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NOTE: This is an 8-page document Read ALL!!! PRE-SERVICE TRAINEES BASIC TRAINING PROGRAM Act 120 - Municipal Police Officers' Education and Training Commission For admission to the HACC Central Pennsylvania s Community College Police Academy, the following procedures are required: U. S. Citizenship is Required: ( Green Cards are NOT acceptable) 1. A $40.00 fee must be paid in order to take the required Nelson-Denny Reading Test ($15.00) and MPOETC Fitness Test ($25.00.) The fitness test is valid for 6 months. After 6 months, a physical exam and retest are required. In the event an individual does not attain qualifying scores on either or both of the tests, each time tests are retaken, additional fees will be charged, i.e. $15.00 for the Nelson-Denny Reading Test and $25.00 for the Physical Fitness Test. All fees charged are non-refundable. 2. Be a minimum of twenty-one (21) years of age at the conclusion of the training program. Applicants/Cadet must have a valid driver s license. 3. Attain a qualifying score on the Nelson-Denny Reading Test, which evaluates reading comprehension and vocabulary. If you fail Version H of the Nelson-Denny Reading Test, you may retest using Version G without a waiting period. If you fail both tests, there is a 3-month wait period to retest. 4. Attain qualifying scores on the MPOETC Fitness Standard Test. This test consists of: 300-meter timed run, bench press (weights), one minute sit-ups and a 1 1/2 mile timed run. 5. Report the day of scheduled testing as follows: a. must have photo identification b. possess the required MPOETC Physician Statement form in which the examining physician verifies the individual is able to participate in the MPOETC Fitness Standard Test and rigorous physical training is not prohibited. This MPOETC Physician Statement Form must be dated within 6 months of the start date of the Academy that you plan to attend. c. be attired in gym clothing to include good quality running shoes. Bring water. 6. Submit results of drug screening 7. Agree in writing on a form provided by the Senator Jeffrey E. Piccola Law Enforcement Complex (PLEC) to abide by all the policies and procedures established by the Complex. Sign and send in the Policies & Procedures form at the end of this document. 8. Show proof of medical insurance. The coverage must run for the duration of the training. 9. A letter of recommendation from the Chief of Police in the jurisdiction in which you reside is required. The recommendation is to be addressed to the Director of Law Enforcement Training, Senator Jeffrey E. Piccola Law Enforcement Complex and should include the following: a. A statement indicating the Chief is unaware of any arrest record for the applicant, which would preclude him/her from being employed as a Police Officer. b. Provide additional information the Chief deems relevant for the applicant s admission to the Police Academy. 10. Obtain a Criminal History Check through the PENNSYLVANIA STATE POLICE. For ONLINE application for the Criminal History Report (CHRI), go to: https://epatch.state.pa.us/home.jsp Please list yourself as the requestor. This must be dated within 6 months of the start date of the Academy that you plan to attend. 11. Obtain an FBI Criminal History Check: http://www.fbi.gov/about-us/cjis/background-checks or http://www.fieldprintfbi.com/fbisubpage_2col.aspx?channelid=266

12. Obtain a copy of the applicant s complete 10-year driving record from the PENNSYLVANIA DEPARTMENT OF TRANSPORTATION. License Messenger Services are also authorized to conduct this check. For ONLINE application go to: www.dmv.pa.gov This must be dated within 6 months of the start date of the Academy that you plan to attend. 13. Submit the following Information: a. An Application for Admission as provided by the Senator Jeffrey E. Piccola Law Enforcement Complex, HACC/Central Pennsylvania s Community College (PLEC-HACC). NOTE: There is an application fee of $25.00 to accompany your application. We accept cash, check or money order made out to HACC; Visa, MasterCard & Discover. b. Three (3) signed letters of reference from non-relatives. c. Three (3) signed letters of reference from former employers. If in the event you do not have three (3) former employers, you may use a personal/non-relative reference for each employer that you may lack. You must have a total of six (6) references. 14. Complete a Psychological Examination MMPI and a clinical interview with a Pennsylvania licensed psychologist with the written report to be submitted by the psychologist to the Director of Law Enforcement Training. This must be dated within 6 months of the start date of the Academy you plan to attend. 15. Show proof of graduation from high school or have a G.E.D. In addition, a copy of high school transcripts must be attached/submitted. 16. Submit a copy of military discharge (DD214), if applicable. 17. Submit copies of transcripts from all colleges, technical schools or other schools attended by the applicant. 18. Successful completion of an oral interview conducted by three members of the law enforcement community along with the Director and Education Specialist of Law Enforcement Training. Successful completion of the oral interview will have been accomplished if the members, by majority, vote to admit the candidate to the Police Academy. The oral interview will occur approximately three to four weeks prior to the Academy s starting date. The PLEC will schedule this interview and you will receive notification of the date and time by email provided you have completed all application requirements. 19. Tuition for the January 2019 full-time and the part-time Academy will be $5000. Please be informed that every hour of the Academy is absolutely mandatory. While we understand that there are unavoidable situations that may arise, all missed hours must be made up at your expense at the rate of $35.00/Hour. 20. There are two full-time academies each year, one beginning in January and the other in June and one part-time Academy beginning in January and ending in December. 21. Proof of Citizenship is required. See information on page 7 of this document. NOTE: The MPOETC Fitness Standard Test and the Physician Form, psychological examination, criminal history check, FBI check and the driving record MUST be dated within 6 months of the start date of the Academy that you are planning to attend. NOTE: FULL-TIME PRE-SERVICE CADETS MAY NOT HOLD EMPLOYMENT WHILE ATTENDING THE ACADEMY. The full-time Academy is primarily scheduled Monday through Friday; however, it involves some evenings and some Saturdays and possible Sundays. The part-time Academy is primarily Tuesday, Wednesday, Thursday evenings 6:00pm 10:00pm and Saturdays 7:00am 5:00pm. Additional evenings/days and times may be scheduled in order to accommodate completion of required hours for the program. For additional information or questions, please call 717-780-2562. 2

