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WELCOME TO. Must have been honorably discharged from military. (If applicable) Must be able to comply with rigorous attendance requirements.

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In today’s fast paced, ever changing society, the need for knowledgeable,

dedicated criminal justice professionals is vital. A career in law enforcement or

corrections can provide lifetime challenges and almost unlimited opportunities

for advancement.

The Cross-Over Law Enforcement Basic Recruit training program is a

scenario based training that offers studies for; Introduction to Law Enforcement,

Human Issues, Communications, Law Enforcement Vehicle Operations, First Aid,

Firearms, Defense Tactics, Dart-Firing Stun Gun, Patrol I & II, Crime Scene

Investigations, Investigating Offenses, Traffic Stops, Crash Investigations.

This course is designed to provide the student with the state required

training, which allows the student to sit for the State of Florida FDLE Certification

Examination once the academy is successfully completed.

Registration is limited to the following:

With no active employment exempt letter:

 Student must be 19 years of age at time of graduation.

 Student must be a U.S. citizen.

 Must have obtained a high school diploma or G.E.D.

 Must pass Law Enforcement-B.A.T. (Basic Abilities Test)

 Must have been honorably discharged from military. (If applicable)

 Student must provide evidence of good moral character by providing

three (3) letters of reference and not have been convicted of a felony

or misdemeanor involving perjury or false statement.

 Must be able to comply with rigorous attendance requirements.

 Must submit to a fingerprint criminal history background check. -

$50.00 payable before the fingerprints are submitted.

With employment exempt letter:

 Student must be 19 years of age at time of graduation.

 Student must be a U.S. citizen.

 Must have obtained a high school diploma or G.E.D.

 Must pass Law Enforcement-B.A.T. (Basic Abilities Test)

 Must have been honorably discharged from military. (If applicable)

 Must be able to comply with rigorous attendance requirements.

All instructors employed with the Florida Gateway College are FDLE

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FLORIDA GATEWAY COLLEGE

CRIMINAL JUSTICE TRAINING CENTER

Cross-Over Law Enforcement Basic Recruit Training

Steps to Registration

Thank you for inquiring about the Florida Gateway College Cross-Over Law

Enforcement program. Anyone wishing to participate in our programs MUST

meet the standards of the Florida State Statute 943.

Here are the steps that MUST be completed in order to participate in the

Academy. Paperwork must be turned into the Academy office BEFORE

beginning the program, or you will not be registered into the program.

STEP 1:

Complete the FBAT test for Law Enforcement. The cost is $40.00. You

MUST pre-pay

for the test by going to the cashier’s office on main

campus and getting a receipt or by calling the cashier at

386.754.4211 and paying by credit card/debit.

The test is given every Tuesday in the Testing Center, Bldg. 17, on

the Florida Gateway College Main Campus. You should arrive at

8:30 A.M. to register. Testing begins PROMPTLY at 8:45 A.M.

Bring picture ID, and proof of payment; (confirmation number

and/or receipt). Failure to have these items will result in not

being allowed to test and you will have to reschedule.

STEP 2:

Turn in your passing Law Enforcement FBAT scores to the

academy in Olustee or Raiford. At that time you will

receive an application packet for the academy.

STEP 3:

Read all information enclosed in the information packet.

STEP 4:

Apply to the Florida Gateway College by filling out the admissions

application found online:

http://www.lakecitycc.edu/media/2069/admissions%20new%20cred

it%

20application.pdf

)

and returning it, along to the main

campus.

This step provides you admittance to FGC. Complete and turn in

the Transcript Request form to the high school you attended. They

will mail your transcript back to FGC or give it to you in a sealed

envelope.

Failure to do this step will stop the registration process, as FGC MUST!

have transcripts in your college admission file to register for classes!!!!

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STEP 5:

Unless financial arrangements are already in place, contact the Financial Aid

Department, on main campus, for possible eligibility 386.754.4282 or

386.754.4283. If you have VA monies, you should contact Amanda Luke at

386.754.4398. Another source is Florida Crown Workforce for possible

sponsorship 386.755.9026.

