APPLICATION FOR PRIVATE SECURITY COMMANDER CERTIFICATION



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APPLICATION FOR PRIVATE SECURITY COMMANDER CERTIFICATION The application must be completed in its entirety, signed, and notarized. Attach additional documentation as requested. The following criteria must be met for a private security academic commander certification: High school graduate or possession of a GED Three years full-time experience in the private security field, a security-related field, or the equivalent, as determined by the executive director. Law enforcement experience does not automatically qualify as securityrelated experience. The determination of applicability will be based upon the functions performed as a law enforcement officer Two years full-time experience in a management-level position, or completion of ninety quarter hours, or sixty semester hours at an accredited college or university Three professional references from individuals currently employed in the security or a security-related field in a management-level position, who have known the individual for at least three years Name, position, and company of CEO of training institution that has appointed or employed you as a Commander. No convictions for a felony or crime of moral turpitude or any other peace officer disqualifying offense Completion of an Ohio Peace Officer Training Commission conference for private security training school commanders Joint vocational school private security commanders may be exempted from the three years full-time experience in a private security, a security-related field or equivalent requirement The following criteria must be met for a private security firearms commander certification: High school graduate or possession of a GED Five years full-time experience in the private security field, a security-related field, or the equivalent, as determined by the executive director. Law enforcement experience does not automatically qualify as securityrelated experience. The determination of applicability will be based upon the functions performed as a law enforcement officer Three professional references from individuals currently employed in the security or a security-related field in a management-level position, who have known the individual for at least three years Name, position, and company of CEO of training institution that has appointed or employed you as a Commander. No convictions for a felony or crime of moral turpitude or any other peace officer disqualifying offense Completion of an Ohio Peace Officer Training Commission conference for private security training school commanders

PROCEDURE FOR OBTAINING A FINGERPRINT-BASED BACKGROUND CHECK FROM THE BUREAU OF CRIMINAL INVESTIGATION AND IDENTIFICATION (BCI) Fingerprint-based criminal history checks are required for Private Security instructor and commander certification. In order to obtain a BCI Criminal Background Check you must submit a WebCheck request to BCI, from an approved WebCheck agency. In order to obtain such a record check, follow this procedure: Log onto the Attorney General of Ohio s WebCheck website: www.ohioattorneygeneral.gov. Scroll to the bottom of the page and click on Webcheck Locations under the Services heading. Locate an agency nearest you and contact them regarding the WebCheck process. After completing the WebCheck procedure, have your WebCheck result sent back to you, so that you can attach it to your application. Results received separately from the application will not be accepted. Mail your completed application packet to: Ohio Peace Officer Training Commission Professional Standards Division PO Box 309 London, Ohio 43140 Applications received by the commission that do not have the BCI processed record check attached will be returned unprocessed.

APPLICATION FOR PRIVATE SECURITY COMMANDER CERTIFICATION Name First Middle Last SSN DOB Male Female Previous Name(s) or Alias Mailing Address #/Street/P.O. Box City State Zip Code County Phone: Residence ( ) Cell ( ) Daytime ( ) FAX ( ) Email NOTE: This email address will be used for OPOTC/OPOTA business-related communications, some of which may be time sensitive. School Name County School Address #/Street/P.O. Box City State Zip Code School Phone ( ) School Fax Number ( ) CHECK TYPE OF COMMANDER: ADULT PROGRAM HIGH SCHOOL or JVS PROGRAM FIREARMS ONLY 1. EMPLOYMENT HISTORY (INCLUDE ONLY FULL TIME SECURITY AND LAW ENFORCEMENT) Employer Name and Address Employment Dates Position(s) From / / To / / From / / To / / From / / To / / Supervisory Experience (Full Time Only) Employer Position From / / To / / Employer Position From / / To / / SF300ps Revised 05/01/2015 Page 1 of 3

2. TRAINING/EDUCATION High School Attended City & State Date of Graduation or Date of Receipt of GED / / (Circle Graduation or GED, whichever is applicable.) Institution Attended _ City & State Course of Study/Major Dates Attended: From / / To / / Diploma/Degree Awarded (if applicable) Date / / (Attach Copy of Degree/Diploma) If no degree, number of quarter hours semester hours attended. (Attach Copy of Transcript from College/University showing number of hours attended) 3. BACKGROUND INFORMATION Have you ever been convicted of a felony in any jurisdiction of the United States or under the uniform code of military justice? no yes Have you ever been convicted of an offense of domestic violence or any related offense occurring as a result of a domestic violence incident? no yes Do you currently have criminal charges pending in any jurisdiction? no yes Have you ever been investigated for, disciplined for, terminated for, matters of veracity or of moral turpitude? no yes If yes, include a detailed summary. Attach certified copy of criminal record check processed through BCI&I to the completed application. 4. PROFESSIONAL REFERENCES Name Position Company 1. 2. 3. Attach letters of reference from the above-named individuals. These must accompany application. 5. TRAINING INSTITUTE AND CEO WHO HAVE APPOINTED OR EMPLOYED YOU AS A COMMANDER Name Position Company SF300ps Revised 05/01/2015 Page 2 of 3

MUST APPEAR IN PERSON BEFORE A NOTARY TO COMPLETE THE FOLLOWING AFFIDAVIT AFFIDAVIT I declare under the penalty of perjury that the information in this Application is true and correct to the best of my knowledge. Signature Date Subscribed and sworn personally before me by the above-named Affiant, this day of _, 20, at, in the County of, and State of Ohio. Printed name of Notary (Seal) Signature of Notary Date notary commission expires SF300ps Revised 05/01/2015 Page 3 of 3