Bam III Reg Packet

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BAM Level 3 Registration Info/Checklist

Please be advised that you do not need entrance assessment testing for this level; you will, however, need both the POST written test and the WSTB physical agility test just prior to the final BAM level, Level 1.

You may phone in a deposit for this course (VISA or MasterCard) by calling our main office at 408/270-6458. Alternatively, you may pay your deposit in person with cash, cashiers check or money order. Sorry, no personal checks. You will remain on a waitlist status until we receive your deposit and the following three documents:

BAM III Cover Sheet MPC College Application/Registration Declaration

Additional forms required for submission: DOJ -- take this form to any Livescan location to obtain your firearm clearance. We recommend you utilize a law enforcement facility. Previous students have experienced a delay in receiving their clearance from an alternative, such as a UPS store. The document we need from you is the clearance letter that you will receive in the mail from the DOJ, not the receipt given to you from the Livescan location.

Medical Exam Report and Physical Clearance Limitation Forms -- take these six pages to your private physician no sooner than 30 days prior to the start date of your academy. Submit to The Academy as soon as possible after your physical exam.

Student Needs List -- this list will assist you with the purchase of required items needed for the academy. Please review it as soon as possible and proceed with the handgun process early -- you will have to take into account imposed waiting periods and other additional requirements may vary by supplier.

PT order. It is required that you come into our office in person to be fitted for your gear. This must be done at least one month prior to the start date of your academy.

In addition to receiving your deposit and all completed forms, official acceptance into the academy requires the following:

Photocopy of your valid CA drivers license;

Photocopy of your medical insurance card (you must maintain insurance throughout the academy);

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3-year abstract report from DMV (request from any DMV office); this must be dated from within 90 days from the start date of the Academy;

Final payment must be paid in full at least five (5) business days prior to start date of The Academy

As a reminder: all forms must be filled out completely and submitted to The Academy as indicated according to each forms timeline prior to the start date of your chosen course.

If you have any questions with regard to the forms package, please contact our front office at 408-270-6458.

BAM III Application/Cover Sheet

Last Name, First Name, Middle Initial: Birthdate: Social Security No:

Address, City, State, Zip:

Email: Cell Phone: Home Phone:

BOG Waiver? VA Benefits? Drivers License / I.D. #: Medical Insurance Carrier/Policy #:

Yes No Yes No

Place of Birth: U.S. Citizen? Have you lived in CA for at least 1 year?

Yes No Yes No (if no, how long? ____________) Physical Description: Weight: Height: Hair Color: Eye Color: Gender: Male Female Ethnic Background:

List any visible scars, marks, tattoos (be as specific as possible):

IF EMPLOYED BY AN AGENCY Department name: Phone: Department address: Number of years and months employed by department: Previous employer: Years in previous job: Total years in law enforcement:

MILITARY SERVICE Have you ever served in the Armed Forces of the United States of America? YES NO Branch: From: To: Highest rank attained: Principle duty performed:

FORMAL EDUCATION (indicate number of years and if graduated) High school: College: Units completed: Degree/s held: Other schools:

VEHICLE INFORMATION Year: Make: Model: Color: License:

EMERGENCY CONTACT Name: Relationship to you: Address: Phone Number: Cell Phone Number:

HOW DID YOU HEAR ABOUT THE ACADEMY Radio Friend Flyer Career fair Agency name Other

STAFF USE ONLY College Registration DOJ/Livescan Orientation Letter Declaration Medical Clearance Paid: CA Drivers License Copy PT Order Balance Due: Medical Insurance Copy Needs List File Completed DMV Printout Cancellation Policy Coordinator Sign Off

M P C Monterey Peninsula College

APPLICATION FOR ADMISSIONRETURN TO: MPC Admissions and Records Office 980 Fremont Street Monterey, CA 93940-4799

SOCIAL SECURITY/ I.D. NUMBER

__________-______-__________ Must Be Accurate

PLACE OF BIRTH BIRTHDATE

_______________________ _____-_____-_____ State if U.S.A. or Country Month Date Year

GENDER

Male Female

LEGAL NAME

LAST NAME: _______________________________________ FIRST NAME: ______________________ MIDDLE INITIAL: ____

PREVIOUS NAME USED AT MPC: _____________________________ TELEPHONE #: (______) ________________________

MAILING ADDRESS OR P.O. BOX: ___________________________________________________________________________

E-MAIL ADRESS: _________________________________________

CITIZENSHIP STATUS U.S. CITIZEN: YES If not a U.S. citizen, indicate status below: NO

(2) Permanent Resident Date Issued: _______________ (3) Temporary Resident Date Issued: _______________ (4) Amnesty (5) Refugee/Asylum (6) Student Visa (F-1 or M-1) (7) Other Status (Specify): ___________________________

ENROLLMENT STATUS (Enter appropriate number in box)

(1) NEW (K-12 student never attended college) (2) NEW TRANSFER (attended college elsewhere) (3) RETURNING TRANSFER (attended MPC, then another college) (4) RETURNING (last college attended was MPC) Date of last attendance at MPC: SEMESTER __________Year______ (5) CONTINUING (attended MPC last session/semester)

PRIMARY LANGUAGE Is ENGLISH your primary spoken language?