A number of pre-service recruits may attend the Academy on a space-available basis. Where: HACC/Central Pennsylvania s Community College Senator Jeffrey E. Piccola Law Enforcement Complex, One HACC Drive, Harrisburg, PA 17110-2999 Pre-service recruits are responsible for their own tuition and other expenses. (HACC reserves the right to change the hours and fee.) Enrollment: The College will assign a HACC ID number as your student identification for record keeping, identification and billing purposes. Pre-service recruits must complete all pre-service applications and requirements to be accepted into the Academy. Official confirmation requirement and additional information will follow. Full-time pre-service cadets may not hold employment while attending the Academy. Note: the following must be dated within six (6) months of the start date of the Academy that you wish to attend. Application for Admission MPOETC Physical Examination Form MPOETC Fitness Standard Test Drug Testing Results MPOETC Psychological Examination Form State Criminal Record Check FBI Criminal History Check Driving Record/History Address to submit any paperwork: HACC/Sen. Piccola Law Enforcement Complex Room 106 Attn: Mrs. Margaret Santo One HACC Drive Harrisburg, PA 17110-2999 3

SENATOR JEFFREY E. PICCOLA LAW ENFORCEMENT COMPLEX HACC POLICE ACADEMY APPLICATION FORM Check as it applies: ACADEMY DATE: January Academy or July Academy [ ] Veteran [ ] Full-time Academy [ ] Part-time Academy Please include Application Fee of $25.00. Please make your check or money order payable to HACC. PERSONAL HISTORY & INFORMATION (Please Print) Full Name (last name) (first name) (middle name) Sex: [ ] Male [ ] Female Last four (4) digits of Social Security # Present Address: (street address) (city) (state) (zip) (county) E-mail Address: (please print clearly) Home Phone: ( ) Cell Phone: ( ) Marital Status: [ ] Single [ ] Married Date of Birth: Age: Height: Weight: Hair Color: Eye Color: U.S. Citizen: [ ] Yes [ ] No U. S. Citizenship is Required ( Green Cards are NOT acceptable) [ ] Yes [ ] No Are you physically fit and able to participate in Physical Training? [ ] Yes [ ] No Have you ever failed a psychological examination? If the answer to this questions is yes, the date of this failure was. [ ] Yes [ ] No Are you currently taking any medications? If yes, list: [ ] Yes [ ] No Are you currently under a physician s care? If yes, explain: [ ] Yes [ ] No Do you currently have any injuries that would affect your performance during the Academy? If yes, explain: [ ] Yes [ ] No Do you have any other police experience? If yes, explain: (include years of service & department name) 4

PRINT FULL NAME: Last Name First Name Middle Name EDUCATION Years Date Name of Institution Location Attended Degree Granted Credit Hours (high school) (college) (other) PROFESSIONAL INFORMATION (List present position first - Preceding 10 years only) Reason for Dates Employer City Position Salary Leaving [ ] Yes [ ] No - Do you have any prior Military Service? If yes, explain: Dates Branch Rank Duties Status EMERGENCY CONTACT INFORMATION Parent Name Telephone Spouses Name Telephone Other Telephone In the event of an emergency, I hereby authorize and direct the College to send me to the hospital or physician most readily accessible, and/or to administer necessary emergency care. Signature of Applicant Date 5

