EXPLANATION

As a new member of the MATC Criminal Justice-Law Enforcement program you have received

information/forms contained in this packet that must be read and completely filled out. It is

extremely important that these documents are completed fully before being turned in. Any

documents missing data will not be accepted and you will not be included when applying for

admittance into the tactical and scenario based assessment components of the certification

process.

The Criminal Justice/Law Enforcement Associate Degree Certification Track Student

Authorization Declaration (DJ-LE 329) was created jointly between the Wisconsin Technical

College System (WTCS) and Training and Standards Bureau of the State of Wisconsin

Department of Justice. Because students seeking to become certifiable are to be held to the

same standards as those students that are attending full time service academies, it is necessary

to have uniform tracking forms for each academy. The intent of this rule is to alert students

from the beginning of their participation in the programs to the various rules and regulations

necessary to complete the certification process. By performing these steps earlier in the

process it is hoped that all students will not get near the end of the process and find out that

they are actually ineligible to participate in this program.

Once again, please read each document carefully and fill out each area that calls for data. We

will not accept items not completed and this could result in you being excluded from

performing the tactical and scenario based assessments. Just a reminder. This program is

highly desired and not every student may be selected to participate in the College Certification

Track training academy. All students in the CJ-LE program will be afforded the opportunity to

graduate from MATC with an Associate Degree but, due to constraints on both facilities and

mandated time limits for class completion, not every CJ-LE student is able to participate in the

certification training. With that in mind it is extremely important that you follow the

instructions and do the best you can in all of your classes leading up to the tactical and scenario

sessions.

Good Luck,

Russell Spahn Associate Dean – MATC Protective Services

Page 1 of 2

INSTRUCTIONS

There are eleven (11) PDF documents in this packet.

There are four (4) documents in this packet for your information. It is recommended that each student read the

“Explanation” and “Instructions” documents first. Once you have reviewed the four (4) documents listed below,

then you should proceed to the seven (7) documents that must be completed and turned in to the Protective

Services office.

1. Explanation

2. Instructions

3. Criminal Justice / Law Enforcement (CJ / LE) program by semester

4. College Certification Track (CCT) Overview

The seven (7) documents in this packet must be read and completely filled out. The documents are “fillable”

PDF files which means you can type in the information requested and print out the document when completed.

You cannot save the document to your computer. After you have completed the documents and printed them,

make sure you sign each document.

Complete the documents in the following order:

1. Criminal Justice/Law Enforcement Associate Degree Certification Track Student Declaration (DJ-LE 329)

If you check the first box, which means you do not wish to participate as a Certification Track Student,

all you need to do is sign the declaration form and return it to the Protective Services Office. You do not

need to fill out any of the following forms listed below (Items 2 through 7).

If you check the second box, which means you will be participating in the Certification Track, you must

fill out and return this form as well as all of the forms listed below (Items 2 through 7).

Page 2 of 2

2. Application for Enrollment (DJ-LE 327)

There are three questions at the end of this application that you must answer. Attach a separate sheet

with your answers.

3. Rules of Conduct

Make sure you initial each statement.

4. Attendance Policy

5. Grievance Policy

6. Grades/Testing Policy

7. Student Authorization for Release of Information (DJ-LE 310)

***********************************************************

All completed forms must be returned in person before the start of the semester to: MATC Oak Creek Campus Protective Services Department, Room B115 6665 South Howell Avenue

When you come in to the office to return your forms, please also bring the following two (2) items:

1. Original Birth Certificate – we will look at your birth certificate, fill out State form (DJ-LE 322) using the

information on your birth certificate, and return the original to you.

2. A copy of your high school diploma or transcript, GED certificate or HSED diploma.

Any questions, please call the MATC Protective Services Department at 414-570-4461 or email labrel@matc.edu.