It is the student’s responsibility to pay

for their courses…please stay in constant contact with

whichever source you acquire.

STEP 6:

Provide the academy COPIES of your birth certificate, high school

diploma, current Florida’s drivers license, and DD214 (if

applicable).

IF YOU HAVE TURNED IN AN ACTIVE EMPLOYMENT

EXCEMPTION LETTER SKIP TO STEP 9!!!

STEP 7:

Provide the academy THREE (3) letters of reference.

STEP 8:

There is a $50.00 cash or money order fee for a Criminal History

Fingerprint Check. This step MUST be complete and results into the

academy office BEFORE class starts.

STEP 9:

Stay in touch with the Program Coordinator Lt. Lou Carrion

386.431.2157, for registration, mandatory meetings and class

updates.

Once you have completed ALL these steps and ALL of the information that is being

requested is turned into the appropriate divisions of FGC, you will be scheduled for

enrollment in the academy class and added to the roster as a cadet of the Cross-Over

Basic Law Enforcement Recruit Program.

The steps explained here MUST be completed BY the Registration

Meeting,

approximately 2-3 weeks from the beginning of class to ensure you a

seat in the recruit class.

We look forward to hearing from you and if you have any further questions, please

contact us.

John Jewett, IV Melinda Rowland

Lt. Lou Carrion

Public Service Training Center Public Service Training Center Raiford Campus

Director Program Coordinator

Part-Time Coordinator

Criminal Justice Training Criminal Justice Training 386.431.2157

386.754.4303 386.754.4383

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PLEASE FILL OUT COMPLETELY AND RETURN WITH APPLICATION TO THE ACADEMY

Name:

________________________________________________________________________________

Address:

________________________________________________________________________________

City:

_____________________________ State: ______________ Zip Code: _____________________

Telephone # __________________________________ Cell #_________________________________________

Email Address: ________________________________________________________________________________

Social Security # __________________________________ Date of Birth: _______________________________

EMERGENCY CONTACT INFORMATION

1

st

Emergency Contact

Name:

________________________________________________________________________________

Telephone # ________________________________________________________________________________

2

nd

Emergency Contact

Name:

________________________________________________________________________________

Telephone # ________________________________________________________________________________

REQUIRED DOCUMENT CHECK OFF LIST

Contact Sheet ( )

Birth Certificate ( )

H.S. Diploma ( )

DD 214

( )

FBAT Results ( )

3 References ( )

NOTIFICATION OF SOCIAL SECURITY NUMBER COLLECTION AND USE: In compliance with Florida Statute 119.071(5), Florida Gateway College issues this notification regarding

the purpose of the collectionand use of your Social Security number. FGC collects your Social Security number for use in performance of the college's duties and responsibilities. To protect your identity, FGC will secure your Social Securitynumber from unauthorized access. FGC will never release your Social Security number to unauthorized parties, and each student at FGC will be issued a unique student identification number. Your unique studentidentification number is used for all educational purposes at Florida Gateway College including registration, access of your online record, etc. Federal legislation relating to the Hope Tax Credit requires thatall postsecondary institutions report the Social Security number of all post-secondary students to the Internal Revenue Service (IRS). This IRS requirement makes it necessary for colleges to collect the SocialSecurity number of every student. A student may refuse to disclose his/her Social Security number to the college, but refusing to comply with the federal requirement may result in fines established by the IRS.In addition to the federal reporting requirements, the public school system in Florida uses the Social Security number as a student identifier. This use is authorized in Florida Statue 229.559 and in School CodeSection 1008.386. In a seamless K-20 educational system, it is beneficial for postsecondary institutions to have access to the same information for purposes of tracking and assisting students in the transition fromone educational level to the next. All Social Security numbers are protected by federal regulations and are never released to unauthorized parties

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POSSIBLE FINANCIAL ASSISTANCE WITH YOUR CLASSES

Florida Crown Workforce

386.755.9026

FGC-Foundation Office

386.754.4433

Financial Aid

386.754.4282

Student Loans

386.754.4283

386.754.4284

Veteran’s Assistance

386.754.4398

Contact: Amanda Luke

Student Scholarships

386.754.4208

Contact: Donna Lee

ANY PAYMENTS THAT NEED TO BE MADE ON YOUR CLASSSES OR PREPAYING FOR THE FBAT:

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I, _________________________________________, understand that I will be

fingerprinted using Live Scan fingerprinting to gain entry into the Florida Gateway

College Basic Law Enforcement Academy.