EDUCATIONAL STATUS (Enter appropriate number in box)

NOT A HIGH SCHOOL GRADUATE:

(1) Over 18 not a graduate of and no longer enrolled in high school (2) High School Enrichment student currently enrolled in grade K-12 (3) Currently enrolled in Adult School

HIGH SCHOOL GRADUATE, NO COLLEGE DEGREE:

(4) Received a U. S. High School Diploma (5) Received a GED or Certificate of Equivalency/Completion (6) Received Certificate of High School Proficiency exam (7) Foreign High School Diploma/Certificate

COLLEGE GRADUATE:

(8) Received an Associate Degree (9) Received a Bachelor's Degree or higher

ETHNIC BACKGROUND (OPTIONAL) (Enter appropriate number in box)

(10) White Non-Hispanic (21) Chinese (42) Central American (22) Japanese (43) South American (23) Korean (44) Other Hispanic (24) Laotian (50) American Indian, Alaskan (25) Cambodian (61) Guamanian (26) Vietnamese (62) Hawaiian (27) Indian Subcontinent (63) Samoan (28) Other Asian (64) Other Pacific Islander (30) Black Non-Hispanic (70) Filipino (41) Mexican (80) Other Non-White

EDUCATIONAL GOAL at MPC (Enter appropriate number in box)

(1) Personal Interest (not for employment) (2) Transfer to a four-year college with an Associate Degree (3) Transfer to a four-year college without an Associate Degree (4) Associate Degree, General Education (5) Associate Degree, Vocational (6) Vocational Certificate (7) Discover/formulate career interests, plans, goals (8) Job Skills - to prepare for a new job/career (9) Job Skills - to maintain or advance in current job/career (10) Maintain Certificate or license (e.g. Nursing, Real Estate) (11) Improve basic skills in English, reading, or math (12) Complete credits for high school diploma or GED (13) Undecided on goal

HIGH SCHOOL LAST ATTENDED (Check One)

273010 - Alisal 273000 - Everett Alvarez 274405 - Notre Dame 270000 - Ao Nuevo 273365 - Pacific Grove 273041 - Carmel 273365 - Pacific Grove Adult 273035 - Carmel Adult 274413 - Palma 273001 - Carmel Valley 274575 - Robert Louis Stevenson 270000 - Marina La Via 273455 - Salinas 273280 - Monterey 274493 - Santa Catalina 273250 - Monterey Adult 273534 - Seaside 273317 - North Salinas 274750 - York

Other High School: ____________________ County: ______________ State (if U.S.A.): ____________________or Country: ______________

DATE OF GRADUATION OR LAST ATTENDANCE: Month: ______Year: _____

COLLEGE MOST RECENTLY ATTENDED (to include MPC): _______________________

: _________________________________

: __________________________________

_______________ to _____________

MAJOR

INFORMATION RELEASE YES NO

AREA CODE PHONE NUMBER

STREET

FOR OFFICE USE ONLY PROCESSED BY: TELEPHONE PRIORITY

ZIP CODE STATE CITY

Can personal data and current enrollment info be released to transfer institutions without your written consent?

Estimate average number of hours per week you will work during your planned semester of enrollment:

NOTE: YOU MUST COMPLETE ALL ITEMS ON BOTH SIDES OF THIS FORM FALL 20 SPRING 20 SUMMER 20

Program of study you intend to pursue at this college: (See Major Code Sheet)

Check this box if you are a veteran of the U.S. Armed Forces:

YES NO

VETERANHOURS WORKED

City/State

Country

Dates: From

HIGH SCHOOL COLLEGE RESIDENCE RESIDENCE DATE

YEARRECEIVED:

I declare under penalty of perjury that the statements submitted by me are true and correct. All materials submitted for admission become the property of Monterey Peninsula College.

STATEMENT OF LEGAL RESIDENCE PART I - TO BE COMPLETED BY ALL STUDENTS For education purposes, California residency depends not only on presence in California for one year immediately preceding the opening of the semester or session, but also on acting toward establishing residence and intending to make California the home for other than a temporary purpose.