PRINT FULL NAME: Last Name First Name Middle Name CRIMINAL HISTORY INFORMATION Federal law prohibits anyone convicted of a crime punishable by more than one year from possessing a firearm. Pennsylvania law disqualifies anyone convicted of a crime punishable by more than one year from being certified as a police officer. These laws consider the maximum sentence imposable under law, not the actual sentence received. RESPONSES TO THE FOLLOWING QUESTIONS WILL DETERMINE AN INDIVIDUAL S ELIGIBILITY TO CARRY A FIREARM UNDER STATE OR FEDERAL LAW. THIS PORTION OF THE APPLICATION MUST BE COMPLETED AND SIGNED BY THE APPLICANT. 1. HAVE YOU EVER BEEN CONVICTED OF A CRIME PUNISHABLE BY MORE THAN ONE YEAR? Yes No 2. HAVE YOU EVER BEEN ARRESTED OR CHARGED WITH A VIOLATION OF THE LAW? Yes No IF YES, EXPLAIN BELOW AND INDICATE ALL ARRESTS AND CITATIONS INCLUDING TRAFFIC VIOLATIONS AND DISPOSITIONS. (CITATIONS FOR ILLEGAL PARKING MAY BE OMITTED.) A. DATE LOCATION CHARGE DISPOSITION B. C. 3. HAVE YOU EVER BEEN CONVICTED OF A CRIME ENUMERATED IN THE PENNSYLVANIA Yes No UNIFORM FIREARMS ACT, 6105(B)? (CRIMES LISTED UNDER 6105 APPEAR ON NEXT PAGE.) 4. HAVE YOU EVER BEEN CONVICTED OF AN OFFENSE UNDER THE ACT OF APRIL 14, 1972 (P.l. 233, No.64) Yes No KNOWN AS THE CONTROLLED SUBSTANCE DRUG DEVICE AND COSMETIC ACT THAT MAY BE PUNISHABLE BY A TERM OF IMPRISONMENT EXCEEDING TWO YEARS? 5. ARE YOU AN INDIVIDUAL WHO HAS BEEN ADJUDICATED BY ANY COURT FOR CONDUCT WHICH, IF Yes No COMMITTED BY AN ADULT, WOULD CONSTITUTE ONE OF THE CRIMES CODE SECTIONS PRECEDED BY AN ASTERISK (*) ON THE FOLLOWING PAGE IN 6105(B)? a. ARE YOU AN INDIVIDUAL WHO HAS BEEN ADJUDICATED DELINQUENT BY ANY COURT, AS A RESULT Yes No OF CONDUCT WHICH WOULD CONSTITUTE AN OFFENSE ENUMERATED UNDER 6105(B) OF THE PENNSYLVANIA UNIFORM FIREARMS ACT? b. HAS IT BEEN 15 YEARS SINCE THE DELINQUENT ADJUDICATION? Yes No c. ARE YOU 30 YEARS OF AGE OR OLDER? Yes No 6. ARE YOU A UNITED STATES CITIZEN? IF NO, ENTER IMMIGRATION IDENTIFICATION NO. Yes No 7. ARE YOU SUBJECT TO AN ACTIVE PROTECTION FROM ABUSE ORDER, WHICH PROVIDES FOR THE Yes No CONFISCATION OF FIREARMS DURING THE PERIOD OF TIME THE ORDER IS IN EFFECT? 8. HAVE YOU EVER BEEN CONVICTED OF A MISDEMEANOR CRIME OF DOMESTIC VIOLENCE? (THE Yes No CONVICTION MUST BE FOR MISDEMEANOR-GRADED OFFENSE AND HAVE, AS AN ELEMENT, THE ATTEMPTED USE OF PHYSICAL FORCE, OR THE THREATENED USE OF A DEADLY WEAPON, COMMITTED BY A CURRENT OR FORMER SPOUSE, PARENT, OR GUARDIAN OF THE VICTIM, BY A PERSON WITH WHOM THE VICTIM SHARES A CHILD IN COMMON, BY A PERSON WHO IS COHABITING WITH OR HAS COHABITED WITH THE VICTIM AS A SPOUSE, PARENT, OR GUARDIAN, OR BY A PERSON SIMILARLY SITUATED TO A SPOUSE, PARENT, OR GUARDIAN OF THE VICTIM.) 9. ARE YOU A FUGITIVE FROM JUSTICE? Yes No 10. HAVE YOU EVER BEEN ADJUDICATED AS AN INCOMPETENT OR BEEN INVOLUNTARILY COMMITTED Yes No TO A MENTAL INSTITUTION FOR INPATIENT CARE AND TREATMENT UNDER 302, 303, OR 304 OF THE PENNSYLVANIA MENTAL HEALTH PROCEDURES ACT (THE ACT OF JULY 9, 1976, P.L. 817, NO. 143)? Please sign on reverse side 6

