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CORRECTIONAL OFFICER CORE COURSE
STANDARDS AND TRAINING FOR CORRECTIONS (S.T.C)
FALL 2014 COURSE ANNOUNCEMENT
Theory and application of Corrections Officer Training. The curriculum meets State Board of Correction
requirements. Units of course study include: criminal justice system, codes and statutes, professionalism/ethics,
classification of inmates, contraband/evidence, booking and receiving, releasing, maintaining, security, report
writing, supervising inmates, distribution of supplies, monitoring health, management of inmate workers, screening
visitors and mail, transport of outside facilities, emergency procedures, testifying in court, and physical tasks.
DATES OF COCC CLASS: TUESDAY, September 23, 2014 - October 22, 2014
8:00 a.m. to 5:00 p.m. (Tuesday-Saturday Schedule)
STC Certification:
0244-020054
College Credits:
7.5 Units / 177.75
Class Code:
AJ70A-7.0 units (M1582) and one session of:
AJ70B-.5 units (3084) or (M3085) or (M4779)
Facilitator:
Dennis McKenzie
Location:
Marysville Campus, East Lot, Room 2150
Required Costs:
See additional information on the spec sheet for “COCC”
832PC40 Hour IMMEDIATELY follows this course:
LAWS OF ARREST AND SEIZURE – (October 23, 2014 – October 29, 2014)
(40 Hour certification- 5 day class) – runs Th, Fri, Sat, Tu & Wed
832PC FIREARMS October 30 – November 1, 2014 (24 HR CERTIFICATION – 3 DAY))
Requirements for these courses are combined with this packet. – Runs Fri, Sat & Sun
Registration:
No student will be able to add name to course roster until all pre-requisites are completed and
submitted which are Health/History, Par-Q and Medical Clearance for all courses including the
832pc 40 hour class plus the Live Scan for the 24 hour Firearms. A student account can be
created anytime at www.yccd.edu and must be done prior to enrolling in the course.
Special Notes pertaining to Requirements and PreRequisities:
*** All listed forms/documents are on the website*** (yccd.edu)
1. Students must wear navy blue P.T. clothing (with required A.J. T-shirt) for all physical training
within the academy. Students are required to purchase either A.J.Logo shorts or sweat pants.
All other A.J. clothing is optional. Always bring your physical training clothing with you on the
first day of class along with 2 combination locks for your locker.
2. For invoicing purposes, any sponsoring agency must provide information stating whom they
are sponsoring, address, phone number and contact name.
3. Each student must submit a Health/History Statement, Par-Q and a medical clearance PRIOR
to participating in the physical training within this academy. Any concerns will involve future
contact with that student and/or agency.
4. Daily classroom attire will consist of agency logo polo or uniform; non-affiliated students will
wear black BDU pants, and a polo shirt with an A.J. logo that can be purchased through
vendor of your choice.
5. It is highly recommended that each student bring a current penal code abridged and a
dictionary; a Title 15 will be provided.
Yuba Community College
2088 North Beale Road, Marysville CA 95901
(530) 741-6923; Fax (530) 749-3874
http://www.yccd.edu/aoj email: rordiway@yccd.edu
PERSONAL INFORMATION AND NOTIFICATION
Please complete for 832 p.c., and/or Correctional Officer Core Course
Please Turn This Form In With All Other Pre-Requisites
Please check the box next to the courses you wish to enroll in:
Course(s):
□ COCC - September 23, - October 22, 2014 - (Tue – Saturday)
□ 832 PC Laws of Arrest (40 hr) October 23 – October 29, 2014
Th, Fri, Sat. (skip Sun/Mon) Tu & Wed
□ 832PC Firearms (24 hr) - October 30 – November 1, 2014
Th, Fri & Sat
Personal Information:
Student ID#_______________
Name: __________________________________ Email:________________________________________
Address: ______________________________________________________________________________
Number/Street
City
State
Zip
Best Phone Number: _______________________________ DOB:_______________________________
Mailing address (if different from above)____________________________________________________
Veteran (please check one) Yes  No 
Agency Affiliation:
*(If Applicable)*
Agency: __________________________________ Contact : ____________________________________
Address: ______________________________________________________________________________
Number/Street
City
State
Zip
Phone Number: ____________________________ Email:______________________________________
Billing Address (if different than above): Contact: ____________________________________________
______________________________________________________________________________________
Number/Street
City
State
Zip
Phone Number: ____________________________ Email: _____________________________________
Checklist to Complete Enrollment (please initial before submitting to our office):
___
Application Process with Yuba College (www.yccd.edu “Apply Now”) – Student ID created or account updated.