The one-year residency period (proof required) which a student must meet to be classified as a resident does not begin to run until the student is both present in California and has manifested clear intent to become a California resident. The burden is on the student to demonstrate clearly both physical presence in California and intent to establish California residence. When did your present stay in California begin? Month:_________ Date: __________ Year: ________

List states in which you lived for the last two years and the dates:

State: ____________________ From: _______________ To: _______________

State: ____________________ From: _______________ To: _______________

Did you file California State Income Tax? NO YES Last Tax Year: _____

Are you registered to vote? NO YES State: _____ Month/Date/Year registered: _______

In the last year, did you attend an out-of-state college as a resident? NO YES State attended: _______

In the last year, have you been the petitioner for a divorce in another state? NO YES State: ____

Do you have a driver's license? NO YES State: ____ Mo/Date/Yr Issued: ______

Do you have a California ID card? NO YES Mo/Date/Yr Issued: _______

Other proof of residency in California: ______________________________________________________________________________

PART II - TO BE COMPLETED ABOUT YOUR PARENT(S) OR LEGAL GUARDIAN(S) IF YOU ARE UNMARRIED AND UNDER 19 YEARS OF AGE

I have lived continuously for the past two years with my parents(s) or legal guardian(s) and he/she/they have lived continuously for the past two years at a California address NO YES

If 'YES,' Check one: Both Parents Mother Father Legal Guardian(s) Relationship: _____________

If 'NO,' give date that parent(s) or guardian(s) moved to CA: Month: _________ Year: _________

Did he/she file California State Income Tax? NO YES Most recent Tax Year: ___________

Is he/she registered to vote? NO YES State: _____ Month/Date/Year: _______

Does he/she have a driver's license? NO YES State: _____ Month/Date/Year Issued: _______

Does he/she have a California ID card? NO YES Month/Date/Year Issued: _______

Other proof of residency in California: _________________________________________________________________

PLEASE COMPLETE THE FOLLOWING ABOUT PARENT(S) OR LEGAL GUARDIAN(S):

Names(s) of parent(s) or legal guardian(s): _____________________________________________________________

Address: ___________________________________________ City: __________________ State/Zip: ______________

In case of emergency, please indicate a contact name and phone number(s):

Name: _________________________________________ Phone number(s): ___________________________________

PART III - TO BE COMPLETED BY ALL STUDENTS

Are you an active duty member of the U.S. military? NO YES / Branch of service: _________

Are you the spouse or dependent child of an active duty U.S. military person? NO YES / Branch of service: _________

If 'YES' to any of the above, what is the state of legal residence on military records? _____________________________________

If you are the dependent of an active duty member of the U.S. armed forces and wish to request exemption from nonresident tuition, you must complete the U.S. Military Dependent Resident Statement on the back of the Registration Form and obtain the required signature.

PART IV - TO BE SIGNED BY ALL STUDENTS

STUDENT'S SIGNATURE: _________________________________________________ DATE: __________________________________

FEES** AMOUNT $ 10.00 -Student Center Use Fee - ALL STUDENTS $ $ 17.00 -Health Fee - ALL STUDENTS $ 5.00 -Student Body Fee - ALL STUDENTS $ 26.00 -Enrollment Fee per unit** $ 190.00 -Nonresident Tuition per unit** $ 3.00 -Child Development Center Donation (optional) Cost Varies -Parking Permit Cost varies -Materials Charge $ 1.00 Student Representative Fee (optional)

TOTAL

MPC ID NUMBER

SEMESTER LAST REGISTERED

Registration Form

TODAYS DATE:

FULL LEGAL NAME:

OTHER NAMES USED:

MAILING ADDRESS:

PRINT E-MAIL ADDRESS:

- -PHONE:

LAST NAME FIRST NAME M.I.

NUMBER and STREET or POST OFFICE BOx NUMBER APARTMENT NUMBER

CITY STATE ZIP CODE

(4-DIGIT)SECTIONNUMBER

DEPT&

NUMBERUNITS

CHECk DAYS

M T W TH F SATIME

ALTERNATESECTION NUMBER

DEPT&

NUMBERUNITS

CHECk DAYS

M T W TH F SATIME

0123 ENGL 1A 3 X X X 8-9 am 0456 ENGL 1A 3 X X X 9-10am

ADD CODE ORINSTRUCTORS SIGNATURE

(Required for Late Registration)

The InsTrucTors sIgnaTure does noT overrIde prerequIsITes

* 1. For more than 18.0 units 2. If NEW to MPC and plan to earn a certificate, associate degree, or transfer to a 4-year college 3. From International Student Office, if NEW to MPC and

NOT on Permanent Resident Visa Status (B, F, M, etc.)

