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You are actna as a proxy for another use' (RNA Cvect Inks are not supported in Prosy Mode NOEL) 0 ACS --kught oc- Ofilival n icrPha/J.er rte It cikelz5g Show Completions: All Completion Date • Title Status All Action 318/20/9 04:00 PM 1:t Correctional Training. Annual -BOP Complete 33/2019 07:30 AM 6 Female Offencers, Annual Complete Refresher -BOP 3/8/2019 07.30 AM a Trauma Informed Correct anal Complete Care. Annual Refresher -BOP 3/7/2019 10:41 AM (9 Information Security Awareness - Complete G. BOP 3/7/2019 10 41 AM G Oleoresin Capsicum fOC) A0'0301 Camelot° Spray. User Re-familiarization -BOP 316/2019 11:D3 AM 8 Firearms. All Weapons. Annual Complete Certification -BOP 3/5/2019 12 00 PM 8 Sell-Contained Breathing Complete Apparatus (SCBA).8 Fit-Test Refresher - BOP 3,4)2019 10.21 AM (9 Weapons of Mass Destruction Complete (WMD) -GOV 3/4)2019 10 20 AM Continuity of Operations (COOP) • Complete CL GOV 314/2019 10:20 AM a Prison Rape Ehnination Act Complete (PREA) 9/13/2018 1248 PM a Firearms. All Weapons. AnnuM Complete Certification -BOP 9(13(2018 12:36 PM 8 Correctional Training Program Complete Phase II, Introduction -BOP 9(13/2018 12.36 PM 6 Correctional Training. Annual -BOP Requirement Met 7/13/2018 04.00 PM 8 Correctional Training Program Complete Phase lintroduction -BOP 7/1312018 04:00 PM 8 Employee Fameatization Non- Requirement Met Institution -BOP 7/13/2018 12 44 PM Femato Offenders - BOP Complete 7/13/2018 1244 PM a Female Offenders. Annual Requirement Mel Refresher -BOP 715)2018 12:46 PM 8 Oleoresin Caps corn (OC) Aerosol Complete Spray. User Initial -BOP 7/3/2018 12:51 PM (9 Electronic Search Devices -BOP Complete 713/2018 12:51 PM G Inmate Pal Search -BOP Complete s.. 7[3/2018 12:51 PM fai Staff Pat Search -BOP Complete 73/2018 12:49 PM a Cardo Pulmonary Complete ResusCitabontAutomatic External Defibrillator (CPR/AED) Certification -BOP 6,28/2018 12.54 PM G Key Control -BCP Comploto EFTA00122319 Completion Date • 7ftle Status All Action 828/2018 12:53 PM Globally Harmonized System Complete (GHS) *BOP 8/28/2018 12:53 PM CS National Protective Vest Complete Procedures- BOP 8/27/2018 04:00 PM Trauma Informed Correctional Requirement Met Ft Caro. Annual Refresher -BOP 6/27/2018 0400 PM a, Trauma- Informed Correctional Complete Care- BOP 827/2018 12:58 PM IS BOP Records Management Complete Training 6271201812:55 PM Affirmative Employment -GOV Complete 627/2018 12:53 PM a Correctional Practices: Managing Complete Elderly Inmates -8OP' 812712018 12:53 PM 8 Managing Inmates with Disethaties Complete 8127/2018 12:50 PM Continuity of Operations (COOP) • Complete GOV 627201812:50 PM (9 Weapons of Mass Destruction Complete (WMD) -GOV 6127/2018 12:45 PM (9 Information Security Awareness • Complete BOP 6126/2018 12:54 PM 8 Diversity -SOP Complete 6/26/2018 12.54 PM (.0 Special Reusing Unit (Silt)). Complete Quarterly -BOP 6/26/2018 12:52 PM tg? Reporting Wrongdoing: Complete Whistleblowers and their Rights and Protections •GOV 6/25/2018 12:54 PM G Domestic Violence. Sexual Assault. and Stalking in the Workplace Complete e (Skilisoft) 62512018 12:52 PM a Prison Rape Elimination Act Complete (PREA) Items: 39 ' id dales are !or ArrericaNew York arro zone. EFTA00122320 Amend 4: Add TRAINING AUTHORIZATION (SF-182) L GENERAL INFORMATION Participant's Names: NOEL, TOVA Mateo, Miguel Location of Training: Bureau of Prisons — Staff Training Academy Federal Law Enforcement Training Center (FLETC) Course Title: Introduction to Correctional Techniques Course Codes: HRM-0100-BXX (76 hrs) CSV-0430-BXX (28 hrs) STA will key this training Phase II (BOPB-1864 & BOPB 1865) Training Period (Date/Time): Starts: Tuesday, August 28, 2018, 7:30 a.m. Ends: Friday, September 14, 2018, 4:30 p.m. # of Course Hours Duty Hours: 104 Non-Duty Hours: 0 Total Hours: 104 Training Codes: Purpose: 8 Type: 8 Source: 1 Special