BUREAU OF JUSTICE ASSISTANCE NATIONAL TRAINING AND TECHNICAL ASSISTANCE CENTER CONSULTANT APPLICATION PACKAGE Thank you for your interest in becoming a consultant for the Bureau of Justice Assistance (BJA) National Training and Technical Assistance Center (NTTAC). NTTAC is a major source of criminal justice training and technical assistance information and resources, offering specialized assistance on current laws and evolving trends that affect the criminal justice field. BJA s mission is to provide policy leadership and assistance that supports local criminal justice strategies to achieve safe communities. One of BJA s most important functions is to support the work of practitioners in state, local, and tribal justice systems through training and technical assistance (TTA) programs. BJA-sponsored TTA provides direct assistance to develop and implement comprehensive, system-wide strategies for public safety that also improve criminal justice systems. One of the methods employed to make resources available to those who request TTA is to utilize consultant experts in the field. Your specialized knowledge can provide much needed information and assistance to law enforcement officials on a nationwide basis. We are looking for individuals who possess policy-making as well as hands-on experience in the criminal justice field. Applicants must possess a broad and deep knowledge of current literature and what works processes to inform criminal justice policies. All NTTAC consultants have a federally approved labor rate. This rate cannot exceed the maximum rate of $450. This form documents justification for the daily rate that the consultant is requesting. Supporting documentation must be provided and may include wage statements or W-2 forms, contracts or letters of engagement, or other documentation that shows that the consultant has been paid the requested rate in the past. Please fill out the online application in order to be considered as a consultant. The information provided will be used to match consultant areas of expertise with requestor need. Upon submission, your application will be reviewed by NTTAC staff and sent to the Bureau of Justice Assistance for approval. Once approval is received the consultant information will be added to our database pool of consultants. If you have questions or need assistance completing this application please call 1-855 BJA-TTAC (1-855-252-8822) or e-mail nttac@bjatraining.org and an NTTAC staff member can assist you. REQUIRED DOCUMENTS CHECKLIST In order for your application to be considered complete, the following documents must be submitted online in addition to your application. Applications that are not completed within two weeks will be removed from the NTTAC database. Completed Online Application Resume Please submit a maximum of 2 pages for your resume in a PDF/Word document Publications List Please include your most relevant/current publications in a PDF/Word document Sample Work Products Please submit any sample documents, presentations, or curricula of work you have produced Photo (Optional) Please submit a recent photo in a Jpeg format for use with your biography. 1
BJA NTTAC CONSULTANT APPLICATION Section I Contact Information Name Prefix: First: Last: Title Occupation Organization Name Address Address (line 2) City State Zip Code Phone Number ( ) Fax Number ( ) E-mail Address Website Section II Educational Background Please list all institutes of higher education from which you have earned degrees: Institution Degree Date Earned Area of Concentration Please list licenses and certifications you have obtained within the past two years and currently hold: License/Certification Date Awarded Please list any professional development course you have taken within the past two years: Course Organization Date Completed 2
Section III Subject Matter Expertise This section documents areas of advocacy in the criminal justice field in which you have worked. Please check all that apply. ADVOCACY Adjudication Case Management Child Protection/Health Corrections/Jails Counseling Courts/Sentencing/Sanctions/Specialized Problem Solving Criminal Justice Advocacy and Support Years of Crisis Response Domestic Violence Financial Assistance Justice Information Sharing Juvenile/Issues/Delinquency Prevention/Risk Years of Legal Issues Mental Health Reentry/Release Restitution Shelter/Safe House/Transitional Housing Years of Substance Abuse Treatment and Education Years of Transportation Victim Services This section documents the areas of criminal justice and law enforcement in which you have experience. Please check all that apply. CRIMINAL JUSTICE AND LAW ENFORCEMENT Adjudication Administration / Management Arson / Hazardous Materials Asset Forfeiture Bomb/Explosives Detection Child Protection/Health Community Policing Corrections/Jails Counterterrorism/Terrorism Courts Hostage Negotiations Intelligence Interrogation/Interview Techniques Years of Investigations Juvenile-Delinquency K-9 Legal Issues Mental Health Missing and Exploited Children 3
Crime Prevention Crisis Management Critical Incident Stress Management Years of Cyber Crime/Computer Crimes D.A.R.E. Death Investigation Domestic Violence Drugs/Narcotics, Funding DUI/DWI Emergency First Responders Ethics / Integrity/Diversity Evidence Collection/Management Explosives Fire Safety Firearms / Weapons Forensics/Photography Gangs Hate/Bias Crimes Multijurisdictional Task Forces Officer Safety and Survival Personal Protective Equipment Port/Cargo Security Property/Violent Crimes Public Information Activities School Safety Security Substance Abuse SWAT/Tactical Technology / Computer Applications Years of Traffic/Accident Training Development Tribal Justice Victimization Witness Support White Collar Crime OTHER: Please describe: Section IV Population Please indicate the different types of populations with which you have had experience working. Racial/Ethnic African American American Indian/Native Alaskan Asian Hispanic Native Hawaiian/Pacific Islander Children (ages birth-12 years) Elderly Females Gangs Homeless Immigrant Incarcerated Juvenile/Youth (ages 13-18) Lesbian/Gay/Transgender Males 4