MaIl-In regIsTraTIon MusT be posTMarked by January 8, 2010.reTurn forM(s) coMpleTely fIlled ouT wITh payMenT To:

** all fees are subJecT To change. see The sTudenT fee InforMaTIon secTIon In ThIs schedule of classes.

SPRING REGISTRATIONMonterey Peninsula College980 Fremont StreetMonterey, CA 93940-4799

counselIng deparTMenT clearance requIred*

Make check payable To: MpcwrITe sTudenT Id nuMber

on fronT of checkno regIsTraTIon processed

wIThouT full payMenTCREDIT CARD NUMBER

EXP. DATEMONTH YEAR SIGNATURE

I:\INSTRUCTIONAL SERVICES\BASIC\Intake Forms\Declaration.doc

THE ACADEMY South Bay Regional Public Safety

Training Consortium 3095 Yerba Buena Road, San Jose, CA 95135

Phone (408) 270-6458 Fax (408) 238-0286 theacademy.ca.gov

DECLARATION BY APPLICANT FOR ADMISSION TO POST CERTIFIED TRAINING

I ______________________________________ have applied for admission to the South Bay Regional Public Safety Training Consortium for POST Certified Training. I hereby swear that I DO NOT have a criminal record that would disqualify me, pursuant to Section 12021 California Penal Code, for owning, possessing or having under my control any firearm that may be concealed.

I understand that not being truthful, or in any way deceiving the South Bay Regional Public Safety Training Consortium and its staff regarding my criminal record, will result in my immediate suspension from the course.

Print Name:

Signature:

Date:

Witnessed:

Date:

STATE OF CALIFORNIA DEPARTMENT OF JUSTICE

BCII 8016

(orig. 4/01; rev. 6/09)

REQUEST FOR LIVE SCAN SERVICE

Applicant Submission

ORI (Code assigned by DOJ) Authorized Applicant Type

Type of License/Certification/Permit OR Working Title (Maximum 30 characters - if assigned by DOJ, use exact title assigned)

Contributing Agency Information:

Agency Authorized to Receive Criminal Record Information Mail Code (five-digit code assigned by DOJ)

Street Address or P.O. Box

City State ZIP Code

Contact Name (mandatory for all school submissions)

Contact Telephone Number

Applicant Information:

Last Name First Name Middle Initial Suffix

Other Name

(AKA or Alias) Last First Suffix

Date of BirthSex Male Female

Driver's License Number

Height Weight Eye Color Hair Color

Place of Birth (State or Country) Social Security Number

Home

Address Street Address or P.O. Box City State ZIP Code

Billing

Number(Agency Billing Number)

Misc.

Number(Other Identification Number)

Your Number:

OCA Number (Agency Identifying Number)

Level of Service: DOJ FBI

If re-submission, list original ATI number:

(Must provide proof of rejection)Original ATI Number

Employer (Additional response for agencies specified by statute):

Employer Name

Street Address or P.O. Box

City State ZIP Code

Mail Code (five digit code assigned by DOJ

Telephone Number (optional)

Live Scan Transaction Completed By:

Name of Operator Date

Transmitting Agency LSID ATI Number Amount Collected/Billed

ORIGINAL - Live Scan Operator SECOND COPY - Applicant THIRD COPY (if needed) - Requesting Agency

CA0349400 POST CERTIFICATION (NON-SPONSORED 13511.5 PC)

POST CERTIFICATION

DOJ/BUREAU OF FIREARMS

P.O. BOX 820200

SACRAMENTO CA 94203-0200 9162271375

DOJ/BUREAU OF FIREARMS

P.O. BOX 820200

SACRAMENTO CA 94203-0200

MEDICAL EXAMINATION REPORT (To be completed by a Licensed Physician)

Part 1:

Name (Last, First, Middle):________________________________________________

Birthdate:_________Sex: Male Female Social Security Number:____________

COURSE: B.A.M. III & II OTHER (specify)__________________________

Dear Physician,

An examination of an individuals physical and mental fitness is required by the California Commission on Peace Officers Standards and Training (POST) prior to employment as a peace officer in a participating law enforcement agency.

The individual you are examining has been requested to obtain a Medical Clearance to participate in a Basic Training Program at the South Bay Regional Public Safety Training Consortium. The training program consists of several areas requiring demonstration of physical strength and fitness. Areas include, but are not limited to, Arrest Control Techniques, Firearms, Physical Fitness, and Scenario Training.

During the Arrest Control Techniques portion of the course, the individual will be required to apply and receive control type holds, perform repeated baton techniques, ground fighting techniques, and various other physical maneuvers. The control holds include various joint-locks designed to obtain pain compliance as well as take down techniques designed to obtain control and compliance. This class also includes demonstrated proficiency and use of the carotid restraint.

During this course, the individual will also be required to handle and shoot firearms (handgun and shotgun). If, during the course of your examination, you determine (or reasonably suspect) there is some mental deficiency which could be detrimental to the health and well being of this individual or others, you are requested to comment.

