I have referred the above named person for a correctional officer (CO) position with the Texas
Department of Criminal Justice. I understand that I will receive a $100 gift card and eight hours
of administrative leave for an applicant referral that results in a newly hired CO that completes 6 calendar months of employment. I acknowledge
that the value of the gift card is considered taxable income and can choose from the following
Electronic Signature Agreement: By selecting the "I Accept" button and typing your name in the box provided below, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this Agreement. By selecting "I Accept" you consent to be legally bound by this Agreement's terms and conditions. You further agree that your use of a key pad, mouse or other device to select an item, button, icon or similar act/action, or to otherwise provide the Texas Department of Criminal Justice (TDCJ) or in accessing or making any transaction regarding any agreement, acknowledgment, consent terms, disclosures or conditions constitutes your signature (hereafter referred to as "E-Signature"), acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party verification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and the
View the TDCJ privacy and security policy regarding information submitted via this form.