___
I understand that a Yuba College duplication/material fee will be added to my student account in the amount of: $27.08 for 1)
COCC- for 2) 832pc –40 hour no more than $21.87 will be added my account. For 3) 832pc 24 – hour – no more than
$3.60 added to my account. All duplication costs are non-refundable.
___
I understand that the Yuba College fees for the courses are as follows: AJ70A/B (COCC) - $345.00; AJ54A (Laws of Arrest)
- $69.00; AJ54B (Firearms) - $23.00; in addition to the $10.00 student service fee per semester (fees are non-applicable if
you qualify for a BOGW). You have 10 days for your class (COCC) or you will be dropped (agencies exempt).
___
___
___
Parking: COCC/832pc : has to be purchased on-line - $40.00 - (Agency may send a PO and then be invoiced).
Please Invoice My Agency ______________
or
Amount
Check or Money Order Included
__________________________________________
or
Date
Check No.
Amount
Visa/Debit Payment/Cashier ___________________________________________
Date
Receipt
Amount
D.O.J. Clearance (832 p.c. Firearms Only)
___
___
Health/History & Par Q
Medical Clearance (Non-Affiliated or Affiliated Form)
___
___
Academy Checklist:
Correctional Academy (C.O.C.C.) and 832pc- Laws of Arrest / Firearms
By following this checklist, you should be able to complete the necessary steps to properly enroll
In any of the above mentioned courses.
Pre-Requisites & Miscellaneous Information:
D.O.J./Law Enforcement Agency Clearance:
Live Scan fee for the processing agency (costs vary), $50-$76
payable to D.O.J.). Must take in the application form (pick up in
the office or we can email you) Request for Live Scan Services
found at www.ag.ca.gov for Level of Service DOJ only, no FBI
needed.
Students affiliated with an agency may submit a letter
stating D.O.J. clearance through background process (13511.5
p.c.). Clearance must be 90 days current for non-affiliated
students.
Medical Clearance:
Prior to taking medical clearance document (Medical ClearanceNon-Affiliated form) to physician for signature, please also
complete the Health History/Par Q. You may go to Urgent Care to
complete this form. If you are affiliated with an agency, you may
submit the Medical Clearance-Affiliated form.
832 p.c.
(Firearms Training Only)
Must turn into the office prior to starting course.

Live scan should be done
1 month prior to class
– 90 day expiration.
COCC / 832pc
College Registration:
1. www.yccd.edu “Apply Now” to reactive your account Registration Fees/Course Unit Fees: $46/unit
and update your student status. This ID and password (California Resident) plus $10.00 Student
are not the same as the YC Web Advisor log in. If you Service Fee per Semester:
cannot get logged in, please call 800-468-6927 and they
 832PC Fees (2.0un/64hrs);
will provide that for you. You may also provide
(1.5un/40hrs);(.5un/24hr)=$23.00 & $69.00
information on line to have your password emailed to you.
2. Call or email Public Safety when you have completed
 C.O.C.C Fees (7.5units)=$345.00
the application and have the pre-requisites ready
(530) 749-3879 or rordiway@yccd.edu)
3. Public Safety Staff will clear your name for enrollment
and add any additional fees to your account.