I understand that if for any reason my criminal history report comes back unfavorable, I

may be barred from enrollment in the academy and my application will be withdrawn. I

understand that the Florida Gateway College has the complete right and authority to

hold admission standards higher than the State of Florida requires. The final decision

on any questionable criminal histories rests with the Director of Criminal Justice

training.

Florida Gateway College’s rules for admission are guided by, but not bound by,

FDLE rule 11B.27.00211 for fingerprint processing and criminal records results

under FDLE and supported under FL State Statute 943.13.

_________________________________

Signature

NOTIFICATION OF SOCIAL SECURITY NUMBER COLLECTION AND USE: In compliance with Florida Statute 119.071(5),

Florida Gateway College issues this notification regarding the purpose of the collectionand use of your Social Security number. FGC collects your Social Security number for use in performance of the college's duties and responsibilities. To protect your identity, FGC will secure your Social Securitynumber from unauthorized access. FGC will never release your Social Security number to unauthorized parties, and each student at FGC will be issued a unique student identification number. Your unique studentidentification number is used for all educational purposes at Florida Gateway College including registration, access of your online record, etc. Federal legislation relating to the Hope Tax Credit requires thatall postsecondary institutions report the Social Security number of all post-secondary students to the Internal Revenue Service (IRS). This IRS requirement makes it necessary for colleges to collect the SocialSecurity number of every student. A student may refuse to disclose his/her Social Security number to the college, but refusing to comply with the federal requirement may result in fines established by the IRS.In addition to the federal reporting requirements, the public school system in Florida uses the Social Security number as a student identifier. This use is authorized in Florida Statue 229.559 and in School CodeSection 1008.386. In a seamless K-20 educational system, it is beneficial for postsecondary institutions to have access to the same information for purposes of tracking and assisting students in the transition fromone educational level to the next. All Social Security numbers are protected by federal regulations and are never released to unauthorized parties.

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Florida Department of

Law Enforcement

PHYSICAL FITNESS ASSESSMENT

CJSTC

Incorporated by Reference in Rule 11B-35.001(11)(c)12., F.A.C.

75B

1. Applicant’s Name:

Last First MI

2. Applicant’s Address:

3. Enter Last Four Digits of Social Security Number: 4. Training School:

5. The Applicant Is Requesting Admission Into a Basic Recruit Training Program for One of the Following Disciplines:

Law Enforcement Correctional Correctional Probation

6. Student Participation in Basic Recruit Training Program Activities. A student enrolled in a basic recruit training program (BRTP) is required to

participate in the following activities:

A. Defensive tactics and firearms high-liability training is a component of the curriculum mandated by the Criminal Justice Standards and Training Commission. Firearms training requires firing a handgun and long gun creating exposure to lead. Defensive tactics training requires sustained physical exertion and chemical agent contamination to the chemicals oleo-resin capsicum (OC) and/or orthochlorobenzal-malonotrite (CS).