COURSE TITLE CREDITS

POLICE-900 Introduction to Criminal Justice 3

POLICE-901 Constitutional Law 3

POLICE-908 Traffic Theory 3

POLICE-161 Ethics in Law Enforcement 3

ENG-151 Communications Skills 1 3

PSYCH-199 Psychology of Human Relations 3

SEMESTER CREDITS 18

POLICE-902 Criminal Law 3

POLICE-904 Juvenile Law 3

POLICE-906 Criminal Investigation Theory 3

POLICE-907 Community Policing Strategies 3

ENG-152 Communications Skills 2 3

MATH-107 College Mathematics 3

SEMESTER CREDITS 18

POLICE-115 Criminal Evidence 3

POLICE-160 Contemporary Legal Issues 3

POLICE-162 Sensitive Crimes 3

ECON-195 Economics 3

SOCSCI-197 Contemporary American Society 3

SEMESTER CREDITS 15

POLICE-163 Interview & Interrogation 3

POLICE-903 Professional Communications 3

POLICE-905 Report Writing 3

SOCSCI-172 Race, Ethnicity and Diversity 3

POLICE-999 Electives 6

SEMESTER CREDITS 18

TOTAL PROGRAM CREDITS 69

SEMESTER 4

CRIMINAL JUSTICE - LAW ENFORCEMENT (10)504-1.12

SEMESTER 1

SEMESTER 2

SEMESTER 3

Overview — This program is open to MATC Criminal Justice-Law Enforcement program students only. Completion of

academic and tactical curriculum coupled with scenario based assessment will allow you to become eligible for certification

through the State of Wisconsin Law Enforcement Standards Board. Additional qualifications include:

1. Must have completed all nine (9) of the 900-908 courses with a grade of “C” or better and maintained a 2.0 GPA or better.

These courses must be completed in 2 years as the tactical portions take one year to complete and the State of Wisconsin

will not extend the total training program beyond three (3) years.

2. Must have earned at least 45 college credits prior to application for entry. This must include the 27 credits earned in Police

900-908. The remaining 18 credits must be transcribed college credit, not diploma or certificate credits.

3. Must be at least eighteen (18) years of age.

4. Must be a United States citizen.

5. Must possess a valid Wisconsin Driver’s License (or one recognized by the Wisconsin DOT).

6. Must undergo a criminal history/background check free of convictions that would prohibit possession of a firearm.

7. Must submit a medical authorization form, signed by a physician, allowing participation in vigorous physical activity.

8. Must successfully complete an oral interview before a panel of law enforcement professionals.

NOTE: Before obtaining certifiable status as a law enforcement officer in the State of Wisconsin, students must complete all

of the mandatory curriculum found in Police 900 through 908 courses, all of the Unified Tactics found in the Police 170

through 176 courses listed below, scenario based assessments, and have no less than 60 total college credits.

Scenario based assessments are usually held each semester after the tactical training is completed. There is a special fee that is

charged to participate in the Scenario Based Assessments.

Students have three (3) years from the start date of taking their first 900 numbered course to obtain certifiable status. If

unable, the process must be completed again.

TO APPLY – DEADLINE: December 4, 2013

1. Download and complete an Application for Enrollment (DJ-LE 327) from https://wilenet.org. Written responses to the 3 essay questions in section 6 of the DJ-LE 327 Application are required. 2. A signed, filled out Criminal History Background Check/Driver Vehicle Record Check form. To obtain this form go to http://ecampus.matc.edu/policetraining. 3. Attach a check for $7.00 made payable to MATC for the Criminal History Background Check.

Return completed applications to: MATC Protective Services Department 6665 South Howell Avenue, Room B115

Oak Creek, WI 53154

COURSES Credits

POLICE-170 OMVWI/Standard Field Sobriety Test 2

POLICE-172 EMS-LE/Hazardous Materials 2

POLICE-173 Emergency Vehicle Operation 3

POLICE-174 Care and Use of Firearms 4

POLICE-175 Defense and Arrest Tactics 3 POLICE-176 Vehicle Contacts 2

TOTAL CREDITS: 16

Page 1 of 2

Wisconsin Department of Justice Law Enforcement Standards Board DJ-LE- 329, 04/11 www.wilenet.org

CRIMINAL JUSTICE / LAW ENFORCEMENT ASSOCIATE DEGREE

CERTIFICATION TRACK STUDENT DECLARATION The Wisconsin Law Enforcement Standards Board (LESB) is charged, in part, with the establishment of minimum eligibility standards for employment as a law enforcement or tribal law enforcement officer, and minimum educational and training standards for law enforcement and tribal law enforcement certification. Since June 2, 1992, the LESB has approved the incorporation of basic law enforcement officer training competencies, learning objectives and performance standards from the basic law enforcement officer training academy into a Criminal Justice / Law Enforcement (CJ / LE) Associate Degree Program. There are two tracks to the CJ / LE Associate Degree Program:

Certification Track – Successful completion leads to eligibility for law enforcement officer certification with the LESB.

