Basic Law Enforcement Academy - APPLICATION FOR ENROLLMENT - Law Enforcement Training - Ventura College
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Basic Law Enforcement Academy APPLICATION FOR ENROLLMENT Ventura County Criminal Justice Training Center And Ventura College Law Enforcement Training
Before starting this application, please carefully review the Academy Applications Instructions document, found on the “How to Apply” link. Application Process The academy application process consists of seven parts: 1) the application, 2) reading and writing assessment test, 3) fingerprint check, 4) driver’s history, 5) medical screening, including drug testing, 6) POST physical agility test, and 7) conduct clearance. You should begin early to ensure all phases are completed prior to the deadline. Contact the Criminal Justice Department at Ventura College if you have any questions or encounter and difficulty along the way. 1. Application Form: Required of all applicants. Complete the form entirely. Do not leave blanks. An incomplete application may be grounds for non-acceptance or delay in processing. 2. Reading and Writing Ability: California law requires that “Every peace officer candidate shall be able to read and write at the levels necessary to perform the job of a peace officer.” Therefore, applicants for the academy must possess a level of reading and writing ability that will allow them to be successful and meet the legal requirement. There are multiple measures used to indicate an adequate level of ability to read and write for this program. You will find these in the Application Instructions document, as well as in the Ventura College Catalog. 3. Fingerprint Check: This is required of non-affiliated applicants. Because of long delays at the California Department of Justice, we ask you to submit your prints as early as possible in your application process. 4. Driver’s History: Each applicant must have and maintain a valid California Driver’s License. Contact the Criminal Justice Department if there are any problems with a driving history. 5. Medical Screening: There are two parts to this phase: (1) a self-history completed by you, and (2) a physical exam and medical release completed and signed by a physician or medical practitioner. 6. POST Physical Agility Test 7. Conduct: If a student violates the Ventura College Student Code of Conduct while attending the Basic Law enforcement Academy, or if a student has violated the Ventura College Student Code of Conduct in the past, they will not be admitted to the program. Examples of violations include, but are not limited to, academic dishonesty, cheating, plagiarism; causing, attempting to cause, or threatening to cause physical injury to another or ones’ self; disruptive behavior, etc. To submit your completed application, contact the Academy Liaison – Bryan MacDonald. He may be contacted via email at Bryan_MacDonald@vcccd.edu or via cell phone at (805) 857-5236. He will arrange to receive your application. 2
Ventura County Criminal Justice Training Center Ventura College Application for Enrollment Last Name First MI Other Name(s) Used SSN ----------------------- Home Address City State Zip Code Home Phone Work Phone Cell Phone EMERGENCY INFORMATION (Emergency Notification and Contacts) Contact Person Relationship Phone Physician or Clinic Address FIREARM DISCLOSURE Have you ever been arrested or convicted of any public offense which would prevent you from possessing a concealable weapon? Yes No If “Yes”, list the offense(s), date(s) and all pertinent details. Attach additional sheets if necessary. FELONY DISCLAIMER I certify that I have never been convicted of a crime classified as a felony or any of the misdemeanors enumerated in Sec. 29800(a)(1) of the California Penal Code in the State of California or any other state or political subdivision of the United States of America, nor do I currently have any action pending against me that is classified as a felony or any of the misdemeanors enumerated in Sec. 29800(a)(1) of the California Penal Code. I understand that any falsification on this application may result in disqualification from attending the basic academy. APPLICANT’S SIGNATURE Date 3
FINGERPRINT CLEARANCE FORM – LIVE SCAN (For Non-Affiliate Applicants) Penal Code Section 13511.5 requires that each applicant for admission to a basic course of training certified by the Commission on POST (including the PC 832 course) that includes the carrying and use of firearms, and who is not sponsored by a local or other law enforcement agency, or is not a peace officer employed by a state or local agency, department or district, shall be required to submit written certification from the Department of Justice that the applicant has no criminal history background which would disqualify him or her from owning, possessing or having under his or her control a firearm. A Request for Live Scan Service is included with this packet. Also included is a list of nearby agencies where fingerprinting can be obtained (for a cost to the recruit). The Department of Justice will send the results to the applicant. Attach a copy of the clearance letter to this page. 4
DRIVER’S LICENSE HISTORY FORM You will need to have a valid driver’s license at all times during your training. Always bring your driver’s license with you to training unless otherwise instructed. You will need to go to a Department of Motor Vehicles office and request your driver history printout. You will need to take your picture driver’s license with you. Be sure to review your driver history printout for accuracy. Attach the printout to this page. 5
MEDICAL EXAMINATION CLEARANCE The academy will require a medical clearance and 10-panel drug test prior to training. Have your medical clearance completed before the start of the academy. STEPS TO COMPLETE THE MEDICAL EXAMINATION: 1. Complete the Medical History Statement. 2. Schedule an appointment to have a physical exam with a licensed physician or medical practitioner. You may schedule an exam and drug test at the Ventura College Student Health Center at a reduced cost with proof of enrollment at Ventura College. 3. Take the Medical History Statement and the Medical Examination Report to the examination. Return the Medical Examination Report with your completed Application for Enrollment packet to the address indicated on page 2. 6