PRINT FULL NAME: Sign Below Last Name First Name Middle Name 6105(a): PROHIBITS PERSONS CONVICTED OF ANY OF THE FOLLOWING OFFENSES UNDER 18 PA.C.S. FROM POSSESSING, USING, CONTROLLING, TRANSFERRING, MANUFACTURING, OR OBTAINING A LICENSE TO POSSESS, USE, CONTROL, TRANSFER OR MANUFACTURE A FIREARM IN THE COMMONWEALTH OF PENNYSLVANIA. A CONVICTION INCLUDES A FINDING OF GUILTY OR THE ENTERING OF A PLEA OF GUILTY OR NOLO CONTENDERE, WHETHER OR NOT JUDGEMENT HAS BEEN IMPOSED, AS DETERMINED BY THE LAW OF THE JURISDICTION IN WHICH THE PROSECUTION WAS HELD. THE TERM DOES NOT INCLUDE A CONVICTION WHICH HAS BEEN EXPUNGED OR OVERTURNED OR FOR WHICH AN INDIVIDUAL HAS BEEN PARDONED UNLESS THE PARDON EXPRESSLY PROVIDES THAT THE INDIVIDUAL MAY NOT POSSESS OR TRANSPORT FIREARMS. 6105(b): 3302 CAUSING OR RISKING CATASTROPHE. 908 PROHIBITED OFFENSIVE WEAPONS. * 3502 BURGLARY. 911 CORRUPT ORGANIZATIONS. 3503 CRIMINAL TRESPASS, IF THE OFFENSE IS GRADED A FELONY OF THE SECOND DEGREE OR HIGHER. 912 POSSESSION OF WEAPON ON SCHOOL PROPERTY. * 3701 ROBBERY. * 2502 MURDER 3702 ROBBERY OF MOTOR VEHICLE. * 2503 VOLUNTRAY MANSLAUGHTER. 3921 THEFT BY UNLAWFUL TAKING OR DISPOSITION, UPON CONVICTION OF THE SECOND FELONY OFFENSE. 2504 INVOLUNTARY MANSLAUGHTER, IF THE OFFENSE IS BASED ON THE RECKLESS USE OF A FIREARM. * 3923 THEFT BY EXTORTION, WHEN THE OFFENSE IS ACCOMPANIED BY THREATS OF VIOLENCE. * 2702 AGGRAVATED ASSAULT 3925 RECEIVING STOLEN PROPERTY, UPON CONVICTION OF THE SECOND FELONY OFFENSE. * 2703 ASSAULT BY PRISONER. 4912 IMPERSONATING A PUBLIC SERVANT, IF THE PERSON IS IMPERSONATING A LAW ENFORCEMENT OFFICER. * 2704 ASSAULT BY LIFE PRISONER. 4952 INTIMIDATION OF WITNESSES OR VICTIMS. 2709 HARRASSMENT AND STALKING, IF THE OFFENSE 4953 RETALIATION AGAINST WITNESS OR VICTIM. RELATES TO STALKING * 2901 KIDNAPPING. 5121 ESCAPE. 2902 UNLAWFUL RESTRAINT. 5122 WEAPONS OR IMPLEMENTS FOR ESCAPE. 2910 LURING A CHILD INTO A MOTOR VEHICLE. 5501 RIOT, IF THE OFFENSE RELATES TO A FIREARM OR OTHER DEADLY WEAPON. * 3121 RAPE. 5515 PROHIBITING OF PARAMILITARY TRAINING. * 3123 INVOLUNTARY DEVIATE SEXUAL INTERCOURSE. 6110.1 POSSESSION OF FIREARM BY MINOR 3125 AGGRAVATED INDECENT ASSAULT. 6301 CORRUPTION OF MINORS. * 3301 ARSON AND RELATED OFFENSES. 6302 SALE OR LEASE OF WEAPONS AND EXPLOSIVES. ANY OFFENSE EQUIVALENT TO ANY OF THE ABOVE-ENUMERATED OFFENSES UNDER THE PRIOR LAWS OF THIS COMMONWEALTH, OR ANY OFFENSE EQUIVALENT TO ANY OF THE ABOVE- ENUMERATED OFFENSES UNDER THE STATUTES OF ANY OTHER STATE OR OF THE UNITED STATES. BY MY SIGNATURE BELOW, I CERTIFY THAT ALL INFORMATION PROVIDED IS TRUTHFUL AND COMPLETE WITH THE FULL UNDERSTANDING THAT PROVIDING FALSE INFORMATION WILL RESULT IN MY EXPULSION FROM THE ACADEMY. SIGNATURE OF APPLICANT DATE 7

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