WELCOME TO. Must have been honorably discharged from military. (If applicable) Must be able to comply with rigorous attendance requirements.

Transcription

1 WELCOME TO FLORIDA GATEWAY COLLEGE PUBLIC SERVICE TRAINING CENTER In today s fast paced, ever changing society, the need for knowledgeable, dedicated criminal justice professionals is vital. A career in law enforcement or corrections can provide lifetime challenges and almost unlimited opportunities for advancement. The Cross-Over Law Enforcement Basic Recruit training program is a scenario based training that offers studies for; Introduction to Law Enforcement, Human Issues, Communications, Law Enforcement Vehicle Operations, First Aid, Firearms, Defense Tactics, Dart-Firing Stun Gun, Patrol I & II, Crime Scene Investigations, Investigating Offenses, Traffic Stops, Crash Investigations. This course is designed to provide the student with the state required training, which allows the student to sit for the State of Florida FDLE Certification Examination once the academy is successfully completed. Registration is limited to the following: With no active employment exempt letter: Student must be 19 years of age at time of graduation. Student must be a U.S. citizen. Must have obtained a high school diploma or G.E.D. Must pass Law Enforcement-B.A.T. (Basic Abilities Test) Must have been honorably discharged from military. (If applicable) Student must provide evidence of good moral character by providing three (3) letters of reference and not have been convicted of a felony or misdemeanor involving perjury or false statement. Must be able to comply with rigorous attendance requirements. Must submit to a fingerprint criminal history background check. - $50.00 payable before the fingerprints are submitted. With employment exempt letter: Student must be 19 years of age at time of graduation. Student must be a U.S. citizen. Must have obtained a high school diploma or G.E.D. Must pass Law Enforcement-B.A.T. (Basic Abilities Test) Must have been honorably discharged from military. (If applicable) Must be able to comply with rigorous attendance requirements. All instructors employed with the Florida Gateway College are FDLE state certified and are or have been active Law Enforcement/Corrections Officers.

2 FLORIDA GATEWAY COLLEGE CRIMINAL JUSTICE TRAINING CENTER Cross-Over Law Enforcement Basic Recruit Training Steps to Registration Thank you for inquiring about the Florida Gateway College Cross-Over Law Enforcement program. Anyone wishing to participate in our programs MUST meet the standards of the Florida State Statute 943. Here are the steps that MUST be completed in order to participate in the Academy. Paperwork must be turned into the Academy office BEFORE beginning the program, or you will not be registered into the program. STEP 1: STEP 2: STEP 3: STEP 4: Complete the FBAT test for Law Enforcement. The cost is $ You MUST pre-pay for the test by going to the cashier s office on main campus and getting a receipt or by calling the cashier at and paying by credit card/debit. The test is given every Tuesday in the Testing Center, Bldg. 17, on the Florida Gateway College Main Campus. You should arrive at 8:30 A.M. to register. Testing begins PROMPTLY at 8:45 A.M. Bring picture ID, and proof of payment; (confirmation number and/or receipt). Failure to have these items will result in not being allowed to test and you will have to reschedule. Turn in your passing Law Enforcement FBAT scores to the academy in Olustee or Raiford. At that time you will receive an application packet for the academy. Read all information enclosed in the information packet. Apply to the Florida Gateway College by filling out the admissions application found online: it% 20application.pdf ) and returning it, along to the main campus. This step provides you admittance to FGC. Complete and turn in the Transcript Request form to the high school you attended. They will mail your transcript back to FGC or give it to you in a sealed envelope. Failure to do this step will stop the registration process, as FGC MUST! have transcripts in your college admission file to register for classes!!!!

3 STEP 5: STEP 6: Unless financial arrangements are already in place, contact the Financial Aid Department, on main campus, for possible eligibility or If you have VA monies, you should contact Amanda Luke at Another source is Florida Crown Workforce for possible sponsorship It is the student s responsibility to pay for their courses please stay in constant contact with whichever source you acquire. Provide the academy COPIES of your birth certificate, high school diploma, current Florida s drivers license, and DD214 (if applicable). IF YOU HAVE TURNED IN AN ACTIVE EMPLOYMENT EXCEMPTION LETTER SKIP TO STEP 9!!! STEP 7: STEP 8: STEP 9: Provide the academy THREE (3) letters of reference. There is a $50.00 cash or money order fee for a Criminal History Fingerprint Check. This step MUST be complete and results into the academy office BEFORE class starts. Stay in touch with the Program Coordinator Lt. Lou Carrion , for registration, mandatory meetings and class updates. Once you have completed ALL these steps and ALL of the information that is being requested is turned into the appropriate divisions of FGC, you will be scheduled for enrollment in the academy class and added to the roster as a cadet of the Cross-Over Basic Law Enforcement Recruit Program. The steps explained here MUST be completed BY the Registration Meeting, approximately 2-3 weeks from the beginning of class to ensure you a seat in the recruit class. We look forward to hearing from you and if you have any further questions, please contact us. John Jewett, IV Melinda Rowland Lt. Lou Carrion Public Service Training Center Public Service Training Center Raiford Campus Director Program Coordinator Part-Time Coordinator Criminal Justice Training Criminal Justice Training john.jewett@fgc.edu melinda.rowland@fgc.edu