4. www.yccd.edu “Web Advisor” to log in to your student
account. ID will be the capitalized first letter of your last
name + seven digit colleague ID number. Password will
be your six digit date of birth unless you have changed
your password at an earlier time.
Public Safety Fees Paid to Yuba College:

832PC – Material/Duplicating Fees (POST I-V Books)

C.O.C.C. – Material/Duplicating Fees
832p.c. Firearms (24 hr.) = $3.60
832p.c. Arrest (40 hr) = $21.87
C.O.C.C. = $27.08
Affiliated students may request invoicing to
respective agency for these fees. Please provide
contact/invoicing information.
Parking Decals:
The Yuba College website, Campus Life, has more
information about decals should you need assistance.
832p.c. Fireams = $2.00 - 1 daily pass
832p.c. Arrest = $10.00 - 5 daily passes
* Daily Decals: can be purchased in each lot for $2.00/day.
C.O.C.C. = $40.00
*Semester Decals: can no longer be invoiced or purchased at
Yuba College. This decal is for the entire semester and has *The $40.00 decal allows you to park on
to be purchased on-line through your student account.
campus the entire semester and is
1. Log in to WebAdvisor
recommended should you attend both
2. Go to “Students” Link
COCC and 832pc.
3. Look under “User Account” Block – top left
4. Click on “order parking permit”
5. On the WebAdvisor Order Parking Permit Page-click on the “order
parking Permit” hyperlink. DO NOT CLICK THE “OK” BUTTON.
6. You will now be directed to the “Credentials Order Process” page and
follow the necessary steps.
Decal Delivery Details:
Parking decals are produced the next day
and placed in the USPS mail for delivery
to the address you specify. It will take 57 business days to deliver your decal.
Please plan ahead.
If Applicable
Hotel Accommodations:
Please see website for a list of hotels or go to
www.visityubasutter.com for a list of hotels, restaurants and
local community events.
Financial Assistance:
Military personnel should check with Veterans’ Office for
benefits. Please call 530-741-6822 for more information.
You will need your DD214. Please call Financial Aid
Department for any information pertaining to assistance and
the BOGW. Their number is 530-741-6781.
If Applicable
Public Safety Contact Information:
2088 North Beale Road, East Lot, Room 2101
Marysville, CA. 95901
Office: 530-749-3879
Fax: 530-749-3874
rordiway@yccd.edu
Call or email for clarification
Uniform Purchases:
You may choose any vendor who is able to provide you with the required specifications for the academy uniforms. If you
choose to use a vendor that is not on this list, please provide them the list of requirements. However, Action Uniform and
TJ North may be the only vendors that carry the Yuba College logo for any clothing requiring it.
Action
Uniform/Sport T’s
765 Sutter Street
Yuba City, CA. 95991
530-673-6783
actionuniforms@sbcglobal.net
TJ North
313 D Street
Marysville, CA. 95901
530-742-6336
www.tjnorths.com
Course Requirements:
Class “A” Uniform:
Specs
Agency Uniform
Department Authorized
Uniform or Agency Polo
Shirt with Slacks
Color: Oxford,
w/Academy Logo, Mfg:
Port Authority brand,
#K420 (C.O.C.C. on
right side, AJ logo on
left)
Any Color - Wrinkle
Free
Plain or Simple Design
Any Color Jeans/Slacks,
clean, no holes/rips or
Black BDU pants
Polo Shirt
Polo, Button
Dress Shirt
Pants/Trousers
Dress Belt
Black BDU, Mfg:
Proper, #F5243, w/belt
Black Belt
Class
Required
Approx.
Cost
C.O.C.C
Issued by Agency
N/A
2 Recommended
1 Required
29.95 ea.
(Non-Affiliated students)
832 p.c. (40 hr.)
Not Specified
Varies
832 p.c. (40 hr.)
Not Specified
Varies
C.O.C.C.
