DOC 1952- NDOC Contractor and Volunteer PREA Questionnaire.pdf
PDF 43 KB Posted
- Attached to
- Pest Control Services State and local contract opportunity
- Solicitation number
- 44DOC-S3191
- Issued by
- White Pine County, Nevada
About this file
The document is a Contractor and Volunteer PREA (Prison Rape Elimination Act) Questionnaire issued by the Nevada Department of Corrections (NDOC) in compliance with Department of Justice National Standards. The form is designed to screen contractors and volunteers who may have contact with offenders before they are authorized to enter NDOC institutions, facilities, or work release centers.
The questionnaire requires individuals to disclose any history of sexual abuse, sexual misconduct, sexual harassment, or related convictions in detention or community settings. Respondents must answer four specific yes/no questions about past behaviors, with an option to provide additional details if answering affirmatively. The form emphasizes that providing false or misleading information will result in application denial, and requires the individual's signature and date to affirm the truthfulness of their responses.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 44DOC-S23191 - reference-questionnaire - 2025-05007~2.pdf | ||
| Certification-regarding-lobbying~5.pdf | ||
| DOC 047 NDOC Security Regulations Acknowledgement.docx | DOCX document | |
| Insurance Schedule~17.pdf | ||
| Standard-form-contract~3.docx | DOCX document | |
| Terms-and-conditions-for-services~5.pdf | ||
| Schedule for Site Visits.docx | DOCX document | |
| 44DOC-S3191 - site-visit-registration - 2025-04-03.pdf | ||
| DOC 560- Contractor Background Check Application.docx | DOCX document | |
| 44DOC-S3191 - request-for-proposals - 2025-02-28.docx | DOCX document | |
| Cost Schedule~1.docx | DOCX document | |
| DOC 1953- DOC PREA Zero Tolerance Policy and Reporting.docx | DOCX document | |
| Quote Instructions.pdf |
Show all 13
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .