Northeast Police Academy Richard Jones, Director. Mt. Pleasant, TX

Transcription

1 Northeast Police Academy Richard Jones, Director Mt. Pleasant, TX PLEASE PRINT. Application will not be considered unless completed in full and signed. Withheld and/or false information is cause for rejection or dismissal. Date: Applying for: Northeast Campus - Day Class Night Class Texarkana P.D. - Campus Day Class Night Class New Boston P.D. - Day Class Night Class Atlanta P.D. - Day Class Night Class Sulfur Springs P.D. - Day Class Night Class Date of Birth: Social Security No.: Name: Last First Middle Address: Street City State Zip Telephone: Home: ( ) Cell: ( ) Work: ( ) Address: (If Applicable): Driver s License No. Expires: State Issued: Type: A B C Person to be notified in case of emergency: Relationship to You: Name: Phones: Cell Home Work Address:

2 City, State, Zip 1. Have you applied for admission to the Northeast Police College Police Academy before? Yes No Date: 2. Are you a citizen of the United States? Yes No 3. Have you even been discharged for any reason other than honorable conditions? Yes No 4. Have you ever been convicted of a felony or A or B Misdemeanor? If Yes, explain, how long ago?: Yes No A criminal record will not necessarily disqualify you from admission. Your case will be considered on its own basis.a search will be made of your criminal history before admission to the academy. 5. Have you ever held a peace officer license? If Yes, give dates held, state, type of license and why you no longer hold that license: Yes No 6. Have you served in the armed forces or National Guard of the United States? If yes, please complete the following: Yes No Branch: Date Entered: Date Discharged: Rank at Discharge: Type of Discharge: 7. Have you ever been placed on any type of court ordered supervision? 8. Are you 21 years of age or have 60 hours of college credit as compensation? Employment Experience List each job held. Start with your Current or Last job. Include Military Service assignments and volunteer activities. Current Employer: Supervisor: Address: Phone: Starting Date: Ending Date: Starting Salary: Ending Salary: Your Position Title & Duties: Reason for desiring Change: May we contact this employer?: Yes No

3 Previous Employer: Supervisor: Address: Phone: Starting Date: Ending Date: Starting Salary: Ending Salary: Your Position Title & Duties: Indicate Reason for Leaving: Resigned Discharged Layoff Other Explain Reason for Leaving: Previous Employer: Supervisor: Address: Phone: Starting Date: Ending Date: Starting Salary: Ending Salary: Your Position Title & Duties: Indicate Reason for Leaving: Resigned Discharged Layoff Other Explain Reason for Leaving: Previous Employer: Supervisor: Address: Phone: Starting Date: Ending Date: Starting Salary: Ending Salary: Your Position Title & Duties: Indicate Reason for Leaving: Resigned Discharged Layoff Other Explain Reason for Leaving: Education In order to be considered for enrollment to Northeast Police Academy you must have: (1) Graduated from High School -OR- (2) Have a G. E. D. AND 12 hours of college credit with a minimum GPA of 2.0. Graduated High School When: High School: Name Address

4 Obtained a G.E.D. When: Vocational or Trade School (Name/Address) Dates of Attendance Area of Study Certificate Received Date Received College or University (Name/Address) Dates of Attendance Major Minor Hours Completed Degree Received Major Minor Other Title Date GPA Can you perform essential physical requirements as stated in the course description? Yes No References Give the names and telephone numbers of five (5) persons, other than relatives, who have knowledge of your character, experience, or ability. Name Occupation/Position Phone with Area Code Qualified applicants are considered for admission without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a nonjobrelated medical condition or handicap. In relation to the education and experience record you have provided, please explain in detail any time lapses due to unemployment or other reasons. Your application will not be considered unless it is signed and all questions

5 answered. 1. The information that I have provided on this application is accurate to the best of my knowledge and subject to validation by Northeast College Police Academy. 2. I hereby authorize any person holding information on me to release it to the Northeast College Police Academy if so requested in consideration of my application for admission. 3. I understand and agree that: (a) The Northeast College Police Academy will not be liable and I hereby hold harmless the Northeast College Police Academy from any claim on my behalf for any damage that may result from furnishing the information requested above. (b) Any material misrepresentation of deliberate omission of a fact in my application may be justification for refusal or, if admitted, dismissal from Northeast College Police Academy. Signature of Applicant Date For Police Academy Use Only Arrange Interview Yes No Schedule: Date/Time If No, reason: Incomplete Application Driver License Invalid Does not meet required minimum qualifications for admission Withheld and/or false information on application Other: By: Date: Police Academy Coordinator

6 Minimum Educational Requirements I. General Educational Development a. Have passed a general educational development (GED) testing indicating high school graduation level b. Be a high school graduate; c. For peace officers and armed public security officers: i. Be 21 years of age, or ii. 18 years of age if the applicant has received an associate s degree or 60 semester hours of credit from an accredited college or university or iii. Have received an honorable discharge from the armed forces of the United States after at least 2 years of active service; iv. For jailers, be 18 years of age. II. Background Check a. Be fingerprinted and subjected to a search of local, state, and national records and fingerprint files to disclose any criminal record. b. Not ever have been or currently on court-ordered community supervision or probation for any criminal offense above the grade of Class B misdemeanor or class B misdemeanor within the last 10 years. c. Not currently under indictment for any criminal offense; d. Not ever have been convicted of an offense above the grade of a class B misdemeanor or a class B misdemeanor within the last 10 years; e. Never have been convicted of any family violence offense; f. Is not prohibited by state or federal law from operating a motor vehicle; 5. Is not prohibited by State or Federal law from possessing firearms or ammunition; 6. Be subjected to a background investigation and be interviewed prior to appointment by representatives of the appointing authority.

7 answered. 1. The information that I have provided on this application is accurate to the best of my knowledge and subject to validation by Northeast College Police Academy. 2. I hereby authorize any person holding information on me to release it to the Northeast College Police Academy if so requested in consideration of my application for admission. 3. I understand and agree that: (a) The Northeast College Police Academy will not be liable and I hereby hold harmless the Northeast College Police Academy from any claim on my behalf for any damage that may result from furnishing the information requested above. (b) Any material misrepresentation of deliberate omission of a fact in my application may be justification for refusal or, if admitted, dismissal from Northeast College Police Academy. Signature of Applicant Date For Police Academy Use Only Arrange Interview Yes No Schedule: Date/Time If No, reason: Incomplete Application Driver License Invalid Does not meet required minimum qualifications for admission Withheld and/or false information on application Other: By: Date: Police Academy Coordinator

8 III. Medical Exam a. Be examined by a physician, selected by the appointing or employing agency, who is licensed by the Texas State Board of Medical Examiners. b. The physician must be familiar with the duties appropriate to the type of license sought and appointment to be made. c. The appointee must be declared in waiting by that professional within 180 days before the date of appointment by the agency to be: i. Physically sound and free from any effect which may adversely ii. affect the performance of duty appropriate to the type of license sought; and Show no trace of drug dependency or illegal drug use after a physical examination, blood tests, or other medical tests; d. Be examined by a psychologist, selected by the appointing or agency, who is licensed by the Texas State Board of Examiners of Psychologists. i. The Psychologist must be familiar with the duties appropriate to the type of license sought and appointment to be made. ii. A psychiatrist may also conduct this examination. iii. The appointee must be declared in writing by that professional to be in satisfactory psychological and emotional health to serve as the type of officer for which the license is sought within 180 days before the date of appointment by the agency. iv. The examination must be conducted pursuant to professionally recognized standards and methods; e. The commission may allow for exceptional circumstances where a licensed physician performs the evaluation of psychological and emotional health. i. This requires the appointing agency to request in writing and 2

9 receive approval form the commission, prior to the evaluation being completed; and f. The examination may be conducted by a qualified psychologist exempt from licensure by the Psychologist Certification and Licensing Act, Section 22, who is recognized under exceptional circumstances; IV. Military a. Not have been discharged from any military service under less than honorable conditions including, specifically; i. Under other than honorable conditions; ii. for bad conduct; iii. that is dishonorable; or iv. for any other characterization of service indicating bad character. V. Not have had a commission license denied by final order or revoked, nor have voluntarily surrendered a license currently in effect. VI. Meet the minimum training standards and pass the commission licensing examination for each license sought; VII. Not violate any commission rule or provision of Occupations Code, Chapter VIII. The commission will construe any court-ordered community supervision, probation or conviction for a criminal offense to be its closest equivalent under the Texas Penal Code classification of offenses if the offense arose from: a. Another penal provision of Texas law; or b. A penal provision of any other state, federal, military or foreign jurisdiction. IX. A classification of an offense as a felony at the time of conviction will never be changed because Texas law has changed or because the offense would not be a felony under current Texas laws. X. An agency must retain records required under this section for a minimum 3

10 XI. of five years after the licensee s termination date with that agency. a. These records must be maintained in a format readily accessible to the commission. An agency must report to the commission any failure to appoint an individual in the reported capacity within 30 days of the reported date of appointment. a. Such report must be made in the currently prescribed commission format for termination. 4

11 TEXAS COMMISSION ON LAW ENFORCEMENT OFFICER STANDARDS AND EDUCATION 6330 E Highway 290, STE 200 Austin, Texas Phone: (512) PID ASSIGNMENT (C-1) Completion of all fields required INDIVIDUAL INFORMATION 1. Social Security Number 2. First Name 3. M.I. 4. Last Name 5. Suffix (Jr., etc.) 6. Race / Ethnicity 7. Date of Birth 8. Gender 9. Driver s License State: American Indian or Alaskan Native Asian Male / / Black Hispanic Multicultural White Female Num.: 10. Home Mailing Address 11. City 12. State 13. Zip Code 14. Height 15. Weight 16. Hair Color 17. Eye Color 18. U.S. Citizen Yes No 19. Phone Number (include area code) 20. This form is to be submitted only for the express purpose of having a personal identification number (PID) assigned by TCLEOSE to the above named individual therein creating a TCLEOSE record and allowing training to be reported for that individual. Academy or chief administrators check appropriate box for their student or employee. X Applying for entry into a Law Enforcement Academy Future appointment as a Telecommunicator, Temporary or Licensed Future appointment as a County or Contract Jailer, Temporary or Licensed Future Appointment as a Probation Officer, Juvenile or Adult Ability to track training hours Richard Jones Agency Administrator or Training Coordinator (Type or Print) Signature Date Individuals not associated with academy or agency check below. Applying for instructors certificate Applying for Retired Federal Firearms ID Applying for an out of state, federal, military police or TDCJ endorsement Applicant (Type or Print) Signature Date PID Assignment Page 1 of 1

12 TCLEOSE ACADEMY This document is your FAST Fingerprint Pass for a national criminal history record check. Please schedule a fingerprint appointment by visiting or by calling You must pay the $9.95 fee for FAST services online with a credit card or onsite with a check or money order. Cash is not accepted! 1. Logon to 2. Select: Texas 3. Select: Online Scheduling 4. Select: English or Espanol 5. Enter: First and Last Name Section One: Qualified Entity Information 6. Select: TCLEOSE 7. Enter: TX923466Z 8. Enter: Academy Provider Number, LE - _ Follow the prompts to enter requested information. 10. Bring this completed form with you to your appointment. TCLEOSE ORI#: TX923466Z Academy Provider Number: _LE Original TCN: (If resubmission for rejected fingerprints) Attending police agency-owned academy X Attending non-police agency-owned Academy Jailer Hiring Agency or Academy Name: Northeast Police Academy Hiring Agency or Academy Address: _2886 FM 1725 Chapel Hill Rd. Mount Pleasant, Texas Street Address City State Zip Section Two: Applicant Name (To be completed by applicant) Last: First: Middle: (Please print) (Please print) (Please print) Section Three: Waiver Information (To be signed by applicant) I certify that all information I provided in relation to this criminal history record check is true and accurate. I authorize the Texas Department of Public Safety (DPS) to access Texas and Federal criminal history record information that pertains to me and disseminate that information to the designated Authorized Agency or Qualified Entity with which I am or am seeking to be employed or to serve as a volunteer, through the DPS Fingerprint-based Applicant Clearinghouse of Texas and as authorized by Texas Government Code Chapter 411 and any other applicable state or federal statute or policy. I authorize the Texas Department of Public Safety to submit my fingerprints and other application information to the FBI for the purpose of comparing the submitted information to available records in order to identify other information that may be pertinent to the application. I authorize the FBI to disclose potentially pertinent information to the DPS during the processing of this application and for as long hereafter as may be relevant to the activity for which this application is being submitted. I understand that the FBI may also retain my fingerprints and other applicant information in the FBI s permanent collection of fingerprints and related information, where all such data will be subject to comparisons against other submissions received by the FBI and to further disseminations by the FBI as may be authorized under the Federal Privacy Act (5USC 552a(b)). I understand I am entitled to obtain a copy of any criminal history record check and challenge the accuracy and completeness of the information before a final determination is made by the Qualified Entity. I also understand the Qualified Entity may deny me access to children, the elderly, or individuals with disabilities until the criminal history record check is completed. Signature: Date: Section Four: Service Center Information (To be completed by FAST Enrollment Officer) Date Prints Taken Amount Charged For Service: _$9.95 Paid by: Check Money Order Visa MasterCard Billing Acct TCN: I HAVE COMPARED THE GOVERNMENT-ISSUED IDENTIFICATION PRESENTED BY THE APPLICANT AND ATTEST THAT TO MY BEST DETERMINATION; I HAVE FINGERPRINTED THE SAME PERSON. E.O. Name: (Please print) E.O. Signature: Revised 01/10

13 TEXAS COMMISSION ON LAW ENFORCEMENT OFFICER STANDARDS AND EDUCATION 6330 E. Highway 290, STE. 200 Austin, Texas Phone: (512) L-2 DECLARATION OF MEDICAL CONDITION Commission Rule (c), 217.1(a)(11), 217.7(e) 1. TCLEOSE PID or SSN INDIVIDUAL INFORMATION 2. Last Name. 3. First Name 4. M.I. 5. Suffix (Jr., etc.) 6. Home Mailing Address 7. City 8. State 9. Zip Code Is this exam for a student enrolling in an academy? Yes No If yes, check one Peace Officer County Corrections APPOINTMENT( Do not check if student) 10. Peace Officer Reserve Officer County Jailer Public Security Officer 11. TCLEOSE N u m b e r C i t y Mount Pleasant DEPARTMENT / ACADEMY INFORMATION 12. Appointing Agency or Academy Northeast Police Academy 15. County Titus 13. Mailing Address 2886 FM Zip Code Phone Number Fax Attention Examining Professional: The above information must be completed by the requesting agency prior to the examining professional completing and signing this form. NEW APPLICANTS MUST COMPLETE BOTH EXAMS LICENSEE(S) OFFICER(S) WITH MORE THAN A 180 DAY BREAK IN SERVICE NEED(S) DRUG SCREEN ONLY I certify that I have completed my examination of the examinee and I have concluded that on this date, the examinee is found: Check the appropriate box(s) Student is responsible for these expenses. PHYSICAL EXAM - To be physically sound and free from any defect which may adversely affect the performance of duty appropriate to the type of license sought. Student is responsible for this expense DRUG SCREEN - To show no trace of drug dependency or illegal drug use after a physical examination, blood test or other medical test. Student is responsible for this expense (10 panel) Dr. Mark E. Quiring Physician s Name (type or print) State License Number 305 W. 20 th ST Mount Pleasant_, Texas Mailing Address Street City State Zip work Phone Number Date of Examination(s) Physician s Signature Date THIS DECLARATION IS NOT PUBLIC INFORMATION AND IS VALID UNLESS WITHDRAWN OR INVALIDATED, AND IS VALID ONLY IF SIGNED BY A LICENSED PHYSICIAN. Declaration of Medical Condition Page 1 of 1

14 TEXAS COMMISSION ON LAW ENFORCEMENT OFFICER STANDARDS AND EDUCATION 6330 E. Highway 290, STE. 200 Austin, Texas Phone: (512) L-2 DECLARATION OF MEDICAL CONDITION Commission Rule (c), 217.1(a)(11), 217.7(e) 1. TCLEOSE PID or SSN INDIVIDUAL INFORMATION 2. Last Name. 3. First Name 4. M.I. 5. Suffix (Jr., etc.) 6. Home Mailing Address 7. City 8. State 9. Zip Code Is this exam for a student enrolling in an academy? X Yes No If yes, check one X Peace Officer County Corrections APPOINTMENT( Do not check if student) 10. X Peace Officer Reserve Officer County Jailer Public Security Officer 11. TCLEOSE N u m b e r C i t y Mount Pleasant DEPARTMENT / ACADEMY INFORMATION 12. Appointing Agency or Academy Northeast Police Academy 15. County Titus 13. Mailing Address 2886 FM Zip Code Phone Number Fax Attention Examining Professional: The above information must be completed by the requesting agency prior to the examining professional completing and signing this form. NEW APPLICANTS MUST COMPLETE BOTH EXAMS LICENSEE(S) OFFICER(S) WITH MORE THAN A 180 DAY BREAK IN SERVICE NEED(S) DRUG SCREEN ONLY I certify that I have completed my examination of the examinee and I have concluded that on this date, the examinee is found: Check the appropriate box(s) Student is responsible for these expenses. X PHYSICAL EXAM - To be physically sound and free from any defect which may adversely affect the performance of duty appropriate to the type of license sought. Student is responsible for this expense X DRUG SCREEN - To show no trace of drug dependency or illegal drug use after a physical examination, blood test or other medical test. Student is responsible for this expense (10 panel) Good Shepherd Occupational Medicine Clinic Physician s Name (type or print) State License Number 701 N. 6 th ST Longview_, Texas Mailing Address Street City State Zip Phone Number Fax Date of Examination(s) Physician s Signature Date THIS DECLARATION IS NOT PUBLIC INFORMATION AND IS VALID UNLESS WITHDRAWN OR INVALIDATED, AND IS VALID ONLY IF SIGNED BY A LICENSED PHYSICIAN. Declaration of Medical Condition Page 1 of 1

15 TEXAS COMMISSION ON LAW ENFORCEMENT OFFICER STANDARDS AND EDUCATION 6330 E. Highway 290, STE. 200 Austin, Texas Phone: (512) L-2 DECLARATION OF MEDICAL CONDITION Commission Rule (c), 217.1(a)(11), 217.7(e) 1. TCLEOSE PID or SSN INDIVIDUAL INFORMATION 2. Last Name. 3. First Name 4. M.I. 5. Suffix (Jr., etc.) 6. Home Mailing Address 7. City 8. State 9. Zip Code Is this exam for a student enrolling in an academy? X Yes No If yes, check one X Peace Officer County Corrections APPOINTMENT( Do not check if student) 10. X Peace Officer Reserve Officer County Jailer Public Security Officer 11. TCLEOSE N u m b e r C i t y Mount Pleasant DEPARTMENT / ACADEMY INFORMATION 12. Appointing Agency or Academy Northeast Police Academy 15. County Titus 13. Mailing Address 2886 FM Zip Code Phone Number Fax Attention Examining Professional: The above information must be completed by the requesting agency prior to the examining professional completing and signing this form. NEW APPLICANTS MUST COMPLETE BOTH EXAMS LICENSEE(S) OFFICER(S) WITH MORE THAN A 180 DAY BREAK IN SERVICE NEED(S) DRUG SCREEN ONLY I certify that I have completed my examination of the examinee and I have concluded that on this date, the examinee is found: Check the appropriate box(s) Student is responsible for these expenses. X PHYSICAL EXAM - To be physically sound and free from any defect which may adversely affect the performance of duty appropriate to the type of license sought. Student is responsible for this expense X DRUG SCREEN - To show no trace of drug dependency or illegal drug use after a physical examination, blood test or other medical test. Student is responsible for this expense (10 panel) Longview Occupational Medicine Clinic Physician s Name (type or print) State License Number 3202 N. 4 th ST Longview_, Texas Mailing Address Street City State Zip Phone Number Date of Examination(s) Physician s Signature Date THIS DECLARATION IS NOT PUBLIC INFORMATION AND IS VALID UNLESS WITHDRAWN OR INVALIDATED, AND IS VALID ONLY IF SIGNED BY A LICENSED PHYSICIAN. Declaration of Medical Condition Page 1 of 1

16 TEXAS COMMISSION ON LAW ENFORCEMENT OFFICER STANDARDS AND EDUCATION 6330 E. Highway 290, STE 200 Austin, Texas Phone: (512) L-3 DECLARATION OF PSYCHOLOGICAL AND EMOTIONAL HEALTH Commission Rule (c), (a)(12) 1. TCLEOSE PID or SSN INDIVIDUAL INFORMATION 2. Last Name 3. First Name 4. M.I. 5. Suffix (Jr., etc.) 6. Home Mailing Address 7. City 8. State 9. Zip Code Is this exam for a student enrolling in an academy? Yes No If yes, check one Peace Officer County Corrections Attention Requesting Agency: State Law and Commission Rule require that this psychological examination be performed by a licensed psychologist or a psychiatrist except in an exceptional circumstance when, upon prior approval by the Commission, it may be performed by a qualified licensed physician. The Chief Administrator of the requesting law enforcement agency must request prior approval in writing and must receive specific written approval before an examination under exceptional circumstances is acceptable. APPOINTMENT (Do not check if student) 10. Peace Officer Reserve Officer County Jailer Public Security Officer ACADEMY / DEPARTMENT INFORMATION 11. TCLEOSE N u m b e r Agency/Academy Name 13. Mailing Address 2886 FM C i t y Mount Pleasant Northeast Police Academy 15. County Titus 16. Zip Code Phone Number Attention Examining Professional: State Law and Commission Rule require that this psychological examination be performed by a licensed psychologist or a psychiatrist except in an exceptional circumstance when, upon prior approval by the Commission, it may be performed by a qualified licensed physician. The law enforcement agency must request prior approval in writing and must receive specific written approval before an examination under exceptional circumstances is acceptable. STATEMENT OF EXAMINER: (Please check the appropriate box and provide the requested information) I am a [ ] Licensed Psychologist, [ ] Psychiatrist, and I certify that I have completed a psychological examination of the above named individual pursuant to professionally recognized standards and methods. I have concluded that, on this date, the individual IS in satisfactory psychological and emotional health to perform the duties, accept the responsibilities and meet the qualifications established by the appointing agency. Examiner Dr. Randy Crittenden Name (type or print) State License Number Mailing Address: 3725 Lamar St. Paris, TX Street City State Zip Phone Number: (903) Date of Examination(s) Signature Date THIS DECLARATION IS NOT PUBLIC INFORMATION AND IS VALID UNLESS WITHDRAWN OR INVALIDATED, AND IS VALID ONLY IF SIGNED BY A LICENSED PSYCHOLOGIST OR PHYSICIAN. Declaration of Psychological Health Page 1 of 1

17 TEXAS COMMISSION ON LAW ENFORCEMENT OFFICER STANDARDS AND EDUCATION 6330 E. Highway 290, STE 200 Austin, Texas Phone: (512) L-3 DECLARATION OF PSYCHOLOGICAL AND EMOTIONAL HEALTH Commission Rule (c), (a)(12) 1. TCLEOSE PID or SSN INDIVIDUAL INFORMATION 2. Last Name 3. First Name 4. M.I. 5. Suffix (Jr., etc.) 6. Home Mailing Address 7. City 8. State 9. Zip Code Is this exam for a student enrolling in an academy? Yes No If yes, check one Peace Officer County Corrections Attention Requesting Agency: State Law and Commission Rule require that this psychological examination be performed by a licensed psychologist or a psychiatrist except in an exceptional circumstance when, upon prior approval by the Commission, it may be performed by a qualified licensed physician. The Chief Administrator of the requesting law enforcement agency must request prior approval in writing and must receive specific written approval before an examination under exceptional circumstances is acceptable. APPOINTMENT (Do not check if student) 10. Peace Officer Reserve Officer County Jailer Public Security Officer ACADEMY / DEPARTMENT INFORMATION 11. TCLEOSE N u m b e r Agency/Academy Name 13. Mailing Address 2886 FM C i t y Mount Pleasant Northeast Police Academy 15. County Titus 16. Zip Code Phone Number Attention Examining Professional: State Law and Commission Rule require that this psychological examination be performed by a licensed psychologist or a psychiatrist except in an exceptional circumstance when, upon prior approval by the Commission, it may be performed by a qualified licensed physician. The law enforcement agency must request prior approval in writing and must receive specific written approval before an examination under exceptional circumstances is acceptable. STATEMENT OF EXAMINER: (Please check the appropriate box and provide the requested information) I am a [ ] Licensed Psychologist, [ ] Psychiatrist, and I certify that I have completed a psychological examination of the above named individual pursuant to professionally recognized standards and methods. I have concluded that, on this date, the individual IS in satisfactory psychological and emotional health to perform the duties, accept the responsibilities and meet the qualifications established by the appointing agency. Examiner Dr. Craig Moore Name (type or print) State License Number Mailing Address: 206 Pine Tree Rd. Longview, TX Street Address City State Zip Phone Number: (903) Date of Examination(s) Signature Date THIS DECLARATION IS NOT PUBLIC INFORMATION AND IS VALID UNLESS WITHDRAWN OR INVALIDATED, AND IS VALID ONLY IF SIGNED BY A LICENSED PSYCHOLOGIST OR PHYSICIAN. Declaration of Psychological Health Page 1 of 1

18 Northeast Police Academy Texas Adult Basic Education Exam Academic Skills Center Humanities Room I,, understand and agree that I must pass the TABE test at the 12 th grade level or higher on reading and comprehension to successfully complete the Northeast Police Academy. I may be accepted on a probationary basis and allowed to attend the Academy should I fail to meet this standard. However, I further understand and agree that should I decide to continue on probationary basis, and do not retest and score at a minimum of the 12 th grade level on reading and comprehension I will be removed from the Northeast Police Academy. Should this occur, I will not be eligible for a refund of tuition/fees or other expenses I may have paid to the Academy or that may become due after I am no longer a cadet of the Academy. Cadet Name Date