Non-Certification Track - Associate Degree is granted, however student is not eligible for law

enforcement officer certification at the completion of the program. CJ / LE Associate Degree Certification Track Course Prerequisites To be eligible to participate in a course that includes LESB-approved curriculum, CJ / LE Associate Degree Certification Track Students must meet the following prerequisites, and the training provider must maintain documentation showing that the prerequisites have been met:

• Be at least 17 years of age and enrolled as a Wisconsin Technical College System associate degree student. Proof of age is required (form DJ-LE-322, Birth Certificate Verification form).

• Possess a Wisconsin high school diploma or a diploma issued by an out of state high school, accredited by an appropriate agency of the state, or possess a General Educational Development (GED) Certificate and/or a High School Equivalency Diploma (HSED). Proof of education is required (copy of high school diploma or transcript, GED certificate or HSED diploma).

• Complete the Application for Enrollment in Law Enforcement, Jail or Secure Juvenile Detention Officer Basic Training (form DJ-LE-327).

• Sign the Student Authorization for Release of Information (form DJ-LE-310).

• Sign and acknowledge compliance with the CJ / LE Associate Degree Program Rules, Penalties and Grievance Procedures.

• Sign and acknowledge compliance with the CJ / LE Associate Degree Program Grading Policy.

• Sign and date this Student Declaration form (form DJ-LE-329) declaring your intent to complete the CJ / LE Associate Degree Certification Track Program.

Tactical Course Enrollment Prerequisites To be eligible to enroll in courses containing the following tactical topics: Firearms, Defensive and Arrest Tactics, Emergency Vehicle Operations and Control, and Vehicle Contacts; CJ / LE Associate Degree Certification Track Students must meet the following additional prerequisites, and the training provider must maintain documentation showing that the prerequisites have been met:

• Complete an oral interview screening with a panel of criminal justice executives or with teaching or counseling staff affiliated with the technical college.

• Undergo a criminal history records check, and not be prohibited by federal or state law from possessing a firearm.

• Possess a valid Wisconsin driver’s license or other valid operator’s permit recognized by the Wisconsin Department of Transportation as authorizing operation of a motor vehicle.

• Complete a physical assessment to verify that you can meet the physical standards required of a law enforcement officer (form DJ-LE-322, Physician’s Assessment form).

• Provide proof of United States Citizenship (form DJ-LE-322, Birth Certificate Verification form).

Page 2 of 2

• Be administered the Law Enforcement Code of Ethics as written in Wisconsin Administrative Code Section LES 3.01(1)(d), as an oath.

Academic and Behavioral Expectations Certification Track Students must maintain personal integrity through truthfulness and ethical behavior. Contacts with any law enforcement agency must be reported to faculty and/or the academy director within three (3) days of occurrence. “Certifiability” Requirements To be eligible for law enforcement officer certification (“certifiable status”), Certification Track Students must complete all CJ / LE Associate Degree Courses, including tactical courses, and the final scenario-based evaluation within three (3) years. The clock starts for a Certification Track Student on the first day the student enters into a CJ / LE Associate Degree Course (i.e. Introduction to Criminal Justice). “Certifiable” Status Certification Track Students who successfully complete basic training within the CJ / LE Associate Degree Certification Track Program are “certifiable” for three (3) years following their date of program completion. Students who do not gain Wisconsin law enforcement employment within three (3) years will lose their “certifiable” status.

STUDENT DECLARATION

I have read and understand the conditions and requirements for the CJ/LE Associate Degree Certification

Track Program, and I do not wish to participate as a Certification Track Student. I understand that I cannot retract my decision.