1
$40.00
Provided with BDU pants
1
(Affiliated students ONLY)
C.O.C.C
N/A
Footwear
Socks
Black boots, plain toe or
black shoe that can hold
a polish (cadets can wear
the tactical boots that
have nylon sides for
breathing).
C.O.C.C
1 pr.
100.00
Dress Shoes, Walking
Shoes; Clean
832 p.c.
1 pr.
Varies
Black, Good Quality
C.O.C.C.
Not Specified
Black, White, Tan, Navy
Blue; Plain
832 p.c.
Not Specified
Dark Navy, 511 Tactical
response jacket,
SKU#511-480116 (NO
AJ LOGO) (No Name
required)
Any Course
Optional or
personal jacket
Varies
Jacket
$59.00
Physical Training Uniform
Specs
Class
Required
Approx. Cost
Sweat Pants
Blue, black or gray, no
logo required
832 p.c.(40 hr)
1
Varies
Blue, academy logo
(not required if
purchasing shorts)
Black, blue or gray, no
logo required
C.O.C.C.
1
25.00
832 p.c. (40 hr.)
1
Varies
1
19.95
Shorts
T-Shirt
Sweatshirt w/hood
Blue, academy logo, 3-4
in. above knee
(not required if
purchasing sweat pants)
White, No Logo, No
Name Required
(Name on T-Shirt is
Recommended)
White, academy logo,
first initial last name on
front, last name on back
Navy Blue (name on
front/back-optional)
(academy logo on front)
C.O.C.C.
832 p.c. (40 hr)
2
Varies
or
12.50 ea.
C.O.C.C.
2
All Courses
Optional
40.00
Socks
White, Cotton Blend
All Courses
Not Specified
Varies
Athletic Shoes
Good Quality, clean
All Courses
1
Varies
Water Bottle
Athletic or drink
container w/lid
All classes
(DTAC and Firearms)
Recommended
Varies
Range Uniform
Specs
Class
Required
Approx. Cost
BDU Pants
Black BDU pants or
Jeans – clean,
comfortable fit, no holes
Black or Blue
(denim/canvas)
w/ or without Academy
Logo
Black boot
(plain toe, nylon sides
acceptable), or shoes
with good grip/traction
Athletic, or drink
container w/lid
832 p.c. (24 hr)
1
40.00
832 p.c. (24 hr)
1
AJ cap (optional)
16.00
varies
832 p.c. (24 hr.)
Optional
109.99
832 p.c. (24 hr.)
Recommended
Varies
832 p.c. (24 hr.)
Recommended
12.50
832 p.c. (24 hr.)
Recommended
Varies
Ball Cap
Footwear
Water Bottle
T-Shirt
Raingear
White, academy logo,
first initial last name on
front, last name on back,
or plain white shirt
Clear preferred,
inclement weather
Equipment
Specs
Sidearm
Class
Required
Approx. Cost
9mm, .40, .45 caliber
Reputable manufacturer,
Semi-Automatic,
Double/Single Action
(Weapons are available
for use at the range but
highly recommended
that you provide your
own weapon)
Varies
832 p.c. (24 hr.)
Recommended
Varies
832 p.c. (24 hr.)
1
30.00
832 p.c. (24 hr.)
500-600 Rds.
300.00
varies
832 p.c. (24 hr.)
Recommended
10.00
832 p.c. (24 hr.)
Required
(provided w/college
weapons)
Varies
832 p.c. (24 hr.)
1
(provided w/college
weapons)
Varies
832 p.c. (24 hr.)
Recommended
Varies
832 p.c. (24 hr.)
Issued by staff
Varies
CA “Quick Code”
Varies on type of
weapon
(college weapons are
9 mm Glock)
Comfortable Fit, Scratch
Free, college issues to
students but may want to
provide your own for fit
and clarity
Min. 3 Magazines
Carrier: if leather, brass
snaps, two magazine
holder
Make and model your
weapon or 9 mm for
college sidearm. Make
sure it has an inside
thumb break.
