North Carolina Administrative Code
Title 12 - JUSTICE
Chapter 09 - CRIMINAL JUSTICE EDUCATION AND TRAINING STANDARDS
Subchapter G - MINIMUM STANDARDS FOR CRIMINAL JUSTICE SCHOOL DIRECTORS
Section .0700 - FORMS
Section 09G .0701 - REPORT: APPLICATION: AND CERTIFICATION FORMS
Universal Citation: 12 NC Admin Code 09G .0701
Current through Register Vol. 39, No. 6, September 16, 2024
(a) The following are Commission approved forms to be used by the North Carolina Department of Public Safety, Division of Adult Correction and Juvenile Justice in making reports, applications, or requests for certification to the Commission:
(1) The Medical History
Statement. The Medical History Statement is a questionnaire to be completed by
an applicant. The form includes information pertinent to the applicant's
present and past physical condition, injuries, diseases, or
operations.
(2) The Medical
Examination Report. The Medical Examination Report is a form provided to the
examining physician to record the results of the applicant's medical
examination. The Medical Examination Report is form that includes the following
information regarding the applicant:
(A)
contact information;
(B) date of
birth; and
(C) medical
information.
(3) The
Request for School Accreditation Form. The Request for School Accreditation
Form provides the means for an agency or institution to become certified to
conduct corrections training and to affiliate with the Criminal Justice
Education and Training System. It seeks information on the physical, financial,
and staff support provided to the school by the agency or
institution.
(4) The Request for
Training Course Accreditation Form. The Request for Training Course
Accreditation Form is used to obtain accreditation for a school's particular
offering of a corrections training course. It requests information regarding
the administration of the course, the particular facilities to be used, and the
proposed curriculum of the course.
(5) The Report of Appointment/Application for
Certification. The Report of Appointment/Application for Certification is used
for reporting the appointment of correctional officers and probation/parole
officers, and indicating the applicant's progress toward completing the
requirements for certification. The Report of Appointment/Application for
Certification form includes the following information:
(A) type of certification;
(B) applicant contact information;
(C) criminal history;
(D) military history;
(E) applicant appointment date and position
title; and
(F) medical
information.
(6) Notice
of Transfer. The Notice of Transfer form is used to notify the Standards
Division of an officer's change in the type of corrections officer
certification. The Notice of Transfer form includes the following information:
(A) applicant information;
(B) transfer information;
(C) employment date and title; and
(D) education completed.
(7) Report of Separation. The North Carolina
Department of Public Safety, Division of Adult Correction and Juvenile Justice,
when separating a person from employment as a correctional officer or
probation/parole officer shall forward to the Commission a completed Report of
Separation or Department of Public Safety Personnel Action Form within 30 days
of separation. The Report of Separation form includes the following
information:
(A) type of
certification;
(B) applicant
contact information;
(C) criminal
history; and
(D) applicant
appointment date and position title.
(8) The Request for Instructional
Certification Form. The Request for Instructional Certification Form is used by
persons seeking certification as general instructors. It seeks information
regarding personal and professional background as well as documentation of the
specific criteria for certification. The Request for Instructional
Certification form includes:
(A) applicant
contact information;
(B)
certification type;
(C) employment
date and title;
(D) education
completed;
(E) practical
experience; and
(F)
recommendation
(9) The
Recommendation for General Instructor Certification Form. The Recommendation
for General Instructor Certification Form is completed by a School Director or
agency head after an instructor has finished the required probationary period.
In the form the official recommends that the instructor receive General
Instructor Certification and certifies that the official has observed and
evaluated the instructor to be a teaching professional. The Recommendation for
General Instructional Certification form includes:
(A) applicant contact information;
(B) certification type;
(C) employment date and title;
(D) education completed;
(E) practical experience; and
(F) recommendation
(10) The Application for Award of State
Corrections Certificate. The Application For Award of State Corrections
Certificate requests information regarding the education, training, and
experience qualifying the applicant for various levels of certification under
the State Corrections Officers' Professional Certificate Program. The
Application for Award of State Corrections Certificate form includes:
(A) applicant contact information;
(B) certificate type;
(C) employment date and title;
(D) education completed;
(E) practical experience; and
(F) recommendation
(b) All forms contained in this Rule may be accessed on the agency's website at http://ncdoj.gov/About-DOJ/Law-Enforcement-Training-and-Standards/Criminal-Justice-Education-and-Training-Standards/Forms-and-Publications.aspx.
Authority
G.S.
17C-6;
Temporary Adoption Eff.
January 1, 2001;
Eff. August 1, 2002.
Amended Eff.
December 1, 2018;
Pursuant to
G.S.
150B-21.3A, rule is necessary without
substantive public interest Eff. May 25,
2019.
Disclaimer: These regulations may not be the most recent version. North Carolina may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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