Your examination should include current and pre-existing medical conditions if applicable. Thank you for your attention and cooperation.

Over

South Bay Regional Public Safety Training Consortium

3095 Yerba Buena Road, San Jose, CA 95135 Phone (408) 270-6458 Website http://www.theacademy.ca.gov Fax (408) 238-0286

PART 2:

Having reviewed the individuals Medical History and having personally examined the individual, it is my opinion that:

PLEASE CHECK AND INITIAL (ONE): It is highly unlikely that participation in this program will pose significant medical risk.

The above named person should NOT participate in this program

Physicians Signature:_________________________________________Date:_____________

Physicians Address:___________________________________________________________

Physicians Phone Number:_______________________________

Comments:___________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

TO BE COMPLETED BY THE STUDENT:

I acknowledge that I have read and understand that this course contains several physical requirements. I have no current or pre-existing physical limitations or conditions that would preclude me from participating in the course.

Student Signature:_____________________________________Date:____________

Academy Use Only:

Received By:__________________________________Date:___________________

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J:\Course Management\Course Development\Student Needs Lists\BAM Level III\Student Needs List BAM III V-1-7-11.docx

Basic Academy Modular Level III

STUDENT NEEDS LIST (Revised 1/7/11)

This Needs List is designed to inform and prepare you for entry into the Basic Police Academy Modular III Level Course.

Basic Police Academy Modular Level III

This course (along with the subsequent completion of Modular Levels II and I) meets all training standards governed by the Commission on Peace Officer Standards and Training for the first of three Basic Police Academy modules and Reserve Level III peace officers in the State of California. The Academy offers this 164 hour course in the following two formats:

1. Sunday, generally from 8:00 A.M. to 5:00 P.M. and Monday, Tuesday, Wednesday from 6:00 P.M. to 10:00 or 10:30 P.M. (20 Hours per week)

2. Saturday and Sunday, generally from 07:30 A.M. to 4:30 P.M. (16 Hours per week)

You will be provided with a complete course schedule on the first day of class. This is a highly demanding course with both academic and physical components and will require a significant amount of your time, both inside and outside the classroom.

Class Cancellation: Class offerings are contingent upon sufficient student enrollment. The purchase of equipment should be done after confirming that the class will be offered. The Academy will announce confirmation of class offerings as soon as minimal enrollment is met.

The

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Academy Staff The Academy Staff is comprised of both current and retired peace officers that are dedicated to your success and training. Staff and students work together to present a training environment where all students have the opportunity to succeed. The Academy staff is available to answer questions and help you prepare to enter the course. Please call Instructional Services at 408-270-6458 if you have questions related to the Basic Academy.

Entrance Requirements You must comply with all entry requirements in order to attend the Basic Police Academy Modular Level III course. 1. Proof of Valid California DL/DMV Abstract (3 year) 2. Proof of Current Medical Insurance 3. DOJ Clearance 4. Medical Clearance (must be on Academy form)

Drivers License Requirements 1. Valid California Drivers License is required. 2. DMV abstract of your California Driver's License must be given to Instructional Services prior to

the start of the class.

For those agency-employed students, a verification letter of entrance requirements from your training supervisor is acceptable.

D.M.V. will provide DL abstracts for a fee.

Student Fees You will be provided with necessary equipment and materials to complete the course (i.e., POST Workbooks, Penal Code, etc). The cost of materials will be provided at the time of enrollment through Instructional Services. You must supply your own writing instruments, notepaper or other supplies as deemed necessary.

As a student, you will receive college credit for this course and as such, you will be required to pay all fees associated with required college registration. Fees are announced and stated, refer to the Student Materials and Fee form for details.

Residency Requirement If you are a Non-affiliated student who has not lived in California for at least one year and one day from the day proceeding the opening day of instruction, of the quarter semester or other session; you will be subject to out-of-state registration fees. Please inquire with Instructional Services if you have any questions regarding out of state college registration. Reference Code ECS68023, T54002.

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Reservations, Payment, and Cancellations Reservations will be accepted once you have paid the required deposit fee. In the event you cancel your reservation within 21-days of the start of the class, this fee is non-refundable. If you cancel your reservation prior to the 21-day cancellation period, all fees will be returned to you. Payment must be made either by cashier check, money order Visa or Master Card. Cashiers checks or money orders must be valid for at least 90 days and made payable to: SOUTH BAY REGIONAL PUBLIC SAFETY TRAINING CONSORTIUM OR S.B.R.P.S.T.C.

Subject to Change Academy fees are subject to change. Academy materials and equipment requirements are subject to change. Please contact student services for current fees and academy requirements. A minimum cancellation fee will be assessed for cancellations occurring less than 21 days prior to the class start date.