B. Physical Fitness Conditioning and Physical Fitness Testing: A BRTP student shall participate in physical fitness conditioning and a fitness

test and includes the following measures:

Vertical Jump One Minute Sit Ups300 Meter RunMaximum Push Ups1.5 Mile Run/Walk C. The training center director has attached the training schools physical fitness conditioning program: Yes

**********TO BE COMPLETED BY THE APPLICANT*********

7. Medical Conditions Regarding OC/CS Contamination. A BRTP student should be aware of the following personal considerations that may restrict participation in the

chemical agent contamination of the BRTP and could possibly be aggravated to a severe degree during the contamination: Recent eye surgery, heart problems, panic disorder or stress, respiratory disorder, emphysema (loss of elasticity/thinning of lung tissues), bronchial asthma, x-ray evidence of pneumoconiosis (black lung), evidence of reduced pulmonary (lung) function, chronic obstructive pulmonary disease, coronary (heart) artery disease, cerebral (brain) blood vessel disease, severe or progressive hypertension (high blood pressure), epilepsy, grand mal or petite mal (seizures), pernicious anemia (severe reduction in red blood cells), diabetes (any form), pueumomediastinum gap (air in the sac surrounding lungs), history of skin allergies, or any condition for which the student is presently taking medication. 8. BRTP Student Certification. I certify that I have reviewed the above information and I do or do not have any medical restrictions that would

prevent me from participating in the basic recruit training program activities outlined in item numbers 6, 6A, and 6B above.

9. Student’s Printed Name:

10. Student’s Signature:_____________________________________ Date:

11. Prior Exposure to OC or CS. For a student who has had prior chemical agent exposure that includes chemical agent contamination and working through the effects of

chemical agent contamination in a training environment, please attach the supporting documentation of prior exposure and check one of the following boxes:

I certify that I haveOR I have notbeen exposed to oleo-resin capsicum (OC) and/or orthochlorobenzal-malononitrile (CS) in the manner described in item number 11 above.

**********TO BE COMPLETED BY THE EXAMINING PHYSICIAN*********

12. Physician Attestment. The above applicant is seeking entry intoa law enforcement, correctional, or correctional probation basic recruit trainingprogram. Rule 11B-35.001(11)(c)12., F.A.C., requires a complete physical examination at a level of specificity sufficient to determine whether there are any medical or physiological restrictions that would prevent the applicant from performing the required activities described in items 6, 6A, and 6B above. Disabilities, impairment, or limitations identified by the examination that would prevent the applicant from performing the required activities should be reported to the training school indicated in item number 4 above.

I hereby attest that I have examined the above named applicant and find him or her CAPABLE of participating in the basic recruit training program activities indicated in item numbers 6, 6A, and 6B above.

I hereby attest that I have examined the above named applicant and find him or her NOT CAPABLE of participating in the basic recruit training program activities indicated in item numbers 6, 6A, and 6B above

13.

Printed Name

Physician, Certified Advanced Registered Examination Date

Nurse Practitioner, or Physician Assistant’s Signature 14.

Physician, Certified Advanced Registered Nurse Practitioner, or Physician Assistant’s License Number Licensing State 15.

Physician, Certified Advanced Registered Nurse Practitioner, or Physician Assistant’s Professional Address

**********TO BE COMPLETED BY THE TRAINING CENTER DIRECTOR OR DESIGNEE*********

16. Training Center Director or Designee’s Printed Name:

Training Center Director or Designee’s Signature: Date:

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INSTRUCTIONS FOR COMPLETING FORM CJSTC-75B

A basic recruit student approved to enter a basic recruit training program (BRTP) shall review and complete form CJSTC- 75B to indicate the presence of any medical conditions that may prevent participation in the Physical Fitness Program and Chemical Agent Contamination of the BRTP. A copy of the Physical Fitness Program for law enforcement, correctional, or correctional probation discipline shall be attached to this form for the student to review.

1. Applicant’s Name. Enter the applicant’s last name, first name, and middle initial. 2. Applicant’s Address. Enter the applicant’s current address, city, state, and zip code.

3. Applicant’s Social Security Number. Enter the last four digits of the applicant’s social security number as in this example: 000-00-1234. 4. Training School Name. Enter the name of the Commission-certified criminal justice training school where the applicant is enrolled.

5. Basic Recruit Training Program Discipline. Place a check mark in one of the box(es) for the law enforcement, correctional, or correctional

probation discipline for which the applicant is requesting admission.

