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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. Complete e
and Stalking in the Workplace
(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 Location of Training:
Mateo, Miguel
Bureau of Prisons — Staff Training Academy
Federal Law Enforcement Training Center (FLETC)
Course Codes: HRM-0100-BXX (76 hrs)
Course Title: Introduction to Correctional Techniques CSV-0430-BXX (28 hrs)
Phase II (BOPB-1864 & BOPB 1865)
STA will key this training
Training Period (Date/Time): # of Course Hours Training Codes:
Starts: Tuesday, August 28, 2018, 7:30 a.m. Duty Hours: 104 Purpose: 8
Non-Duty Hours: 0 Type: 8
Ends: Friday, September 14, 2018, 4:30 p.m. Total Hours: 104 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: Indirect Costs: Direct Costs:
Travel $
FP RR II 21 N1 17T
Per Diem $5.00 N/A
Other $
FMS — Yes STDS — Yes
AUTHORIZING OFFICIAL
Name: Signature: Date:
//s// 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:
7z 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 MCC NEW YORK
NOEL. TOVA (Add 7/19)
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
tova 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*
(Signature)
Date: u) 25•20It
Institution: Mee. iNletO ?jaiIt
PDF Prescribed by P3420
EFTA00122326
PS 3735.04
June 30, 1997
Attachment A, Page 1
Acknowledgement of Receipt of Notice
Whose Position Has Been Determined Subject to Employee
to Random Druq Testing
The Bureau of Prisons' Drug-Free Workplac
e
offer a helping hand to those who need it, Program is intended to
while sending a clear
message that any illegal drug use is, quit
e 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
testing for the presence of controlled subs urinalysis drug
tances.
You may be required to submit to testing
in the following drug
test categories:
1. Random Selection
2. Reasonable Suspicion of drug use on-,
3. or off-duty
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
medical documentation supporting the lawf opportunity to present
illegal drug. If the reviewing physicia ul use of an otherwise
n determines an employee
has used a drug(s) illegally, the employee
may request that a
portion of his or her specimen be subm
itted for re-analysis at a
certified laboratory of his or her choi
ce. Employee records
related to positive results are protected
by the Privacy Act.
A test result which the physician has foun
refusal to submit to drug testing may resud to be positive, or a
lt in disciplinary
action up to, and including dismissal.
Bureau of Prison's employees who are usin
g illegal drugs may seek
confidential assistance by contacting thei
r local Employee
Assistance Program Coordinator. An empl
oyee who makes his or her
drug problem known to his or her Chief
Exec
suspicion or investigation may qualify for utive Officer prior to
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
Statement on Employee Drug Testing. Prisons' Program
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 Pris
ons February 27, 2006,
memorandum titled "Guidance Regarding
the Law Enforcement
Officers Safety Act (LEOSA);" the Depa
rtment of Justice's January
31, 2005, memorandum titled "Gui
dance on the Application of the .
Law Enforcement Officers Safety
Act of 2004 to Current and
Retired Department of Justice Law Enforcem
ent Officers," title 18
D.S.C. S 3050; 28 C.F.R. SS 311.10-5
11.16, and the Department of
Justice Policy Statement on the Use of Dead
ly 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
ℹ️ Document Details
SHA-256
c032bb869dc707595e0b6155122c8bf4808011a56825a7c1029f16355184abbd
Bates Number
EFTA00122319
Dataset
DataSet-9
Document Type
document
Pages
10