SOP_NUMBER: 208.06-att-13
TITLE: Contractor/Volunteer Verification Form – Sexual Abuse/Sexual Harassment (PREA)
DIVISION: Executive
TOPIC_AREA: 101 & 208 Policy-Compliance Unit
EFFECTIVE_DATE: 2022-06-23
WORD_COUNT: 312
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/936662
URL: https://gps.press/sop-data/208.06-att-13/

SUMMARY:
This verification form is used to screen contractors and volunteers for PREA (Prison Rape Elimination Act) prohibitions before they are allowed to have contact with inmates, residents, or offenders under GDC supervision. The form requires individuals to disclose any history of sexual abuse in institutions, sexual activity involving force/coercion/non-consent in the community, or civil/administrative findings related to such activities. Failure to disclose or providing false information can result in termination or disqualification from employment.

KEY_TOPICS: PREA, Prison Rape Elimination Act, contractor screening, volunteer screening, sexual abuse prohibition, sexual harassment, background check, pre-employment verification, institutional sexual abuse, community sexual activity, criminal history, employment disqualification, inmate safety

ATTACHMENTS:
  1. Sexual Abuse_Sexual Harassment Prison Rape Elimination Act Education Acknowledgement Statement
     URL: https://gps.press/sop-data/208.06-att-1/
  2. PREA Sexual Victim_Sexual Aggressor Classification Screening Instrument
     URL: https://gps.press/sop-data/208.06-att-2/
  3. PREA Disposition Offender Notification Form
     URL: https://gps.press/sop-data/208.06-att-3/
  4. Sexual Allegation Response Checklist
     URL: https://gps.press/sop-data/208.06-att-4/
  5. Procedure for SANE Evaluation/Forensic Collection
     URL: https://gps.press/sop-data/208.06-att-5/
  6. PREA Investigative Summary
     URL: https://gps.press/sop-data/208.06-att-6/
  7. PREA Local Procedure Directive and Coordinated Response Plan
     URL: https://gps.press/sop-data/208.06-att-7/
  8. Retaliation Monitoring Checklist
     URL: https://gps.press/sop-data/208.06-att-8/
  9. Sexual Abuse Incident Review Checklist
     URL: https://gps.press/sop-data/208.06-att-9/
  10. PREA Initial Notification Form
     URL: https://gps.press/sop-data/208.06-att-10/
  11. PREA Staffing Plan Template
     URL: https://gps.press/sop-data/208.06-att-11/
  12. PREA Victim Advocate Request Form
     URL: https://gps.press/sop-data/208.06-att-12/
  13. Contractor/Volunteer Verification Form – Sexual Abuse/Sexual Harassment (PREA)
     URL: https://gps.press/sop-data/208.06-att-13/
  14. PREA Counseling Referral Form
     URL: https://gps.press/sop-data/208.06-att-14/
  15. Investigative File Summary Checklist
     URL: https://gps.press/sop-data/208.06-att-15/
  16. Investigative File Detail Checklist
     URL: https://gps.press/sop-data/208.06-att-16/
  17. Prison Rape Elimination Act (PREA) Offender Brochure (English)
     URL: https://gps.press/sop-data/208.06-att-17/
  18. PREA Offender Brochure (Spanish)
     URL: https://gps.press/sop-data/208.06-att-18/
  19. Staff Guide on the Prevention and Reporting of Sexual Misconduct with Offenders
     URL: https://gps.press/sop-data/208.06-att-19/

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FULL TEXT:
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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.