Department’s employment practices. Further, I
understand that if I am subject to the PREA Prohibitions and answer “yes” to any of the above
questions, I may be subject to termination of employment. In addition, if I falsely respond to the
questions regarding PREA Prohibitions, I will be subject to termination or disqualification for
employment.

Signature Date

Typed/Printed Name

Record Retention: Retain permanently in local or local business file, whichever is applicable.