19 T A B E Students can now access The Learning Express Library through their NTCC portal. It offers courses and practice tests in reading comprehension, vocabulary/spelling, and writing skills for students who haven t passed TABE. It is internet based so students can work from home whenever they want and as long as they want. 1. Just click on the light bulb, and follow the instructions on the screen for creating account. 2. Choose Skill Development 3. Choose the subject needed: Reading Comprehension, Vocabulary/Spelling, Writing/ Grammar (In Writing/Grammar they should review Lessons 1, 2, and 5 for questions similar to the TABE.) To retest before 4 weeks, they will have to show proof of passing work in Skills Improvement. If any need help, please have them come by to see me. Rhonda Jeffery ASC Coordinator NTCC

20 Police Academy Tuition Estimates Books and Uniform Costs Item Number Cost / Item Size Total Boots 1 pr. $ $ Shirt 2 pr. $25.50 $ BDU pants 2 pr. $35.99 $ Belt 1 $6.00 $6.00 Ammunition 200 $72.00 $72.00 S F S T $24.00 $24.00 $24.00 American Heart Assoc./Heartsaver X $18.75 $18.75 Jones/Plice Academy Package $61.00 $61.00 Lexis Nexis/Texas Crim Law and Mtr. Vehicle HBK $37.00 $37.00 TCLEOSE Cadet Workbook/Guide $28.75 $28.75 TDATI/TEAX. STANDARD SOBRIETY TEST MANUAL $16.75 $16.75 TOTAL Total Uniforms/Books $ Tuition - Continuing Education $1, Out-of-State Tuition - 40 Credit hours In-District $3,272 Out of District $5,002 $7,137 Summer Capstone - 13 Credit hours $847 $1,276 Psychological Exam $75 $75 Physical Exam/Drug Test $75.00 $75.00 Out-of-State TCLEOSE Criminal History Insp. $9.95 $9.95 $7,137 Cadets are in a ceretificate program and will take the Texas Adult Basic Education Test $0.00 In-District $3,272 Total cost tuition & fees In District $5,002 Total cost tuition & fees Out of District $5,002

21 POLICE ACADEMY FALL 2012 STUDENT NAME STUDENT ID NUMBER STUDENT PHONE NUMBER PANTS REG LONG QUANITY PRICE HOW PAID XSMALL $35.99 SMALL $35.99 MEDIUM $35.99 LARGE $35.99 XLARGE $ XL $ XL $35.99 POLO SHIRT SMALL $25.50 MEDIUM $25.50 LARGE $25.50 XLARGE $ X $ X $25.50 BELT REGULAR $6.00 XLARGE $6.00 BOOTS SKU SIZE $ Men s 7-15 Women s 6 10 ½ & wide available SUBTOTAL All prices are subject to change w/out notice RECEIPT NUMBER TAX TOTAL DIRECTOR SIGNATURE DATE

22 POLICE ACADEMY CLASSES Level 1 Certificate Program Must take Texas Adult Basic Education Exam CJLE Texas Peace Off Proc TBA TBA CJC108 Jones CJLE Texas Peace Off Law TBA TBA CJC108 Jones CJLE Texas Peace Off Skills TBA TBA CJC108 Jones CRIJ Intro Criminal Just TBA TBA CJC108 Jones CRIJ Court Sys & Practice TBA TBA CJC108 Jones CRIJ Crime In America TBA TBA TBA CJC108 Jones CRIJ Fund Of Criminal Law TBA TBA CJC108 Jones CRIJ Criminal Investigation TBA TBA CJC108 Jones CRIJ Legal Aspects Law Enf TBA TBA CJC108 Jones CRIJ Pol Sys & Practices TBA TBA CJC108 Jones ENG Businesses and Technical Writing TBA T Lynch SPAN Beginning Conversational TBA J Swann is approved to enter the Police Academy Richard Jones, Director Northeast Police Academy

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24 Northeast Police Academy Policy and Procedure Manual Table of Contents Topic Page 1. Introduction Philosophy Basic Qualifications Ability to Achieve Success Attendance Appearance Behavior and Conduct Physical and Health problems 6 9. Academic Ethics Academic Achievement Removal from the program Reward and punishment Physical Fitness Training Acknowledgement Form.27 2

25 Attachments 1. Merit System List of Infractions Academy Rules O.C. Release Defense Tactics Release Weapons Policy Statement Pre-training Weapons Briefing and Safety Inspections Weapons Safety Briefing Drug Screen Authorization Form Driving Release and Indemnity Agreement Building Search Tazer Release Training Release Acknowledgement Form Introduction: Northeast Police Academy Policy and Procedure Manual The mission of the Northeast Police Academy is to provide the necessary training and education to prepare police candidates to enter into the field of law enforcement in the State of Texas. 2. Philosophy: It is the sincere belief of the instructional staff of the Northeast Police Academy that the police profession is among the most noble and honorable professions in which a young man or woman can hope to serve. To serve as a law enforcement professional in a free and democratic society is both rewarding and challenging. The rewards consist of serving in a respected profession and knowing that you are serving your fellow citizens in ways that improve their safety, their security and their quality of life. The challenges consist of knowing that you are working in a complex legal system that respects the rights, privileges and immunities of all citizens, to include those accused of the commission of crime. Another challenge involves the fact that the job is often dangerous. The fact that you must continually confront dangerous situations and persons includes the risk of potential injury or death, or in some instances legal liability. Inherent in the training and education that you are here to receive are two principle considerations on the part of the instructional staff. The first of those considerations is that you must be able to demonstrate, upon completion of the program 3

