44DOC-S4058 NDOC Contractor and Volunteer PREA Questionnaire.pdf
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- Attached to
- Vending Services
- Solicitation number
- 44DOC-S4058
- Issued by
- Nevada
About this file
This document is a PREA (Prison Rape Elimination Act) Questionnaire form issued by the Nevada Department of Corrections (NDOC) to comply with federal requirements under 42 U.S.C. § 15601 et seq. and 28 C.F.R. § 115.17(a). The form must be completed by all contractors and volunteers who may have contact with offenders before they are authorized to enter any NDOC institutions, facilities, or work release centers. The questionnaire requires respondents to disclose whether they have engaged in sexual abuse in any detention facility, been convicted of sexual activity facilitated by force or coercion, been civilly or administratively adjudicated for such conduct, or engaged in sexual harassment in community or confinement settings. Respondents must provide detailed explanations for affirmative answers and sign the form affirming the truthfulness and completeness of their responses.
The form serves as a screening mechanism to identify and exclude individuals with histories of sexual misconduct from positions involving offender contact. Contractors and volunteers who provide false or misleading statements, including material omissions regarding such misconduct, are subject to application denial. This questionnaire is a mandatory prerequisite for participation in vending services contracts at Nevada correctional facilities, ensuring compliance with federal PREA standards and protecting the safety and welfare of offenders within the correctional system.
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Other files
| File | Type | Posted |
|---|---|---|
| 44DOC-S4058 Certification-regarding-lobbying.pdf | ||
| 44DOC-S4058 Terms-and-conditions-for-services.pdf | ||
| 44DOC-S4058 COST_COMMISSION SCHEDULE.docx | DOCX document | |
| 44DOC-S4058 PREA Zero Tolerance Policy and Reporting.docx | DOCX document | |
| 44DOC-S4058-Vendor-Information-Response.pdf | ||
| Quote Instructions.pdf | ||
| 44DOC-S3408 Insurance Requirements.pdf | ||
| 44DOC-S4058 RFP~1.docx | DOCX document | |
| 44DOC-S4058-reference-questionnaire.docx | DOCX document | |
| 44DOC-S4058 Scope of Work SOW~1.docx | DOCX document | |
| 44DOC-S4058 Terms-and-conditions-for-goods.pdf | ||
| 44DOC-S4058 Contractor Security Regulations Acknowledgement Form (2-22).docx | DOCX document | |
| 44DOC-S4058-site-visit-registration.pdf | ||
| 44DOC-S4058 Contractor Background Check Application.docx | DOCX document | |
| 44DOC-S4058 Standard-form-contract.docx | DOCX document |
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Text version
Nevada Department of Corrections PREA Management Division
DOC 1952 (revised 1/2023)
§115.17
Contractor and Volunteer PREA Questionnaire
The Nevada Department of Corrections (NDOC), in compliance with the Department of Justice, National Standards to Prevent, Detect, and Respond to Prison Rape 42 U.S.C. § 15601, et seq. and
28 C.F.R., §115.17 (a) shall require contractors and volunteers who may have contact with offenders to complete this form before they can be authorized to have any contact with any offenders or entry into any of the agencies institutions, facilities or work release centers. Please answer the following questions.
Have you ever:
• Engaged in sexual abuse in a prison, jail, lockup, community confinement facility, juvenile facility, or any other place of detention?
☐ Yes ☐ No
• Been convicted of engaging or attempting to engage in sexual activity in the community facilitated by force, overt or implied threats of force, or coercion, or if the victim did not consent or was unable to consent or refuse?
☐ Yes ☐ No
• Civilly or administratively adjudicated to have engaged in the activity described above?
☐ Yes ☐ No
• Engaged in sexual harassment of any person in the community or confinement setting?
☐ Yes ☐ No
If you answered yes to any of the previous four questions, provide details regarding the incident.
Attach additional pages if necessary.
I affirm that all my responses are true and complete to the best of my knowledge. I also understand that providing false or misleading statements, including material omissions regarding such misconduct shall be grounds for denial of my application.
Signature: Date: ___________________
Print Name:______________________________________
File details come from the government source that posted it. Updated .