Leather/brass buckle or
Nylon or Agency issued,
do not mix two types
Affiliated students may
wear issued vest, college
vests issued to all
students.
Follett: Marysville
Campus
882 ES / 200AS
882ES
Current Year’s Edition,
Abridged
Current Year’s Edition
Dictionary
Binder with Tabs
Gun Cleaning Kit
Sidearm Ammunition
Safety Eye Protection
Magazine/Carrier
Holster
Duty Belt
Protective Vest
Follett/Yuba Bookstore or vendor
of your choice:
Scantrons
530-741-6998
832 p.c.
C.O.C.C
832 p.c. ,C.O.C.C.
Provided
Provided
Recommended
Included in fee
832 p.c., C.O.C.C.
Recommended
Varies
Merriam-Webster
C.O.C.C.
Required
Varies
3”, White, Plastic cover
for inserts
Current Edition
Available
C.O.C.C.
Provided
varies
C.O.C.C
Provided
COCC Workbook with Binder
Workbooks will be in
the classroom
COCC
Required
$27.08
P.O.S.T. Workbooks
Vol. I-IV (Arrest)
Pick up in classroom
Volume V – Firearms
Pick up in classroom
832PC 40 hour
Required
$21.87
832PC 24 hour
Required
$3.60
California Penal Code
Title 15 Manuals
P.O.S.T. WorkBook
Varies
Public Safety Training Center
Health History Statement
(Last Ten Years)
The information you provide in this statement will be used to assess your medical qualifications
to participate in the Yuba College Basic or Modular Format Academy Physical Conditioning
Program.
All information will be kept confidential.
Please fill out the statement carefully and thoroughly.
NAME:_________________________________________________________
DEPARTMENT/ACADEMY:_________________________________________
BIRTHDATE:___________________TODAY=S DATE:____________________
Please answer all of the following. Check YES or NO on each question.
Do you now have or have you ever had any of the following?
YES
NO
YES
Allergies
High Blood Pressure
Arthritis
High Serum Lipids
(fatsCi.e. cholesterol)
Asthma
Musculoskeletal
Chronic
Problems
Bronchitis
Neurological
Diabetes
Problems
Mellitus
Obesity
Emphysema
Stroke
Heart
Disease
Heart Murmur
Other
Please Specify:____________________________________________
NO
Have you ever experienced any of the following? For each condition checked,
indicate whether the condition was diagnosed and whether the condition was
associated with exercise or physical work.
Diagnosed?
Assoc. with
Exercise/physical
work?
YES
NO
YES
NO
YES
NO
Chest pain
Chest pressure
Discomfort/pain in elbow
Discomfort/pain in jaw
Discomfort/pain in teeth
Discomfort/pain in throat
Discomfort/pain in wrist
Heart Palpitations?skipped beats
Have you ever taken any of the following tests? If yes, indicate whether the results
indicated any abnormalities.
Any Abnormalities?
YES
NO
YES
Exercise Stress Test
Exercise Stress Test with Isotopes
Echocardiogram
Coronary Angiogram
Holter Monitor
NO
Has a blood relative ever been diagnosed as having any of the following? (Include
parents, grandparents, aunts and uncles, brothers and sisters, and children, but
exclude relatives by marriage and half relatives)
Yes
No
Diabetes Mellitus
Mother
Father
Other
Heart Disease
High Blood Pressure
High Serum Liquids
Obesity
Stroke
Please answer YES, NO, or other specified entry to the following questions.
YES
NO
Have you ever smoked cigarettes, cigars, or a pipe?
If YES, state the year you started.
_________
Do you smoke presently?
If you did or do smoke cigarettes, how many per day?
_________
If you did or do smoke cigars, how many per day?
_________
If you did or do smoke a pipe, how many pipefuls per day?
_________
If you quit smoking, please state the year you quit.
_________
Do you ever drink alcoholic beverages?
If yes, what is your approximate intake of these beverages?
None
Occasional Often How many drinks per week?