Interest 0 Travel Dates: Travel to the Staff Training Academy: Monday, August 27, 2018 Return travel will be scheduled: Saturday, September 15, 2018 More information regarding travel can be found in Section II. Accounting Code/Cost Center: FP RR II 21 N1 17T Indirect Costs: Travel $ Per Diem $5.00 Other $ FMS — Yes STDS — Yes Direct Costs: N/A AUTHORIZING OFFICIAL Name: Signature: //s// Date: 7/10/18 Amend 7/19/18 HUMAN RESOURCE MANAGER/ Name: Signature: Date: 7 2-0 re CHIEF EXECUTIV F CER Name: Si nature: Date: 7 z g EFTA00122321 IL TRAVEL Airline Arrival Times: For participants who are flying, all arriving and departing flights should be scheduled through the Jacksonville International Airport (JAX), Jacksonville, Florida. Schedule your arrival time to coincide with the FLETC shuttle pick up times of 3:30 p.m. or 7:30 p.m. A midnight shuttle can be arranged on the travel day in the event a flight has been delayed or cancelled; this shuttle is only used under extenuating circumstances. The FLETC shuttle will be located at the ground transportation area, located outside of the baggage claim area to the far left. Again, the scheduled pick up times are 3:30 p.m. and 7:30 p.m. The scheduled shuttle bus will be white. Email your flight arrival time to GLN/ReuistrarOfficeQhop.eov to ensure you have a seat on the shuttle. If a participant is unable to use the transportation provided by the FLETC, it will be their responsibility to arrange transportation to the Training Center. The cost of any alternative transportation must be reimbursed by the Institution. Rental cars are not authorized by the Staff Training Academy. If you experience flight delays/problems resulting in arriving at JAX later than 7:30 p.m., notify the STA at May 4:30 p.m., after 4:30 p.m. notify FLETC at Airline Departure Time: Return flights are to be scheduled after 8:30 a.m. The FLETC transportation scheduled time of pick-up to JAX is approximately 5:00 a.m. Transportation will not be furnished other than the time indicated. Luapaae: Consult with the airline and/or the BOP authorized travel agent regarding the number of luggage pieces allowed, size, and weight limitations. In the event an airline charges to check a first and/or second bag, notify your business office. You will be authorized reimbursement for up to two checked bags that comply with the airline's standards; however, you will be responsible for any charges due to being oversized or overweight. NOTE: Please allow space in your luggage for your training materials (approximate 4 inch manual). DI. TRAINING ATTIRE Dress Code for the First Day: Participants must wear professional attire (business casual) on their first training day. You may not wear jeans of any color, shorts, t-shirts, hats or any clothing considered inappropriate. Uniforms: The FLETC will issue uniforms to be worn during training hours. Participants are responsible for bringing solid black shoes or boots to wear with the uniform. Athletic shoes are required for the Physical Ability Test. The clothing assigned to you for training is your responsibility; anything that is lost must be paid for before you leave. PHS Staff: PHS staff may bring and wear their Service Dress Blue uniform the first day of training and for the graduation ceremony. IV. LODGING AND MEALS Participants will be informed of their lodging assignment upon arrival at the FLETC Registration Office. The FLETC will provide transportation to and from the participants' lodging facility. All meals are provided for by FLETC. Participants housed off-center will be provided transportation to and from FLETC on both training and non-training days. EFTA00122322 V. NOTES FOR PARTICIPANTS BOP — ID: It is imperative that you know your BOP—ID number prior to your arrival; you will need to have it. Weapons: Personal firearms are not permitted on the FLETC and storage for them is not available. GroupWise: Email