Student Signature Date

Student Name (Print)

I have read and understand the conditions and requirements for the CJ / LE Associate Degree

Certification Track Program, and I declare my intent to complete this Program. I have also read and understand the conditions and requirements for employment as a law enforcement officer set forth in Wisconsin Administrative Code Chapter LES 2.

I understand, to be eligible for “certifiable” status, I must complete all requirements within a three (3) year time frame, beginning with my first CJ / LE Associate Degree Course. My Certification Track participation commenced on the 1

st day of the semester (listed below) and will terminate three (3) years

from that date.

Student Signature Date

Student Name (Print) (Semester Start Date)

1

Wisconsin Department of Justice Law Enforcement Standards Board DJ-LE-327, 04/11 www.wilenet.org

APPLICATION FOR ENROLLMENT BASIC LAW ENFORCEMENT, JAIL OR SECURE JUVENILE DETENTION OFFICER TRAINING

NOTICE: All questions must be answered. Incomplete or illegible applications will not be considered. If the space provided is insufficient

for complete answers or you wish to furnish additional information, please attach additional pages.

1. PERSONAL INFORMATION

Name (Last, First, Middle)

Date of Birth (mm-dd-yyyy)

Social Security # (xxx-xx-xxxx)

Address (Apartment, Street, P.O. Box)

Home Telephone Number

City

State

Zip Code

Work Telephone Number

Email Address

Cell Phone Number

In the past, have you ever enrolled in a basic law enforcement, jail or secure juvenile detention officer training academy or courses?

Yes No

What type(s) of basic training did you enroll in? Law Enforcement Jail Secure Juvenile Detention Not applicable

If applicable, include the name and location (city and state) of the school(s) where you enrolled in basic training:

Are you a United States citizen? Yes No

Do you have a high school diploma, GED or HSED? Yes No

Do you have an Associate Degree or 60 associate degree level credits or higher from an accredited college or university? Yes No

If No, were you employed as a law enforcement officer prior to February 1, 1993? Yes No

The college credit requirement as written in Wisconsin Administrative Code § LES 2.01(1)(e), pertains to law enforcement and tribal law enforcement officers first employed on or after February 1, 1993.

Have you ever been convicted of a felony? Yes No

Have you ever been convicted of a misdemeanor crime of domestic violence? Yes No

Are you prohibited by state or federal law from possessing a firearm? Yes No

Do you possess a valid Wisconsin driver’s license or a valid driver’s license from another state? Yes No

2. EDUCATION

Dates

Name of School(s) From

(mm/yyyy) To (mm/yyyy) Degree, Diploma, or Credits Earned

High School(s)

College(s)

2

3. EMPLOYMENT

Begin with current or most recent employer. List chronologically all employment, including summer and part-time employment while attending school. To furnish additional employment information, attach sheets of the same size and format as this application.

Name and Address of Employer Dates of Employment

From (mm/yyyy) To (mm/yyyy)

Name of Employer:

Address:

Full-Time Part-Time

City:

State:

Zip Code:

Supervisor’s Name / Telephone Number:

May we contact the employer / supervisor?

Yes No

Position and kind of work:

Reason for Leaving:

Name and Address of Employer Dates of Employment

From (mm/yyyy) To (mm/yyyy)

Name of Employer:

Address:

Full-Time Part-Time

City:

State:

Zip Code:

Supervisor’s Name / Telephone Number:

May we contact the employer / supervisor?

Yes No

Position and kind of work:

Reason for Leaving:

Name and Address of Employer Dates of Employment

From (mm/yyyy) To (mm/yyyy)

Name of Employer:

Address:

Full-Time Part-Time

City

State:

Zip Code:

Supervisor’s Name / Telephone Number:

May we contact the employer / supervisor?

Yes No

Position and kind of work:

Reason for Leaving:

3

4. MILITARY SERVICE

Branch of Service From

(mm/yyyy) To

(mm/yyyy) Active Duty or

Reserve Highest Grade

Skill Specialty or Primary Duty

Honorably Discharged from Military Service? Yes No Not Applicable

5. REFERENCES

Give three references (not relatives, or present employer; avoid listing members of the clergy).