4 PLEASE FILL OUT COMPLETELY AND RETURN WITH APPLICATION TO THE ACADEMY Name: Address: City: State: Zip Code: Telephone # Cell # Address: Social Security # Date of Birth: EMERGENCY CONTACT INFORMATION 1 st Emergency Contact Name: Telephone # 2 nd Emergency Contact Name: Telephone # REQUIRED DOCUMENT CHECK OFF LIST Contact Sheet ( ) Birth Certificate ( ) H.S. Diploma ( ) DD 214 ( ) FBAT Results ( ) 3 References ( ) NOTIFICATION OF SOCIAL SECURITY NUMBER COLLECTION AND USE: In compliance with Florida Statute (5), Florida Gateway College issues this notification regarding the purpose of the collection and use of your Social Security number. FGC collects your Social Security number for use in performance of the college's duties and responsibilities. To protect your identity, FGC will secure your Social Security number from unauthorized access. FGC will never release your Social Security number to unauthorized parties, and each student at FGC will be issued a unique student identification number. Your unique student identification number is used for all educational purposes at Florida Gateway College including registration, access of your online record, etc. Federal legislation relating to the Hope Tax Credit requires that all postsecondary institutions report the Social Security number of all post-secondary students to the Internal Revenue Service (IRS). This IRS requirement makes it necessary for colleges to collect the Social Security number of every student. A student may refuse to disclose his/her Social Security number to the college, but refusing to comply with the federal requirement may result in fines established by the IRS. In addition to the federal reporting requirements, the public school system in Florida uses the Social Security number as a student identifier. This use is authorized in Florida Statue and in School Code Section In a seamless K-20 educational system, it is beneficial for postsecondary institutions to have access to the same information for purposes of tracking and assisting students in the transition from one educational level to the next. All Social Security numbers are protected by federal regulations and are never released to unauthorized parties

5 POSSIBLE FINANCIAL ASSISTANCE WITH YOUR CLASSES Florida Crown Workforce FGC-Foundation Office Financial Aid Student Loans Veteran s Assistance Contact: Amanda Luke Student Scholarships Contact: Donna Lee ANY PAYMENTS THAT NEED TO BE MADE ON YOUR CLASSSES OR PREPAYING FOR THE FBAT: FGC Cashier s Office

6 I,, understand that I will be fingerprinted using Live Scan fingerprinting to gain entry into the Florida Gateway College Basic Law Enforcement Academy. I understand that if for any reason my criminal history report comes back unfavorable, I may be barred from enrollment in the academy and my application will be withdrawn. I understand that the Florida Gateway College has the complete right and authority to hold admission standards higher than the State of Florida requires. The final decision on any questionable criminal histories rests with the Director of Criminal Justice training. Florida Gateway College s rules for admission are guided by, but not bound by, FDLE rule 11B for fingerprint processing and criminal records results under FDLE and supported under FL State Statute Signature NOTIFICATION OF SOCIAL SECURITY NUMBER COLLECTION AND USE: In compliance with Florida Statute (5), Florida Gateway College issues this notification regarding the purpose of the collection and use of your Social Security number. FGC collects your Social Security number for use in performance of the college's duties and responsibilities. To protect your identity, FGC will secure your Social Security number from unauthorized access. FGC will never release your Social Security number to unauthorized parties, and each student at FGC will be issued a unique student identification number. Your unique student identification number is used for all educational purposes at Florida Gateway College including registration, access of your online record, etc. Federal legislation relating to the Hope Tax Credit requires that all postsecondary institutions report the Social Security number of all post-secondary students to the Internal Revenue Service (IRS). This IRS requirement makes it necessary for colleges to collect the Social Security number of every student. A student may refuse to disclose his/her Social Security number to the college, but refusing to comply with the federal requirement may result in fines established by the IRS. In addition to the federal reporting requirements, the public school system in Florida uses the Social Security number as a student identifier. This use is authorized in Florida Statue and in School Code Section In a seamless K-20 educational system, it is beneficial for postsecondary institutions to have access to the same information for purposes of tracking and assisting students in the transition from one educational level to the next. All Social Security numbers are protected by federal regulations and are never released to unauthorized parties.