access is not available; computer access is only available at the FLETC library. Graduation Ceremony: Family and friends are welcome to attend the graduation ceremony. All visitors to the FLETC must have a basic background check completed prior to the graduation date. The FLETC visitor procedures and forms are on the GLYNCO Sallyport page,http://sallvportbon,gov/train/gInffietc.jsp. The visitor must complete the FLETC visitor form. You must turn the form in on the day of class. NOTE: If the visitor is a Foreign National/LPR, U.S Citizen born outside the U.S, or Naturalized Citizen, visitor forms and documentation must be received by the FLETC 30 days prior to the graduation date to ensure the form is processed. Failure to follow the FLETC visiting procedures will result in the requested visitor being denied access to the FLETC. Staff Training Academy Website: Visit the Staff Training Academy homepage on Sallyport, listed under Glynco. You will fmd the STA Participant Handbook, the FLETC Student Participant Handbook, and some Frequently Asked Questions regarding the STA. You can read FLETC's Standards of Conduct as you will be required to sign an acknowledgement of having read it during the registration process. Cross Development Course Requirement: All Chaplains, PHS staff, and MedicaVEtental Officers that elect to waive firearms; must know their computer password and ensure that it will not expire while at the STA; we do not have the ability to reset it. Mailing Address: If you plan to receive mail while you are at the STA, use the followin address: Your Name, Bureau of Prisons, BOPB-1864 or BOPB-1865, Glynco, GA 31524 VI. HUMAN RESOURCES Responsibility: You are responsible for ensuring each participant has received a copy of this training authorization and all instructions have been thoroughly discussed with them. Participants are to bring a copy of both the training and travel authorizations with them. Medical Form: A current (dated within 30-days of scheduled training) Pre-Training Medical Assessment Form must be received for each participant by August 14, 2018. Failure to comply may result in the participant being removed from the class. Please scan the medical form to: If you do not have the capability to email the form; it may be faxed to Cancellation: Written notification will be made to the STA immediately for all participant cancellations, to ensure the vacancy can be filled. A waiver will be required for the participant being cancelled, follow the procedure for cancellations per Program Statement 3906.22, Chapter 6, Page, 34 Para (b). VII. CONTACT INFORMATION GLN Registrar: Normal Duty Hours: 7:30 a.m. — 4:30 p.m. (Eastern Standard Time) Staff Training Academy Main Line -- After Normal Duty Hours: FLETC Security if this number is used to contact a participant after normal duty hours/weekends, a message will be given to the participant, providing the class number is provided. EFTA00122323 PARTICIPANTS BOPB -1864 lillaiiniiiIIIIIIIN NOEL. TOVA (Add 7/19) MCC NEW YORK EFTA00122324 ACKNOWLEDGMENT OF RECEIPTS I certify I've received the below Bated items and will conduct a thorough review of all Program Statements as noted below. Standards of Employee Conduct, P.S. 3420.11, dated 12/16/2013 Drug Free Workplace, P.S. 3735.04, dated 06/30/1997 Acknowledgment of Receipt of Notice to Employee Whose Position Has Been Determined Subject to Random Drug Testing (Attachment A) Acknowledgment of Receipt of Notice to Employee Whose Position Is Not Subject to Random Drug Testing (Attachment B) Use of Force and Application of Restraints on Inmates, P.S. 5566.06, dated 11/30/2005 Personal Computers, P.S. 1237.14, dated 05/07/2007 Affirmative Action and Diversity Management Program, P.S. 3713.21, dated 05/16/2001 Discrimination and Retaliation Complaints Processing, P.S. 3713.24, dated 06/16/2014 Searching, Detaining, or Arresting Visitors to Bureau Grounds