Name:

Position/Title/Profession:

Number of Years Acquainted:

Address:

City/State/Zip:

Telephone Number:

Name:

Position/Title/Profession:

Number of Years Acquainted:

Address:

City/State/Zip:

Telephone Number:

Name:

Position/Title/Profession:

Number of Years Acquainted:

Address:

City/State/Zip:

Telephone Number:

6. GENERAL

Attach no more than one additional page for each answer.

A. Why have you chosen to enroll in basic law enforcement, jail and/or secure juvenile detention officer training?

B. Discuss things you have done which have contributed to your life experience. Be sure to include information regarding volunteer work with civic, school, or professional organizations. Be specific about names and dates.

C. Why do you believe you could relate to and/or work with people of different races, genders, cultures, ages, socio-economic groups, and educational levels?

4

APPLICANT PLEASE READ CAREFULLY AND SIGN BELOW

Information provided and statements made as part of this application may be grounds for not allowing you to enroll in basic training or for dismissing you after training has already begun. All information and statements made are subject to verification.

CERTIFICATION

ALL INFORMATION PROVIDED AND STATEMENTS MADE BY ME AS PART OF THIS APPLICATION, OR AS PART OF ANY ADDITIONAL INFORMATION PROVIDED IN SUPPORT OF THIS APPLICATION, ARE COMPLETE, CORRECT, AND TRUE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT IF I AM ALLOWED TO PARTICIPATE IN BASIC TRAINING, FALSE INFORMATION PROVIDED OR FALSE STATEMENTS MADE AS PART OF THIS APPLICATION MAY BE CONSIDERED AS CAUSE FOR DISMISSAL FROM TRAINING. Applicants Signature

Date Signed

(over)

Milwaukee Area Technical College Law Enforcement Basic Training

Associate Degree CCT Rules of Conduct As a possible future member of the MATC College Certification Training (CCT) program, you must be aware of the Rules of Conduct as they pertain to your participation in the classroom portion of the certification training. There will be a separate set of rules related specifically to the Unified Tactical training program (course numbers 170, 171, 172, 173, 174, 175, 176) that all participants selected will be expected to adhere to. As a future student in the CCT, you should expect to be held to a higher standard of conduct than the general student population.

PLEASE READ EACH SECTION AND INITIAL ______1. All students shall be neat in appearance when in class. Your appearance should not be a

distraction to the instructor or fellow students. ______2. Students must attend classes. Attendance is monitored and time will be accounted for.

Unexcused and excessive absence will be grounds for dismissal from the program. (See attendance policy)

______3. Students must be punctual (on-time) for the start of each class. Time missing will be

considered absence. (See attendance policy) ______4. There is zero tolerance for alcohol and/or drug use. If any instructor suspects a student is

under the influence of alcohol or drugs, the student will immediately be removed from class with the possibility of permanent removal from the program.

______5. There is zero tolerance for cheating. Cheating will result in removal from the program and

possibly academic sanctions from the college. ______6. Respect for classmates and instructors is expected. When addressing instructors or school

staff members, you will refer to them as directed in class by each instructor. ______7. The use of tobacco products is prohibited in the building and during all classes.

______8. The use of the classroom computer and laptop or personal computers is prohibited without

consent of the instructor and the recruit training coordinator. ______9. For the duration of the program, all students shall immediately notify the Recruit Training

Coordinator in writing if they have police contact as a target in any criminal or driving matter. This includes all arrests, municipal citations or referral to a state prosecutor or municipal attorney.

_____10. Any arrest on criminal charges will be reviewed by the Associate Dean of Protective Services and the recruit training coordinator and could result in your immediate removal from the program.

_____11. Taping, electronic recording, etc. during class is prohibited unless approved by the

instructor and the academy training coordinator.

