Contractor and Volunteer PREA Questionnaire~1.pdf

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Attached to
Ombudsperson Services
Solicitation number
44DOC-S2590
Issued by
Nevada

About this file

The document is a PREA Questionnaire from the Nevada Department of Corrections (NDOC) that is required for contractors and volunteers who may have contact with offenders. The questionnaire asks if the individual has ever engaged in sexual abuse or harassment in a detention setting, been convicted of sexual activity facilitated by force or coercion, or been civilly or administratively adjudicated for such activity. The individual must affirm that their responses are true and complete, and that providing false or misleading statements will result in denial of their application for access to NDOC institutions or contact with offenders.

The related state and local contract opportunity is for Ombudsperson Services in the state of Nevada. No additional details about the scope, timeline, or other requirements for this contract opportunity are provided.

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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 .