26 that you have successfully mastered the skills, procedures, theory and legal knowledge with which to enter into the field of police work as an entry level police officer. The second consideration is the fact that you must demonstrate proficiency in those survival skills that are required to protect you and your fellow officers from harm, injury or death. 3. Basic Qualifications: The basic requirements for attending a law enforcement academy in the state of Texas are outlined in the Rules of the Texas Commission on Law Enforcement Officer Standards and Education (TCLEOSE). Each of you who have been accepted in the Northeast Police Academy have been informed of the basic entry level rules for attending law enforcement training in Texas. Each of you have been provided with information regarding the basic qualifications and have signed a statement indicating that you have read the conditions, and that you meet those standards. A copy of that document will be a permanent part of your personnel folder. A copy of that portion of the TCLEOSE rules may be found in the TCLEOSE Rules in the back of your text. 4. Ability to Achieve Success: Every attempt will be made during your training program to test your ability to operate in the field of law enforcement. If an individual cannot cope with the stress of a training program, such as the police academy, it is unlikely that he/she could cope with the real-world stress of actual police work. To be successful in this training environment requires patience, determination and dedication to the task at hand that of learning! For the entire period of this academy, it is expected that every opportunity to study and to learn must be utilized. Your participation and dedication to the learning process will be monitored and measured continually during the course. 5. Attendance: As a police candidate of this academy, you are expected to be at the appointed place at the appointed time. Be where you are supposed to be when you are supposed to be there. Punctuality is a standard of conduct that is expected of each police candidate. Failure to be punctual, or to be absent without justification will result in sanctions which could, if not corrected, lead to your dismissal from the program. 6. Appearance: 4

27 All candidates attending the Northeast Police Academy will wear the distinctive police academy uniform. Candidates are required to wear the uniform daily unless directed to wear other attire for specific training, such as physical training. The uniform will consist of 8 or 10 black leather boots, black BDU (battle dress utility) trousers, a black belt (leather duty belt or military web belt) and the black uniform tee shirt with the distinctive Northeast Police Academy logo. Undergarments, such as tee-shirts may be worn underneath the uniform shirt only if they blend with the uniform color scheme. If undergarments of a different color are worn beneath the shirt, the shirt must be buttoned at the neck so that the undergarment does not show. During cool weather, a sweat shirt, coat or a turtle neck may be worn if the garment is black and does not detract from the color scheme of the uniform. The uniform is to be worn with pride. Pride is indicated when an individual wears a uniform that fits properly, is properly maintained, and when the student is continually mindful of the fact that he/she is continually in public view. Sloppiness or neglect in personal appearance may result in disciplinary sanctions and corrective action. High standards for personal grooming are expected. Candidates will maintain high standards of personal hygiene while attending the academy. Indications of a lack of personal hygiene, such as offensive body odor or indications of unsanitary conditions will be a subject of counseling, corrective action, or sanctions. Males will have neatly trimmed hair. The hair of male candidates will not cover the ears or the collar. Military hair styles are encouraged but not mandatory. The hair should be clean and well groomed. Males will be clean shaven and sideburns should not extend below the level of the ear canal. Neatly trimmed moustaches are permitted. Females will ensure that their hair is neatly gathered in a fashion that will not allow the hair to flow about the face or shoulders. A neatly tied pony-tail or bun is encouraged. Excessive make-up is discouraged. No body piercing will be allowed. The use of body rings or other jewelry using body piercing (to include earrings or studs) is a potential source of personal injury and is not permitted whether it is visible, or may be concealed by clothing. Jewelry, with the exception of wedding bands and watches will not be worn. Watches will be removed during hands-on training, such as defensive tactics. 7. Behavior and Conduct: All police candidates will conduct themselves in a professional manner throughout the training program. All candidates must understand that preparation for entering the police field is serious work. The time for childish or foolish behavior is past, and such conduct will not be condoned. 5

28 The instructional staff of the police academy will constantly be vigilant for unacceptable conduct. Infraction of Academy rules will result in sanctions which will include corrective action or dismissal. A list of prohibited behavior is attached to this manual. This list consists of two categories of unacceptable behavior: 1) serious infractions of Academy rules and 2) procedural violations. The commission of a serious infraction will be grounds for immediate dismissal from the program. Procedural violations that are noted by the instructional staff will be grounds for sanctions or corrective action that might include demerits or physical activity such as push-ups. Exemplary behavior will be noted and rewarded in most cases. Exemplary behavior may include such things as excellence in academic achievement, appearance or attitude. Candidates are encouraged to inform the instructional staff of exemplary behavior on the part of their peers when such behavior is considered above and beyond the normal duty requirements of the candidate. No tobacco use on campus. Effective with the beginning of the spring 2004 semester, the main campus is a tobacco free area. The only place where smoking is allowed is in vehicles in the campus parking lots or in designated areas. Cell (mobile) phones. Cellular telephones are not allowed in the classroom at anytime. The instructor will consider any exceptions to this rule for emergency purposes. 8. Physical or Health problems: It is the duty of every candidate to inform the instructional staff of a health problem or a physical condition that may affect the health or safety of the candidate when performing police academy duties. Physical or health problems will not (in most instances) preclude an individual from completing the police academy program. Such problems must be known by the instructional staff prior to allowing the candidate to participate in high stress training activities. Candidates should remember that much of the training of a potential police officer is physical and physically demanding. It is not unusual for training related injuries to occur. Every precaution is taken to avoid the risk of injury. Despite the best precautions, injuries sometimes occur. If an individual has a health condition such as asthma or diabetes, serious reactions could occur during O.C. pepper spray training. A female who is experiencing pregnancy should not participate in certain aspects of police training. Individuals with joint problems (such as knees and shoulders) should insure that the instructional staff knows of these conditions. Each candidate will be required to complete a medical release form prior to the beginning of the academy. 6