Persons with Disabilities Disabled Veteran Hearing Impaired Mental Retardation Physical Disability Psychiatric Disability Sight Impaired Persons with HIV/AIDS Persons of Faith Buddhist Christian Hindu Jewish Muslim Other Substance Abusers Sex Workers Rural Sex Offenders Urban Victims Witnesses Other Section V Target Audience This section documents the primary audiences with which you have had experience working. Please check all that apply. Administrators Community Based Organizations Years of Corrections Professionals Courts Defense Counsel Educators Emergency Service Providers Faith-Based Organizations Federal Justice General Public Health Care Providers Juvenile Justice Judges Law Enforcement Media Medical/Dental Providers Mental Health Providers Military Legislators Probation/Parole Officers Prosecutors Schools State Agencies Social Workers Substance Abuse Prevention/Treatment Center Tribal Justice 5
Universities Victims Advocates Volunteers Other Section VI Training and Technical Assistance Expertise This section documents the types of training and technical assistance that you have had experience providing. Please check all that apply. Accreditation Analyzing training needs Board development Conducting peer reviews Conducting research Community planning Data collection/analysis Delivering messages to the media Delivering onsite/offsite consultation Delivering presentations/ lectures Delivering trainings/conducting workshops Developing customized TTA Developing outreach/education materials Developing written TTA materials/curricula Developing skilled trainers/train the trainer Leadership/management skill building Literature/product review Managing strategic planning Mentoring peers Needs assessment/planning Organizational analysis Organizational development Performance measures development Program design/development Program evaluation Program sustainability Staff recruitment/retention Utilizing social media Volunteer Recruitment/Retention Webinar development/presentation Distance/online learning Fiscal management/funding strategies Grants administration Group facilitation 6
Section VII Language Fluency This section documents languages with which you have the ability to read, speak, or write. Please check all that apply. American Sign Language Read Speak Write Moderate Chinese Read Speak Write Moderate English Read Speak Write Moderate French Read Speak Write Moderate German Read Speak Write Moderate Hindi Read Speak Write Moderate Inuit Read Speak Write Moderate Italian Read Speak Write Moderate Japanese Read Speak Write Moderate Russian Read Speak Write Moderate Spanish Read Speak Write Moderate Vietnamese Read Speak Write Moderate Other Read Speak Write Moderate Section VIII Additional Information The following information is voluntary and disclosed at your own discretion. This information is for internal purposes only. Gender: Male Female Race/Ethnicity: African-American (not of Hispanic origin) American Indian/Native Alaskan Asian Native Hawaiian/Pacific Islander Hispanic White (not of Hispanic origin) Other (please describe) Are you a United States citizen? Yes No If no, are you eligible for work in the US? Yes No Do you have a disability or any special needs? Yes No If yes, please describe: Will you need any special accommodations while providing training and technical assistance for BJA NTTAC? Yes No If yes, please describe: 7
Please describe your current employment: Contractor Self-Employed (independent consultant) For-Profit Organization Non-Profit Organization Medical Health/Mental Health Federal Government State Government Tribal Government Federal Law Enforcement State Law Enforcement Local Law Enforcement Legal Courts Faith-based Organization Local Government Do you have any geographical areas of preference in which you would like to deliver TTA? Yes No If yes, please describe: Do you have any preferred method of TTA delivery? Yes No If yes, please describe: How did you learn about applying to become a consultant for BJA NTTAC? Choose an item. Section IX References Please fill out the information below with references of individuals who know your ability to perform the work described in this application. These individuals may be colleagues, employers, TTA clients, organizations, or institutions. Name Prefix: First: Last: Title Organization Name Address Address (line 2) City State Zip Code Phone Number ( ) Fax Number ( ) E-mail Address Length of Time Known 8
Name Prefix: First: Last: Title Organization Name Address Address (line 2) City State Zip Code Phone Number ( ) Fax Number ( ) E-mail Address Length of Time Known Name Prefix: First: Last: Title Organization Name Address Address (line 2) City State Zip Code Phone Number ( ) Fax Number ( ) E-mail Address Length of Time Known Section X Biography Please give a brief (300 words or less) biographical sketch of yourself including educational background, professional employment, and publications/accomplishments. This will be used in the event that publication materials are needed for TTA. See example below of an appropriate biography. John Smith is a Research Analyst with XYZ Institute. In this role, his primary responsibilities include research and writing on a range of criminal justice issues. He has recently authored a new publication, Trends in Criminal Justice, and is currently developing a trainer s guide for the same work. Mr. Smith also works as the program manager for a Cooperative Agreement with the Department of Health and Human Services. In this capacity, he speaks to regional audiences around the country and assists in the coordination of workshops, webcasts, and technical assistance for youth-serving organizations to implement a gang prevention component into existing programs. A nationally-known expert in the criminal justice field, Mr. Smith is regularly sought out by the national press. His media appearances include Larry King Live, CBS Evening News, ABC Evening News, The New York Times, The Washington Post, The Washington Times, CBS Radio, NBC Radio and National Public Radio. His columns discussing a variety of timely issues routinely appear in newspapers throughout the country. Prior to coming to XYZ Institute in January of 2006, Mr. Smith graduated from the University of Pennsylvania with a Bachelor s Degree in Criminal Justice and Computer Science. He served two years in the Peace Corps following his graduation from college. In 9
Jamaica he did marketing for a small cyber center and taught computer and environmental education classes. Upon his return, he developed a computer based gang prevention program for elementary aged children. Mr. Smith is currently pursuing a Master s Degree in Business Administration. Thank you for completing the BJA NTTAC Consultant Application! 10