Milwaukee Area Technical College Law Enforcement Basic Training

Associate Degree Rules of Conduct I have read these rules and understand them. I further agree to adhere to these training rules as they pertain to this program. Any violation of these rules may result in my dismissal from the program. Removal from the program only refers to the CCT program. It does not mean from the Criminal-Justice/Law Enforement program or the college unless noted. I have received a copy from the instructional staff for my records. Student signature: ________________________________________________Date: ____________

Student Name (print): _____________________________________________Date: ____________

6/11

Milwaukee Area Technical College Law Enforcement Basic Training

Associate Degree CCT Attendance Policy Students in preparatory law enforcement are expected to attend all classes. Unexcused absences are prohibited and will result in the student’s removal from certification training. School directors are authorized to identify “excused” absences. Excused absences are limited to the following reasons: * Unanticipated emergency * Illness * Subpoena for court appearance * Law enforcement job interview/test Excused student absences shall not exceed: * 10% per course for students in the college certification track law enforcement program Instructional hours missed will be made up by the student. The student must complete all additional assignments. Make-up assignments will be of sufficient quality to provide the student with the essential information of the instructional period missed. Students are responsible for class material missed during absences. Procedure:

1. Unanticipated request for absence/tardiness on the day of class: Students enrolled in POLICE 900 - 908 courses must notify the course instructor as soon as possible using the instructor contact information contained on your course syllabus. Leave a message if no one answers. A follow-up “In the Matter Of” report shall be submitted to the course instructor as soon as practicable. All “In the Matter Of” reports will be forwarded to the recruit coordinator for review and placement in the students recruit file.

2. Anticipated request for absence: Requests for an excused absence must be submitted as soon as practicable and in writing to the recruit training coordinator in a timely manner. The coordinator will determine whether the request will be approved.

3. All absences will be considered unexcused unless the student receives written approval from the academy training coordinator.

I have read and understand the attendance policy and procedure. Student Signature: ___________________________________ Date: ___________________ Student Name (print): ___________________________________ Date: ___________________

9/8/2011

Milwaukee Area Technical College Law Enforcement Basic Training

Associate Degree CCT Grievance Policy

MATC has a system that will assist students in resolving problems efficiently and effectively. The key to quick resolution is to follow these simple procedures. Academic Grades Disputes:

1. Meet with the instructor. If unresolved, 2. Meet with the Recruit Coordinator. If still unresolved, 3. Petition for a final grade change in writing to the Associate Dean

(Copy of Academic Grade Appeal Procedure [DDD0705] is available in the Office of Student Life or the Academic Dean’s office).

Student-To-Student Problems or Disputes:

1. Meet with the student. If unresolved, 2. Meet with the Recruit Coordinator immediately. If unresolved, 3. Meet with the Associate Dean.

Student/Faculty Problems or Disputes:

1. Meet with the instructor. If unresolved or for further clarification, 2. Meet with the Recruit Coordinator. If unresolved or for further

clarification, 3. Meet with the Associate Dean. If still unresolved or for further

clarification, 4. Meet with the Academic Dean of the School of Technology and Applied

Sciences. If still unresolved, go to the Oak Creek Campus Office of Student Life for assistance.

Students must follow the procedures as written

I have read and understand the grievance policy and procedure. Student Signature: ______________________________________ Date: _____________ Student Name (print): ______________________________________ Date: __________

9/8/2011

Milwaukee Area Technical College Law Enforcement Basic Training

Associate Degree CCT Grades/Testing Policy

Students in preparatory training must obtain passing grades of a least 70% in written examinations in all Board-approved preparatory training subjects. Any exceptions will be identified by an instructor such as OMVWI/SFST (course 170) training which carries a minimum passing grade of 80%.

Any recruit curriculum for which there are Board-approved competency checklists, students must demonstrate their achievement of training objectives to the satisfaction of instructors.

Procedure:

1. Students who pass an original test or competency are not allowed a re-test to improve their grade average.

2. Students who fail any original test may be granted a second test by the instructor. 3. A re-test of any student must be accomplished before the next original test, subject or

competency. Any exception must be approved by the recruit coordinator or Associate Dean and documented in writing.

4. The maximum re-test score for any examination shall be 70%. Failure to pass the re-test will result in the student receiving the original test grade.

5. An individual who fails a test shall be given one (1) opportunity to re-test during the semester. Failure of an additional test will result in the student possibly failing the course.