UNIFORM REQUIREMENTS

BOTH Agency and Self-Sponsored 1. Academy uniform - Shirt & Pants (refer to specifications). 2. Black boots: must be plain toed, military / police type boots. High gloss shine required. Boots must

be hand shined using real wax. NO Leather Lust or similar product can be used to shine boots. NO PATENT LEATHER.

3. Socks: Uniform socks may be of any color or material, but must NOT be visible while wearing boots.

4. Duty belt: Basket-weave black belt, 2.0 2 inches wideagency students may wear agency approved duty belt.

5. Trouser belt, black, uniform style, 1 1 inches wide. 6. Baseball cap, navy blueprovided by the Academy. 7. During colder winter months, affiliated students may wear agency-approved jacket / coat providing

the jacket is plain with no lettering other than an agency patch (optional) worn at the top of the sleeve at the shoulder. Self-sponsored students may wear appropriate police-style "Tuffy" jacket (black in color) with or without Academy patches. (See Uniform Standards Sheet).

8. Optional: black turtle neck shirt to wear under sweatshirt in cold weather. 9. Agency / Academy approved raincoat and pants (black or yellow). 10. Black BDU (fatigue style) pants must be bloused and worn with boots.

UNIFORM SPECIFICATIONS The wearing of The Academy uniform is a privilege. You will maintain the highest professional standards of behavior and appearance when wearing The Academy uniform. Failure to maintain these standards will result in corrective action by Academy Staff.

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CLASS "B" The Class B uniform will be worn as directed. The shirt will be tucked in at all times. Clothing will be cleaned and pressed. Bootlaces will be tucked into the boot.

Cover: Blue Baseball cap (Academy-issued). Shirt: Gray polo style shirt with student name on back Pants: Black BDU (Fatigue style), bloused. Two options include: 1) Proper rip stop BDU or,

2) 5.11 TDU (NOT Tactical style). Boots: Military style jump boots / police style high-top work/duty boot capable of being polished. Leather: Full leather with empty weapon and empty magazine holder.

Leather Gear/Equipment Leather or simulated leather with basket weave pattern and capable of presenting a highly polished look is required. NO nylon/cloth type of gear is allowed. Exceptions must be pre-approved by Academy Director

1. Holster. 2. Trouser belt (see uniform), 3. Belt flashlight holder (black or hidden snap, Velcro or agency approved). 4. Flashlight case (black). 5. Belt keepers (black or hidden snap, Velcro or agency approved). 6. A 26"or 29" straight wooden / composite police baton, black in color (grommet required) must be

used during the first half of the course. A collapsible baton (black in color) may be used during the second half of the Defensive Tactics course (Instructors / Coordinators will notify you when the change can be made).

7. Baton-ring (black or agency approved). 8. Handcuffschain type (two optional). 9. Handcuff case-closed (black or hidden snap, Velcro or, agency approved). 10. Duty belt - Sam Brown belt - basket weave (silver buckle if a buckle is needed) with. Black

nylon/plastic snap closure is allowed. Agency Recruits may wear Department approved belt. 11. Flashlight - 15,000 - 25,000 candlepower for 30 minutes, pressure activated. 12. MARK III INERT Spray (provided by the Academy) and matching OC spray holder (provided by

student). 13. Three magazines (3). 14. Double magazine holder (black or hidden snap, Velcro or agency approved). 15. Ear protectorsear muffs required for indoor range and may be purchased through the Academy

bookstore. Ear plugs may be used at outdoor ranges. 16. Eye protection (may be purchased through the Academy bookstore).

Agency sponsored recruits may wear the type of duty equipment required by their department (i.e., Brass or Velcro, non-basket weave, nylon etc.).

Equipment and gear must be matching in appearance (there will be no mix-matching of silver snaps, black, Velcro, hidden or brass snaps allowed).

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Firearms and Ammunition 1. The Academy allows 9mm, .40 caliber and .45 caliber semi-automatic pistols ONLY. The approved

weapon must be a full size duty weapon and NOT model typically used as an off-duty or under cover weapon. (The Academy will NOT provide you with pistols). If in doubt, ask the academy coordinator prior to purchasing your weapon.

2. Ammunition is provided by The Academy and is included in the course fees. Only Academy provided ammunition shall be used.

3. Shotguns will be provided by The Academy. 4. No weapons will be used at The Academy Range without approval of the Academy Coordinator or

Director. 5. Agency personnel: you should contact your employer for firearms. 6. Self-sponsored personnel: you are required to supply your own 9mm, .40, or .45 caliber firearm (No

Single Action or Cock & Lock Style semi automatic weapon allowed).

ALL ammunition, for both pistol and shotgun, will be provided by The Academy and is included in the Course Fees.

DO NOT bring your firearm to The Academy until directed to do so by The Academy Coordinator.

