MISSISSIPPI DEPARTMENT OF CORRECTIONS APPLICANT CONTACT FORM
JOB INFORMATION
PERSONAL INFORMATION
EMPLOYMENT STATUS
SUPPLEMENTAL QUESTIONS
WORK HISTORY
MISSISSIPPI DEPARTMENT OF CORRECTIONS APPLICANT RELEASE OF INFORMATION
Timeline
Brenda Pridgen
Florence,MS
Overview
41
41
years of professional experience
Work History
Title Clerk
Ms Dept of Revenue
04.2016 - 10.2025
Calculated and remitted state sales tax, service fees, and other charges.
Contacted State Motor Vehicle Department to confirm status of pending titles.
Resolved common title issues through effective customer communication.
Collected taxes and fees, submitted payments, and issued receipts promptly.
Examined and verified number titles on a weekly basis.
Corrections Clerk
Ms Dept of Revenue
11.2013 - 11.2014
Clerk
Forestry Suppliers
05.1997 - 01.2011
Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
Maintained filing system and organized customer documents for easy retrieval of information.
Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
Compiled and analyzed data to produce reports.
Retail Salesperson
Gayfers Department Store
05.1984 - 05.1997
Education
High School Diploma -
Richland High School
Richland, MS
05.1984
Skills
Title processing
Renewals management
Document retrieval surveys
Title examination
Title research
Disclaimer
MDOC is an equal opportunity employer, dedicated to a policy of non-discrimination on any basis including race, color, age, sex, religion, handicap or national origin.
MISSISSIPPI DEPARTMENT OF CORRECTIONS APPLICANT CONTACT FORM
For all other MDOC positions apply on the Mississippi State Personnel Board.
Return Completed Contact Form to: mdocrecruitment@mdoc.state.ms.us
Once your form is received you will receive an email/phone call with more information.
Select an institution listed below where you prefer to work.
( ) MS State Penitentiary (MSP) Parchman, MS
( ) Central MS Correctional Facility (CMCF) Pearl, MS
( ) South MS Correctional Institution (SMCI) Leakesville, MS
( ) Marshall County Correctional Facility (MCCF) Holly Springs, MS
( ) Walnut Grove Correctional Facility (WGCF) Walnut Grove, MS
JOB INFORMATION
POSITION DESIRED: ___________________________________________ DATE: __________________________
PERSONAL INFORMATION
First Name __________________________ Middle Initial _______ Last Name __________________________
City __________________________ State __________________________ Zip __________________________
Home Phone __________________________ Cell Phone __________________________ Email Address __________________________
EMPLOYMENT STATUS
Are you a Current State Employee ( ) Yes ( ) No
Agency Name ___________________________________________
Are you a current State of MS Retiree ( ) Yes ( ) No Retirement Date, if yes: __________________________
Agency Name ___________________________________________ Last Position Title ___________________________________________
SUPPLEMENTAL QUESTIONS
1. Are you 18 years of age or older? ( ) Yes ( ) No
2. Do you possess a valid driver’s license from Mississippi or a contiguous state? ( ) Yes ( ) No
3. Have you ever been convicted of a felony? ( ) Yes ( ) No
4. Have you ever been convicted of domestic violence? ( ) Yes ( ) No
WORK HISTORY
1. Do you have previous law enforcement experience? ( ) Yes ( ) No
2. Do you have previous correctional experience? ( ) Yes ( ) No
MISSISSIPPI DEPARTMENT OF CORRECTIONS APPLICANT RELEASE OF INFORMATION
To Whom It May Concern:
The Mississippi Department of Corrections will conduct a background investigation to verify information that you have provided in conjunction with your application for employment.
This information will be used every five years to conduct a criminal background review.
In order to conduct the investigation, the following information is required.
Social Security #:____________________Date of Birth:____________________ Race:________Sex:____________________
Driver’s License Number:____________________ State Issued: ____________________
Current Address: __________________________________________________________________________________________
Street ____________________ Apt # ____________________ City ____________________
State ____________________ Zip Code ____________________
Have you ever been arrested and/or convicted of a crime?
Yes_____ No________ If yes: Date:____________________
Have you ever been associated with a street gang? __ Yes __ No If yes, what gang? ____________________
Do you have any tattoos on your body? __ Yes __ No If yes, what does it stand for? ____________________
In order that the investigation can be completed, I hereby authorize the Mississippi Department of Corrections and any of its authorized employees to receive and collect information from any previous employer, law enforcement agency, educational institution, or persons named by me as references.
Applicant (Print) Name ____________________ Applicant Signature ____________________ Date ____________________
TO BE COMPLETED BY CORRECTIONAL OFFICER APPLICANTS ONLY
Job Location Availability: Select a 1st, 2nd, and 3rd choice of any county and an institution listed below where you prefer to work.
Forrest Harrison Hinds Leflore Madison Noxubee Pascagoula Pike Quitman Rankin Wilkinson
___Central MS Correctional Facility (CMCF) ___Mississippi State Penitentiary (MSP) ___South MS Correctional Institution (SMCI)
___Marshall County Correctional Facility (MCCF) ___Walnut Grove Correctional Facility (WGCF)
NOTE: Your application will be processed by your selection preference according to the job availability.