6. Students who fail a college certification track course may repeat the course. 7. Students failing a college certification track course cannot enroll in the tactical

portion of the program until their failed course is successfully completed.

I have read and understand this policy and procedure.

Student Signature: _________________________________________ Date: ____________ Student Name (print)________________________________________Date: _____________ 9/8/2011

1

Wisconsin Department of Justice Law Enforcement Standards Board DJ-LE-310, Rev. 02/12 www.wilenet.org

STUDENT AUTHORIZATION FOR RELEASE OF INFORMATION

(For official use only, not to be released to unauthorized persons) I, __________________________________________________________________, authorize (Student Name) __________________________________________________________________, (referred to (Training School Name) hereafter as “the Training School”) to release to the Wisconsin Department of Justice,

Training and Standards Bureau and/or its employees (collectively referred to hereafter as

“the Bureau”) any and all academic records or information in the possession of the

Training School related to my attendance, performance, achievement and all other aspects

of my participation in any training courses and/or programs including, but not limited to,

the academic records listed on the reverse side of this form, for the purpose of validating

that the Training School and its students meet eligibility and certification standards

established by the State of Wisconsin Law Enforcement Standards Board.

I also authorize the Bureau to disclose any or all of the information described in the

preceding paragraph to any training school certified by the Law Enforcement Standards

Board. Furthermore, in the event that I am employed by or have applied for employment

with one or more law enforcement, jail and/or secure juvenile detention employers, I

authorize the training school and/or the Bureau to disclose any or all of the information

described in the preceding paragraph to such employers. I understand that this

authorization will remain in effect until I rescind it by submitting a letter to the director of

the Bureau and the director of the Training School’s preparatory law enforcement, jail

and/or secure juvenile detention program specifying that I no longer wish to authorize

access to my academic records or information.

________________________ ________________________________________________ Date Signature - Full Name

2

MINIMUM ACADEMIC RECORDS MAINTAINED ON ALL STUDENTS IN PREPARATORY LAW ENFORCEMENT, JAIL AND

SECURE JUVENILE DETENTION OFFICER TRAINING PROGRAMS

• Student rosters including enrolled student names and social security numbers. • Attendance records. • Student withdrawal/termination from training. • Any incomplete or failed program. • Documentation of any disciplinary or other problems and sanctions imposed. • Staff evaluations of student performance. • Disability accommodation requests and approval documentation. • Exams and examination results, including scenarios and scenario evaluation results. • Performance assessment tasks and performance assessment task results. • Completed skills competency checklists for specific skills subjects. • Board-approved student transcripts (DJ-LE-302, DJ-LE-307A, DJ-LE-307B, DJ-LE-308,

DJ-LE-309 and DJ-LE-302A through DJ-LE-302J). • Signed copy of the Law Enforcement Code of Ethics. • Signed form attesting that the school’s written rules, penalties and grievance procedures

have been distributed, read and understood. • Signed form attesting that the school’s grading policy has been distributed, read and

understood. • Verification of a valid driver’s license (law enforcement students). • Copy of the Verification of Employment Standards and Application for Certification form

(DJ-LE-303) and/or the Notification of Officer Status Change form (DJ-LE-303N), obtained from the employing agency (employed students).

• Completed copy of the Application for Enrollment in Basic Law Enforcement, Jail and/or Secure Juvenile Detention Officer Training (DJ-LE-327) (pre-service and college certification track students).

• Record of oral interview (pre-service and college certification track students). • Results of criminal history records check (pre-service and college certification track

students). • Completed Physician’s Assessment form (DJ-LE-332), or a form similar to DJ-LE-332,

providing authorization by a licensed physician, physician assistant or nurse practitioner for student participation in training (pre-service and college certification track students).

• Copy of high school diploma or high school transcript showing attainment of a high school diploma; or copy of high school equivalency diploma (HSED) or copy of certificate of general educational development (GED). (pre-service and college certification track students)

• Official college transcript showing attainment of at least 60 fully-accredited college credits (pre-service law enforcement students).

• Completed copy of the Birth Certificate Verification form (DJ-LE-322), or a certified copy of the student’s birth certificate (pre-service and college certification track students).