First Day Needs List You will need to have the following items on the FIRST day of class: 1. YOU MUST BE IN YOUR ACADEMY CLASS B UNIFORM. 2. NO DUTY BELT is to be worn on the first day. Duty belts will be required during the first or

second week of the Modular III Academy AS DIRECTED BY THE COURSE COORDINATOR. 3. NO FIREARMS are to be brought to class until the FIRST DAY of SCHEDULED FIREARMS

TRAINING AND WHEN DIRECTED TO DO SO BY THE COURSE COORDINATOR. 4. Wrist Watch (black band). 5. College Rule Binder Paper (3-ring). 6. No. 2 Lead Pencils (at least 2). 7. Small Notepad (capable of fitting into shirt pocket). 8. Medium point, black ink Pen. 9. Highlighter. 10. White Out type correction fluid or tape. 11. Recruit Procedures Manual, LD books (all provided by The Academy).

If applicable, during the first week at The Academy, you will be assigned a locker and must provide your own towels for showering.

Personal Computer Usage: You may use a personal laptop computer during classroom instruction AFTER AUTHORIZED TO

DO SO BY THE COURSE COORDINATOR. A computer is necessary for accessing certain secondary resource materials provided by The Academy (i.e., Student Resource CDROM).

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Grooming Standards Hair Standards 1. Hair, for both male and female recruits will be worn so that it does not extend below the top of the

collar or touch/cover any part of the ears. 2. Hairstyles should generally be worn short. Longer hair must be pinned up under the hat with hair

fastening devices. 3. No hair will protrude beyond the edges or outside of the hat. 4. Hairstyles will be such that it facilitates wearing the academy/department hat in accordance with

standards. 5. Hair will be pinned-up at all times except during PT. Longer hair will be pulled back with a

fastening device during PT. 6. Male recruits hair will be tapered on the sides and in the back. It will not be "blocked" at the back

of the head. 7. The Academy does not permit colored dyes or washes that dramatically change the natural hair color

(i.e., blues, purples, greens, etc.).

Facial Hair Standards 1. Mustaches will not extend below the crease of the mouth and will be trimmed to expose the colored

portion of the upper lip, and will not extend more than 1/4 inch beyond the edge of the mouth. 2. Beards and goatees are prohibited. 3. Sideburns will not extend below the middle of the ear. 4. The face shall be clean shaven daily except as outlined above.

Professional Appearance 1. Fingernails will be trimmed so that they do not extend beyond the fingertip. 2. Only clear nail polish is permitted. 3. Facial makeup shall be kept to a minimum. 4. Light facial rouge and eye shadow of a natural skin tone are permitted. 5. Lip-gloss of a high sheen, bright or unnatural color and false eyelashes are prohibited. 6. Perfume and/or cologne should not be worn. 7. You will be expected to maintain proper body hygiene standards conducive with professional

appearance and image. 8. Tattoos (body art) shall be covered at all times while attending the Academy.

Physical Training No formal Physical Training (PT) is required in Modular Level III however; some training (Arrest Control/Defensive Tactics, Firearms as well as Drill and Inspections) requires physical exertion.

Students planning to continue on to the Modular Level I course should be aware that modular Level I does require Physical Training as is very demanding. Current Level III students should begin a physical conditioning program designed to enable them to meet the following minimum standards for the FIRST DAY of the Modular I academy:

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1. Aerobic capacity-- sustained jog for at least 20 minutes (about 2 +/- miles) within your personal aerobic conditioning range--without stopping! This means that different recruits will run at different paces, and you must keep moving (jogging) for the full 20 minutes.

2. Core strength--sustain a basic plank position of about 60 seconds. 3. Abdominal strength--perform at least 30 bent leg sit-ups in a minute. 4. Integrated strength--perform at least ten (10) four count burpees (up-downs) at a slow pace

without stopping. 5. Upper body strength--perform at least ten (10) full-range pushups without stopping. 6. Flexibility and range of motion--have performed a variety of dynamic and static movements to

have developed reasonable flexibility and range of motion. 7. Body Mass Index (BMI)--show up with a reasonable BMI. Should you be carrying excessive

BMI, we encourage you to lower your BMI to reduce the risk of injuries and enhance your ability to be successful throughout all physical aspects of the police academy. One of many excellent websites on BMI is http://www.cdc.gov/healthyweight/assessing/bmi/

Physical Training will occur almost every day of the Modular Level I course. You will be required to run. Runs will consist of distance runs between 2-6 miles and shorter sprint-type runs. Weight and circuit training will also be done. You will be running on varied surfaces, including but not limited to, asphalt / pavement, dirt and grass.