6. Student Participation in Basic Recruit Training Program Activities. Defensive Tactics (includes chemical agent contamination), Firearms, and Physical Fitness Conditioning and Physical Fitness Testing: High-liability training in defensive tactics, firearms, and chemical agent contamination is a component of the

curriculum mandated by the Criminal Justice Standards and Training Commission and participation in the activities is a requirement for successfully completing a BRTP.

There is no pass or fail at this time. The test results for each of the five required tests will be recorded on the Academy Physical Fitness Standards Report, form

CJSTC-67A as “I” if the student did not perform the test component or “D” if the student was dismissed from the basic recruit training program.

A. Defensive Tactics and Firearms Training. Firearms training requires firing a handgun and long gun creating exposure to lead. Defensive tactics training requires

sustained physical exertion and chemical agent contamination to the chemicals oleo-resin capsicum (OC) and/or orthochlorobenzal-malonotrite (CS).

B. Physical Fitness Conditioning and Physical Fitness Testing. The Physical Fitness Test includes the following measures and are defined as follows: Vertical Jump. This measures leg power by measuring how high a person jumps.

One Minute Sit Ups. This measures abdominal, or trunk, muscular endurance. While lying on his or her back, the student will be given

one minute to do as many bent-leg sit ups as possible.

300 Meter Run. This measures anaerobic power, or the ability to make an intense burst of effort for a short time period or distance. This

component consists of sprinting 300 meters as fast as possible.

Maximum Push Ups. This measures the muscular endurance of the upper body. This component consists of doing as many push ups as possible until

muscular failure. Males are required to perform the standard push-up and females have the option to perform the standard or modified push-up.

1.5 Mile Run/Walk. This measures aerobic power or cardiovascular endurance (stamina over time). To complete this component, the

student runs or walks a distance of 1.5 miles as fast as possible.

C. A physical fitness conditioning program developed by the training school shall be attached to form CJSTC-75B prior to the student’s examination by a physician, certified advanced registered nurse practitioner, or the physician’s assistant.

7. Medical Conditions Regarding Chemical Agent Contamination. The student shall review the listed medical conditions and list other conditions that may

restrict him or her from participating in Chemical Agent Contamination to the chemicals oleo-resin capsicum (OC) and/or orthochlorobenzal-malonotrite (CS). 8. Basic Recruit Training Program Activities Certification. The student shall check the appropriate box to indicate if he or she does or does not

have a medical condition that would restrict participation in the BRTP activities indicated in item numbers 6, 6A, and 6B of this form.

9. Student’s Printed Name. The student shall print his or her first name, last name, and middle initial.

10. Student’s Signature and Date. The student shall provide a signature and date to verify the information provided by the student is true and correct. 11. Prior Exposure to Chemical Agent Contamination. The student shall Indicate in the appropriate box if he or she has been previously exposed to chemical agent

contamination to the chemicals oleo-resin capsicum (OC) and/or orthochlorobenzal-malonotrite (CS), and shall attach supporting documentation of such contamination.

12. Physician, Certified Advanced Registered Nurse Practitioner, or Physician Assistant’s Attestment. The physician shall check the appropriate box to

indicate if the student is capable or not capable of participating in the BRTP activities indicated in item numbers 6, 6A, and 6B of this form.

13. Physician, Certified Advanced Registered Nurse Practitioner, or Physician Assistant’s Signature, Printed Name, and Examination Date.

The physician shall complete this item to verify his or her attestment to item number 12 of this form.

14. Physician, Certified Advanced Registered Nurse Practitioner, or Physician Assistant’s License Number and Licensing State. The

physician shall complete this item to verify his or her valid license number and licensing state.

15. Physician, Certified Advanced Registered Nurse Practitioner, or Physician Assistant’s Professional Address. The physician shall print his

or her complete professional address.

16. Training Center Director or Designee’s Printed Name, Signature and Date. The training center director or designee who signs this form shall

print his or her legal first and last name. The training center director or designee shall sign and date this form.

FORM CJSTC-75B Page 2 of 2

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http://www.lakecitycc.edu/media/2069/admissions%20new%20credit% 20application.pdf

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