7 Florida Department of Law Enforcement PHYSICAL FITNESS ASSESSMENT Incorporated by Reference in Rule 11B (11)(c)12., F.A.C. CJSTC 75B 1. Applicant s Name: 2. Applicant s Address: Last First MI 3. Enter Last Four Digits of Social Security Number: 4. Training School: 5. The Applicant Is Requesting Admission Into a Basic Recruit Training Program for One of the Following Disciplines: Law Enforcement Correctional Correctional Probation 6. Student Participation in Basic Recruit Training Program Activities. A student enrolled in a basic recruit training program (BRTP) is required to participate in the following activities: A. Defensive tactics and firearms high-liability training is a component of the curriculum mandated by the Criminal Justice Standards and Training Commission. Firearms training requires firing a handgun and long gun creating exposure to lead. Defensive tactics training requires sustained physical exertion and chemical agent contamination to the chemicals oleo-resin capsicum (OC) and/or orthochlorobenzal-malonotrite (CS). B. Physical Fitness Conditioning and Physical Fitness Testing: A BRTP student shall participate in physical fitness conditioning and a fitness test and includes the following measures: Vertical Jump One Minute Sit Ups300 Meter RunMaximum Push Ups1.5 Mile Run/Walk C. The training center director has attached the training schools physical fitness conditioning program: Yes **********TO BE COMPLETED BY THE APPLICANT********* 7. Medical Conditions Regarding OC/CS Contamination. A BRTP student should be aware of the following personal considerations that may restrict participation in the chemical agent contamination of the BRTP and could possibly be aggravated to a severe degree during the contamination: Recent eye surgery, heart problems, panic disorder or stress, respiratory disorder, emphysema (loss of elasticity/thinning of lung tissues), bronchial asthma, x-ray evidence of pneumoconiosis (black lung), evidence of reduced pulmonary (lung) function, chronic obstructive pulmonary disease, coronary (heart) artery disease, cerebral (brain) blood vessel disease, severe or progressive hypertension (high blood pressure), epilepsy, grand mal or petite mal (seizures), pernicious anemia (severe reduction in red blood cells), diabetes (any form), pueumomediastinum gap (air in the sac surrounding lungs), history of skin allergies, or any condition for which the student is presently taking medication. 8. BRTP Student Certification. I certify that I have reviewed the above information and I do or do not have any medical restrictions that would prevent me from participating in the basic recruit training program activities outlined in item numbers 6, 6A, and 6B above. 9. Student s Printed Name: 10. Student s Signature: Date: 11. Prior Exposure to OC or CS. For a student who has had prior chemical agent exposure that includes chemical agent contamination and working through the effects of chemical agent contamination in a training environment, please attach the supporting documentation of prior exposure and check one of the following boxes: I certify that I haveor I have notbeen exposed to oleo-resin capsicum (OC) and/or orthochlorobenzal-malononitrile (CS) in the manner described in item number 11 above. **********TO BE COMPLETED BY THE EXAMINING PHYSICIAN********* 12. Physician Attestment. The above applicant is seeking entry into a law enforcement, correctional, or correctional probation basic recruit training program. Rule 11B (11)(c)12., F.A.C., requires a complete physical examination at a level of specificity sufficient to determine whether there are any medical or physiological restrictions that would prevent the applicant from performing the required activities described in items 6, 6A, and 6B above. Disabilities, impairment, or limitations identified by the examination that would prevent the applicant from performing the required activities should be reported to the training school indicated in item number 4 above I hereby attest that I have examined the above named applicant and find him or her CAPABLE of participating in the basic recruit training program activities indicated in item numbers 6, 6A, and 6B above. I hereby attest that I have examined the above named applicant and find him or her NOT CAPABLE of participating in the basic recruit training program activities indicated in item numbers 6, 6A, and 6B above Physician, Certified Advanced Registered Printed Name Examination Date Nurse Practitioner, or Physician Assistant s Signature Physician, Certified Advanced Registered Nurse Practitioner, or Physician Assistant s License Number Licensing State Physician, Certified Advanced Registered Nurse Practitioner, or Physician Assistant s Professional Address **********TO BE COMPLETED BY THE TRAINING CENTER DIRECTOR OR DESIGNEE********* 16. Training Center Director or Designee s Printed Name: Training Center Director or Designee s Signature: Date: Training School: Original Agency: Copy 1 of 2 Applicant: Copy Created 11/8/2007

