Central Virginia Criminal Justice Academy
ONLINE TRAINING ENROLLMENT FORM
NOTE: THIS IS A TWO PAGE FORM
STUDENT INFORMATION: PAGE 1
SESSION DATES:October 1 - December15, 2012Last four ssn______
Name: Department:
Please place an “X” on the line next to the course (s) you would like to have a student enrolled.
New or recently revised courses have been placed in bold and italics
OPTIONS FOR LEGAL HOURS:
2010 Virginia Statute & Case Law Legal Update (4 hrs.)___
2011 Legal Update _____
2011 Virginia Case Law Legal Update (4 hrs.) ___
2011 United States Case Law Update (4 hrs.) _____
2012 Virginia Legal Update ______
Arizona v. Gant 2009 (1 hr.) ___
Legal Update (Case Law) for Jailors (4 hrs.) ___
OPTIONS FOR CULTURAL DIVERSITY HOURS:
Cultural Diversity Online revised 1-2011 (2 hrs.) ___
Racial Profiling (3 hrs.) ___
INSTRUCTOR RE-CERTIFICATIONS: (you must enroll in General if you enroll in a Specialty and you wish to have your General Instructor Status Re-certified)
Defensive Driving Instructor Re-Cert Online New for 2011(2 hrs.) ___
Firearms Instructor Re-Cert Online New for 2011(2 hrs.) ___
General Instructor Re-Cert Online New for 2011(2 hrs.) ___
Speed Measurement Instructor Re-Cert Online New for 2011(2 hrs.) ___
STUDENT INFORMATION: PAGE 2SESSION DATES:October 1 - December 15, 2012
Name: Department:
OPTIONS FOR CAREER DEVELOPMENT HOURS:
Alzheimer’s Disease (6 hrs.) ___ Gang Training (8 hrs.)___
Alzheimer’s Disease for Jail Staff (6 hrs.) ___ Identity Theft (4 hrs.) ___
Autism: Recognition and Response (2 hrs.) ___Inmate Con Games (3 hrs.) ___
Blood Borne Pathogens for Jail (2 hrs.) ___ Interviews and Interrogations (7 hrs.) ___
Blood Borne Pathogens for LE (2 hrs.) ___Line of Duty Death Benefits (0 hrs.) ___
(As a courtesy to our online agencies)
Bomb Threat Response (4 hrs.) ___Managing Mentally Ill Inmates (5 hrs.) ___
Cell Extractions, Safety, and Searches (4 hrs.) ___Managing the Older Offender (4 hrs.) ___
Community Policing (2 hrs.) ______NIMS/ICS Refresher (2 hrs.) ___
Consular and Diplomatic Immunity (7 hrs.) ___Officers and Online Social Networking ___ (2 hrs)
Counter Terrorism CBRNE (4 hrs.) ___Prison Rape Elimination Act (2 hrs.) ____
Counter Terrorism General Issues (8 hrs.) ___Search and Seizure (8 hrs.) ___
Counter Terrorism Prevent and Deter (3 hrs.) ___Serving Warrants (5 hrs.)___
Courtroom Security (4 hrs.) ____ Sovereign Citizen (6 hrs.) ____
Cross-Gender Supervision of Inmates (4 hrs.) ___Suicide Prevention in Jails (8 hrs.) ___
Dealing with Inmate Behavior (4 hrs.) ___Use of Force (8 hrs.) ___
Domestic Terrorism and Hate Groups (9 hrs.) ___Visual Tracking in LE (6 hrs.) ___
Drug Recognition Refresher (10 hrs.) ___Witness Intimidation (6 hrs.) ___
Please return both pages of this form to:Southwest Virginia Criminal Justice Academy
FAX to: (276) 645-3719 or
E-mail:
Form completed by (Please print): ______
Telephone Number:______Agency Email address:______