Purchasing a Uniform The standard uniform to be worn in the Basic Police Academy is the matching shirt and trouser, navy blue in color, and altered to fit properly. The uniform may be purchased at any one of the following vendors (items may also be purchased on-line from various vendors):

10-8 POLICE SUPPLY www.10-8gearonline.com 2249 The Alameda, Santa Clara, CA (408) 247-4327 GALLI UNIFORM CO. www.galliuniform.com 4242 Capitola Road, Capitola, CA (831) 475-1911 LC ACTION www.lcaction.com 1088 North First Street, San Jose, CA (408) 294-2677 PENINSULA UNIFORMS www.peninsulauniforms.com 2626 Broadway, Redwood City, CA (650) 701-0911 SALINAS VALLEY PRO SQUAD www.svprosquad.com 221 Griffin Street, Salinas, CA (831) 758-2128 SUMMIT UNIFORM summituniforms.com 545 Meridian Avenue, Ste. A, San Jose, CA (408) 293-8633 UNIVERSAL UNIFORMS www.831uniforms.com 711 S. Main Street, Salinas, CA (831) 757-1126

Previously Worn Uniforms

THE ACADEMY BOOKSTORE 4750 San Felipe Road, San Jose, CA (408) 270-6458

Student Needs List BAM Level III V-5-09.pdfPortable Computer Usage

First Name:

Last Name:

Middle Initial: Suffix: AKA or Alias Last: First: Suffix_2: Date of Birth: Drivers License Number: Check Box2: Check Box3: Place of Birth State or Country: Street Address or PO Box: City:

State:

ZIP Code: Social Security Number:

Place of birth: Birth date: Middle: Previous Name Used at MPC: Telephone: Mailing Address: Email:

Check Box1: 0:

1: 2: 3:

English-Yes: English-No: Status: Date of last attendance at MPC SEMESTER: Date Issued: Date Issued_2: Citizen-6: Other Status Specify: E: Alvarez:

Educational Status: RECEIVED: Ethnic: 1Background: 1Educational Goal: Alisal: 1:

Notre Dame: 8:

Pacific Grove: Other High School: County: State if USA: or Country: to include MPC: Country: Dates From: Ano Nuevo: Carmel: Carmel Adult: Carmel Valley: Marina La Via: Monterey: Monterey Adult: North Salinas: Pacific Grove Adult: Palma: Robert Louis Stevenson: Salinas: Santa Catalina: Seaside: York: DATE OF GRADUATION OR LAST ATTENDANCE Month: Year_2: City/State: Info Release-Yes: See Major Code Sheet: Info Release-No: Veteran?: hours worked: Month_2: Date: Year_3: To: State_2: From_2: To_2: NO: YES Last Tax Year: undefined_13: NO_2: YES State: undefined_14: MonthDateYear registered: undefined_15: In the last year have you been the petitioner for a divorce in another state:

YES State attended: YES State_2: YES State_3: YES MoDateYr Issued: 1: 2: MoDateYr Issued: undefined_16: Other proof of residency in California: I have lived continuously for the past two years with my parentss or legal guardians and heshethey have lived continuously for the:

Both Parents: Mother: Father: Legal Guardians: Relationship: Month_3: Year_4: Most recent Tax Year: undefined_17:

YES_2: YES State_4: YES State_5: YES MonthDateYear Issued: MonthDateYear: 1_2: 2_2: MonthDateYear Issued: undefined_18: Other proof of residency in California_2: Namess of parents or legal guardians: Address:

StateZip: Name: Phone numbers: NO_12: YES Branch of service: NO_13: YES Branch of service_2: 1_3: 2_3: If YES to any of the above what is the state of legal residence on military records: DATE: Semester Last Registered: Today's Date: Other Names Used: Apt: #:

Initial:

Birthdate:

Social Security:

Zip:

Cell Phone: Home Phone:

Loans/Grants-Yes: Loants/Grants-No: VA Benes-Yes: VA Benes-No: Drivers License ID: Medical Insurance CarrierPolicy: Place of Birth: Citizen-Yes:

Citizen-No:

CA Resident-Yes: CA Resident-No: Time in CA: Weight:

Height:

Hair Color:

Eye Color:

Male:

Female:

Ethnic Background: Decline to StateList any visible scars marks tattoos be as specific as possible: Department name: Department phone: Department address: Number of years and months employed by department: Previous employer: Years on previous job: Total years in law enforcement: Military-Yes: Military-No: Branch: From:

to:

Highest rank attained: Principle duty performed: High school: College: Units completed: Degrees held: Other schools: Year:

Make: Model: Color: License: PERSON TO NOTIFY IN CASE OF AN EMERGENCY: RELATIONSHIP TO YOU: Emerg Address: Emergency Phone: Emergency Cell: Radio: Friend: Flyer: Career Fair: Agency name: Agency Referral: Other Referral: Other:

Documents

Bam III Reg Packet