and Facilities P.S. 5510.15, dated 07/17/2013 Computer Security Training Computer Security Awareness Certification Master Agreement, Federal Bureau of Prisons and Council of Prison Locals Misdemeanor Crimes of Domestic Violence Guidance Regarding Law Enforcement Officers Safety Act (LEOSA) Employee Handbook Manual and Procedures for Providing Reasonable Acrais (.0 21. rio ss EFTA00122325 BP-A0165 AMICIMEDGEMENT OF RECEIPT OF "STANDARDS OF EXPIATES CONDUCT" noriN DEC 13 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS t ova K\oe_l__) ,hereby acknowledge (Employee's Name) receipt of Program Statement #3420.11. I further acknowledge that my conduct is governed by this policy and it is my responsibility to familiarize myself with the provisions of this document. Received* Date: Institution: (Signature) u) 25•20It Mee. iNletO ?jaiIt PDF Prescribed by P3420 EFTA00122326 PS 3735.04 June 30, 1997 Attachment A, Page 1 Acknowledgement of Receipt of Notice to Employee Whose Position Has Been Determined Subject to Random Druq Testing The Bureau of Prisons' Drug-Free Workplace Program is intended to offer a helping hand to those who need it, while sending a clear message that any illegal drug use is, quite simply, incompatible with the mission of the Bureau of Prisons. The position you hold has been determined to be a Test Designated Position. As such, you may be selected for urinalysis drug testing for the presence of controlled substances. You may be required to submit to testing in the following drug test categories: 1. Random Selection 2. Reasonable Suspicion of drug use on-, or off-duty 3. Post Accident 4. Post Completion of Substance Abuse Treatment Program All initial positive test results will be confirmed with a gas chromatography/mass spectrometry analysis. This is the most accurate testing available. Each employee tested will be afforded the opportunity to present medical documentation supporting the lawful use of an otherwise illegal drug. If the reviewing physician determines an employee has used a drug(s) illegally, the employee may request that a portion of his or her specimen be submitted for re-analysis at a certified laboratory of his or her choice. Employee records related to positive results are protected by the Privacy Act. A test result which the physician has found to be positive, or a refusal to submit to drug testing may result in disciplinary action up to, and including dismissal. Bureau of Prison's employees who are using illegal drugs may seek confidential assistance by contacting their local Employee Assistance Program Coordinator. An employee who makes his or her drug problem known to his or her Chief Executive Officer prior to suspicion or investigation may qualify for protection from disciplinary action. I have read the above, and I understand that my position has been identified as subject to random drug testing. I also acknowledge that I have received a copy of the Bureau of Prisons' Program Statement on Employee Drug Testing. Signatuf\j,---- Date .c). 25 • IS Printed Name -1-61C1 EFTA00122327 '0 Acknowledgment of Receipt of Guidance Materials Regarding the Law Enforcement Officers Safety Act of 2004 I have received a copy of the Law Enforcement Officers Safety Act (P.L. 108-277); the Bureau of Prisons February 27, 2006, memorandum titled "Guidance Regarding the Law Enforcement Officers Safety Act (LEOSA);" the Department of Justice's January 31, 2005, memorandum titled "Guidance on the Application of the . Law Enforcement Officers Safety Act of 2004 to Current andRetired Department of Justice Law Enforcement Officers," title 18 D.S.C. S 3050; 28 C.F.R. SS 311.10-511.16, and the Department of Justice Policy Statement on the Use of Deadly Force. -TON CA Nla-tt Staff Member Printed Name •••-- aff Member Signature kJ, 26 • 1% Date Signed Place this form on the left side of the employee's Official Personnel Folder EFTA00122328