29 The college does not carry medical insurance for students. Each student should be aware of the fact that the treatments of injuries incurred during training programs are the responsibility of the student. Insurance is available for the students, but Student Services must be contacted for more information concerning this service. ADA Statement: It is the policy of Northeast Texas Community College to provide reasonable accommodations for qualified individuals who are students with disabilities. This College will adhere to all applicable federal, state and local laws, regulations and guidelines with respect to providing reasonable accommodations as required affording equal educational opportunity. It is the student s responsibility to arrange an appointment with a College counselor to obtain a Request for Accommodations form. For more information, please refer to the Northeast Texas Community College Catalog or Student Handbook. 9. Academic Ethics: Northeast Texas Community College may initiate disciplinary proceedings against a student accused of scholastic dishonesty. Scholastic dishonesty includes, but is not limited to, statements, acts, or omissions related to applications for enrollment or the award of a degree, and/or the submission as one s own work material that is not one s own. Scholastic dishonesty may involve, but is not limited to, one or more of the following acts: cheating, plagiarism, collusion, use of annotated texts or teacher s editions, and/or falsifying academic records. Plagiarism is defined as the appropriation of any person s work and the unacknowledged incorporation of that work in one s own work offered for credit. Cheating is defined to include the following: copying from another students paper; using materials during a test not authorized by the person giving the test; collaborating with any other person during the test without permission; knowingly obtaining, using, buying, selling, transporting, or soliciting in whole or in part the content of test not yet administered; substituting for another student or permitting any other person to substitute for oneself; copying computer or Internet files, using someone else s work for assignments as if it were one s own, or any other dishonest means of attempting to fulfill the requirements of a course. 10. Academic Achievement: The police academy presents a challenging academic environment for the student. The entire program is intended to prepare the student to sit for and successfully pass the Texas Basic Peace Officer Examination at the end of the course. If it becomes apparent during the course that a student is not or cannot handle the academic load, it may be necessary to remove that student from the program as early as possible. The course consists of twenty-nine TCLEOSE training units, each with specific learning objectives that are subject to testing by TCLEOSE. During the training 7

30 program, candidates will be tested over each instructional unit. Often, they may be tested more than once over material covered in the academy curriculum. A minimum grade of 80 (of a 100 point system) is required for successful completion of a unit of instruction. If a student fails a test (scores below 80 percent), he or she will be given one opportunity to retest. That retest will be taken on the student s own time, within one calendar week of the failed test. Cadets, who are unable to be present at the beginning of a unit of instruction regardless of reason, will not be allowed to take the unit exit exam as a pretest. If the student still fails to score an 80 percent or better including retakes, he/she will be dropped from the program or, in some instances, recycled to a later academy. In addition to individual unit examinations, periodic comprehensive examinations will be given, usually at four-week intervals (quarter semester). These examinations may cover any material that has been taught in the academy to that date. The same passing grade (80%) is required for these examinations. Time limitations will also be imposed during testing procedures. If a student fails one of the periodic comprehensive examinations, he or she will have one opportunity to retake the examination within one calendar week. Failure to pass such examination on the second attempt will be grounds for removal from the academy. An end of course examination will be given at the conclusion of all instructional units at the end of the academy. This examination consists of at least 300 questions. The test will be taken under time constraints. In order to qualify to take the exit exam, the cadet must take and pass a battery of 10 twenty five question exams. The same rules concerning passing grades and retakes apply as to those examinations mentioned above, e.g., a passing grade of 80, and a single re-test within one week. Failure of these examinations will result in withholding the Endorsement of Eligibility that is required to sit for the state examination. A battery of 13 exams will be made available on the NTCC- Web-CT website under the heading of Capstone Exams. Each cadet must take and pass all Capstone Exams with an average grade of 90 or better in order to become eligible to take the TCLEOSE exam. The exams will not enter into the cadet s overall average and may be taken as often as is needed until the required score is attained. Proof of passing each exam must be furnished the academy coordinator before an endorsement of eligibility to take the TCLEOSE exam will be issued. 11. Removal from the program: On occasion, an individual may not successfully complete the program for a variety of reasons. Students have voluntarily removed themselves from the program for personal, financial or family reasons. Others have been removed because they were unable to meet the minimum academic requirements. On rare occasions, candidates have been removed from the program for unacceptable conduct. Cadets who are unable to 8

31 attend class for 10 consecutive days regardless of reason will automatically be dropped from the program. 12. Reward and Punishment: Attached to this document is an explanation of the reward and punishment (merit and demerit) system which will be used to evaluate the day-to-day conduct and performance of candidates of the program. This program is separate from and in addition to the academic evaluation process. A student will begin the program with 100 merit points. Additional merit points will be awarded for exemplary or outstanding performance. Points will be deducted (demerits) for rule infractions or poor performance or appearance. 9