STATE OF CALIFORNIA BCIA 8016 (Rev. 04/2020) SAMPLE DEPARTMENT OF JUSTICE PAGE 1 of 4 REQUEST FOR LIVE SCAN SERVICE Applicant Submission CA349400 Certification ORI (Code assigned by DOJ) Authorized Applicant Type POST Certification (Non-Sponsored 13511.5PC) Type of License/Certification/Permit OR Working Title ( Maximum 30 characters - if assigned by DOJ, use exact title assigned ) Contributing Agency Information: DOJ/Firearms Division Agency Authorized to Receive Criminal Record Information Mail Code (five-digit code assigned by DOJ) 4949 Broadway Street Address or P.O. Box Contact Name (mandatory for all school submissions) Sacramento CA 95820 916-227-3749 City State ZIP Code Contact Telephone Number Applicant Information: Last Name First Name Middle Initial Suffix YOUR Other Name: (AKA or Alias) Last Name First Name Suffix Sex Male Female INFORMATION Date of Birth Driver's License Number Billing Height Weight Eye Color Hair Color Number (Agency Billing Number) Misc. Place of Birth (State or Country) Social Security Number Number (Other Identification Number) Home Address Street Address or P.O. Box City State ZIP Code I have received and read the included Privacy Notice, Privacy Act Statement, and Applicant's Privacy Rights. Applicant Signature Date Your Number: Level of Service: x DOJ FBI OCA Number (Agency Identifying Number) (If the Level of Service indicates FBI, the fingerprints will be used to check the criminal history record information of the FBI.) If re-submission, list original ATI number: (Must provide proof of rejection) Original ATI Number Employer (Additional response for agencies specified by statute): DOJ/Firearms Division Employer Name 4949 Broadway Street Address or P.O. Box Telephone Number (optional) Sacramento CA 95820 City State ZIP Code Mail Code (five digit code assigned by DOJ) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed
STATE OF CALIFORNIA DEPARTMENT OF JUSTICE BCIA 8016 PAGE 1 of 4 (Rev. 04/2020) REQUEST FOR LIVE SCAN SERVICE Applicant Submission CA349400 Certification ORI (Code assigned by DOJ) Authorized Applicant Type POST Certification (Non-Sponsored 13511.5PC) Type of License/Certification/Permit OR Working Title ( Maximum 30 characters - if assigned by DOJ, use exact title assigned ) Contributing Agency Information: DOJ/Firearms Division Agency Authorized to Receive Criminal Record Information Mail Code (five-digit code assigned by DOJ) 4949 Broadway Street Address or P.O. Box Contact Name (mandatory for all school submissions) Sacramento CA 95820 916-227-3749 City State ZIP Code Contact Telephone Number Applicant Information: Last Name First Name Middle Initial Suffix Other Name: (AKA or Alias) Last Name First Name Suffix Sex Male Female Date of Birth Driver's License Number Billing Height Weight Eye Color Hair Color Number (Agency Billing Number) Misc. Place of Birth (State or Country) Social Security Number Number (Other Identification Number) Home Address Street Address or P.O. Box City State ZIP Code I have received and read the included Privacy Notice, Privacy Act Statement, and Applicant's Privacy Rights. Applicant Signature Date Your Number: Level of Service: x DOJ FBI OCA Number (Agency Identifying Number) (If the Level of Service indicates FBI, the fingerprints will be used to check the criminal history record information of the FBI.) If re-submission, list original ATI number: (Must provide proof of rejection) Original ATI Number Employer (Additional response for agencies specified by statute): DOJ/Firearms Division Employer Name 4949 Broadway Street Address or P.O. Box Telephone Number (optional) Sacramento CA 95820 City State ZIP Code Mail Code (five digit code assigned by DOJ) Live Scan Transaction Completed By: Name of Operator Date Transmitting Agency LSID ATI Number Amount Collected/Billed
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Acceptable Location Hours Rolling fee Forms of Payment 5450 Ralston Street 8:00 am to also be required (e.g., Accounts 12:00 pm license or certification Suite 106 fees). Cash Walk-ins Ventura, CA 93003 Cashier's Mon - Fri Check (805) 339-0422 1:00 pm to 5:00 Company livescanexpress@aol.com pm Checks Mobile services are available Walk-ins Corporate Accounts Credit Cards Debit Cards Money Order Friday Billing 9:00 am to 6:00 Accounts pm Cash Live Scan Ventura Walk-ins & Cashier's 1975 S. Victoria Street Appt. Check Ste. B Wednesday $18.00 Additional fees may Company 9:00 am to 6:00 also be required (e.g., Checks Ventura, CA 93003 pm license or certification (805) 275-1500 fees). Corporate Walk-ins & Accounts Info@LiveScanVentura.com Appt. Credit Cards Mobile services are available Thursday Debit Cards 9:00 am to 6:00 Money pm Order Walk-ins &
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Acceptable Location Hours Rolling fee Forms of Payment Billing Accounts Cash Mon - Fri Cashier's 8:30 am to Check Ventura County Sheriff 11:30 am Company $10.00 Additional fees may Checks 800 S. Victoria Avenue Appt. only also be required (e.g., Ventura, CA 93009 Mon - Fri license or certification Corporate fees). Accounts (805) 654-2371 1:00 pm to 4:30 pm Credit Cards Appt. only Debit Cards Money Order Checks Billing Bentley-Forbes Security, Inc. Accounts 2625 Townsgate Road Cash Weekdays Suite #330 $20.00 Additional fees may Cashier's 10:00 am to also be required (e.g., Check Westlake Village, CA 91361 4:00 pm license or certification (800) 455-7850 fees). Corporate Appt. only Accounts protectionpa@gmail.com Credit Cards Mobile services are available Debit Cards Cornwall Security Services Mon - Fri $25.00 Additional fees may Cash also be required (e.g., 3657 E. Thousand Oaks Blvd 10:00 am to Credit Cards license or certification
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