8 INSTRUCTIONS FOR COMPLETING FORM CJSTC-75B A basic recruit student approved to enter a basic recruit training program (BRTP) shall review and complete form CJSTC- 75B to indicate the presence of any medical conditions that may prevent participation in the Physical Fitness Program and Chemical Agent Contamination of the BRTP. A copy of the Physical Fitness Program for law enforcement, correctional, or correctional probation discipline shall be attached to this form for the student to review. 1. Applicant s Name. Enter the applicant s last name, first name, and middle initial. 2. Applicant s Address. Enter the applicant s current address, city, state, and zip code. 3. Applicant s Social Security Number. Enter the last four digits of the applicant s social security number as in this example: Training School Name. Enter the name of the Commission-certified criminal justice training school where the applicant is enrolled. 5. Basic Recruit Training Program Discipline. Place a check mark in one of the box(es) for the law enforcement, correctional, or correctional probation discipline for which the applicant is requesting admission. 6. Student Participation in Basic Recruit Training Program Activities. Defensive Tactics (includes chemical agent contamination), Firearms, and Physical Fitness Conditioning and Physical Fitness Testing: High-liability training in defensive tactics, firearms, and chemical agent contamination is a component of the curriculum mandated by the Criminal Justice Standards and Training Commission and participation in the activities is a requirement for successfully completing a BRTP. There is no pass or fail at this time. The test results for each of the five required tests will be recorded on the Academy Physical Fitness Standards Report, form CJSTC-67A as I if the student did not perform the test component or D if the student was dismissed from the basic recruit training program. A. Defensive Tactics and Firearms Training. Firearms training requires firing a handgun and long gun creating exposure to lead. Defensive tactics training requires sustained physical exertion and chemical agent contamination to the chemicals oleo-resin capsicum (OC) and/or orthochlorobenzal-malonotrite (CS). B. Physical Fitness Conditioning and Physical Fitness Testing. The Physical Fitness Test includes the following measures and are defined as follows: Vertical Jump. This measures leg power by measuring how high a person jumps. One Minute Sit Ups. This measures abdominal, or trunk, muscular endurance. While lying on his or her back, the student will be given one minute to do as many bent-leg sit ups as possible. 300 Meter Run. This measures anaerobic power, or the ability to make an intense burst of effort for a short time period or distance. This component consists of sprinting 300 meters as fast as possible. Maximum Push Ups. This measures the muscular endurance of the upper body. This component consists of doing as many push ups as possible until muscular failure. Males are required to perform the standard push-up and females have the option to perform the standard or modified push-up. 1.5 Mile Run/Walk. This measures aerobic power or cardiovascular endurance (stamina over time). To complete this component, the student runs or walks a distance of 1.5 miles as fast as possible. C. A physical fitness conditioning program developed by the training school shall be attached to form CJSTC-75B prior to the student s examination by a physician, certified advanced registered nurse practitioner, or the physician s assistant. 7. Medical Conditions Regarding Chemical Agent Contamination. The student shall review the listed medical conditions and list other conditions that may restrict him or her from participating in Chemical Agent Contamination to the chemicals oleo-resin capsicum (OC) and/or orthochlorobenzal-malonotrite (CS). 8. Basic Recruit Training Program Activities Certification. The student shall check the appropriate box to indicate if he or she does or does not have a medical condition that would restrict participation in the BRTP activities indicated in item numbers 6, 6A, and 6B of this form. 9. Student s Printed Name. The student shall print his or her first name, last name, and middle initial. 10. Student s Signature and Date. The student shall provide a signature and date to verify the information provided by the student is true and correct. 11. Prior Exposure to Chemical Agent Contamination. The student shall Indicate in the appropriate box if he or she has been previously exposed to chemical agent contamination to the chemicals oleo-resin capsicum (OC) and/or orthochlorobenzal-malonotrite (CS), and shall attach supporting documentation of such contamination. 12. Physician, Certified Advanced Registered Nurse Practitioner, or Physician Assistant s Attestment. The physician shall check the appropriate box to indicate if the student is capable or not capable of participating in the BRTP activities indicated in item numbers 6, 6A, and 6B of this form. 13. Physician, Certified Advanced Registered Nurse Practitioner, or Physician Assistant s Signature, Printed Name, and Examination Date. The physician shall complete this item to verify his or her attestment to item number 12 of this form. 14. Physician, Certified Advanced Registered Nurse Practitioner, or Physician Assistant s License Number and Licensing State. The physician shall complete this item to verify his or her valid license number and licensing state. 15. Physician, Certified Advanced Registered Nurse Practitioner, or Physician Assistant s Professional Address. The physician shall print his or her complete professional address. 16. Training Center Director or Designee s Printed Name, Signature and Date. The training center director or designee who signs this form shall print his or her legal first and last name. The training center director or designee shall sign and date this form. FORM CJSTC-75B Page 2 of 2

9