Beer
_____________
Wine
_____________
Hard Liquor
_____________
List any traumatic injuries you have experienced to your bones or soft tissue
(include any disabling back problems you have had) and the approximate date of
the injury.
_____________________________________________Date______________
_____________________________________________Date______________
_____________________________________________Date______________
List any illnesses you have had which required you to take more than one week of
sick leave and the approximate date of the illness.
_____________________________________________Date______________
_____________________________________________Date______________
_____________________________________________Date______________
List any operations you have had, including approximate dates.
_____________________________________________Date______________
_____________________________________________Date______________
_____________________________________________Date______________
List any medications you are now taking (include self-prescribed medications and
dietary supplements.
Name of Medication
Date Started
Dosage
Dosage Per Day
(See labels for prescription medications)
________________
___________
_________
___________
________________
___________
_________
___________
________________
___________
_________
___________
List any athletic or other physical activities that you regularly engage in. Specify for
each the frequency, intensity, and duration of your involvement.
Example:
Activity
Frequency
Intensity
Bicycling
3 times a wk. 10 miles
Duration
Past 18 months
________
_________ ______
____________
________
_________ ______
_____________
List anything else that you feel may be important in your medical history, including any
conditions not specifically referred to in the preceding questions.
I hereby certify that all statements made in this Health History Statement are accurate and
complete.
_______________________________________________Date______________________________
Signature in full:
PAR Q & YOU
Par-Q is designed to help you help yourself. Many Health benefits are associated with regular
exercise, and the completion of the Par-Q is a sensible first step to take if you are planning to increase
the amount of physical activity in your life.
For most people physical activity should not pose any problem or hazard. Par-Q has been
designed to identify the small number of adults whom physical activity might be inappropriate or those
who should have medical advice concerning the type of activity most suitable for them.
Common sense is your best guide in answering these few questions. PLEASE read them
carefully and circle YES or NO opposite the question if it applies to you.
YES
NO
1. Has your doctor ever said you have heart trouble?
YES
NO
2. Do you frequently have pains in your heart or chest?
YES
NO
3. Do you often feel faint or have spells of severe dizziness?
YES
NO
4. Has a doctor ever said your blood pressure was too high?
YES
NO
5. Has your doctor ever told you that you have a bone or joint problem such as
Arthritis that has been aggravated by exercise, or might be made worse with
exercise?
YES
NO
6. Is there a good physical reason not mentioned here why you should not follow
an activity program even if you wanted to?
YES
NO
7. Are you age 65 or over and not accustomed to vigorous exercise?
YES TO ONE OR MORE QUESTIONS
If you have not recently done so, consult with your personal physician by telephone or in person
BEFORE increasing your physical activity and/or taking a fitness test. Tell him/her what questions you
answered YES on PAR-Q, or show him/her your copy.
PROGRAMS
After medical evaluation, seek advice from your physician as to your suitability for:
•
unrestricted physical activity, probably on a gradually increasing basis
•
restricted or supervised activity to meet your specific needs, at least on an initial basis
Check your community for special programs or services.
NO TO ALL QUESTIONS
If you answered PAR-Q accurately, you have reasonable assurance of your suitability for:
•
A Graduated Exercise Program- a gradual increase in proper exercise
promotes good fitness development while minimizing or eliminating discomfort
•
An Exercise Test- simple tests of fitness(such as Canadian Home Fitness Test)
or more complex types may be undertaken if you so desire
POSTPONE
If you have a temporary minor illness, such as a common cold
Student Signature_______________________________________________
Medical Clearance
(Agency - Affiliated Students Only)
RE: Yuba College Public Safety Training Center / Corrections Officer Core Cours
Dear Agency Representative,
This individual is required to perform a variety of physically demanding activities including:
repetitive bending, standing, rapid/multi dimensional foot movements, sustained and repeated application
of pain compliance techniques to wrist/elbow/shoulder joints, and stretching/warm up exercises to include
push-ups and sit-ups. Students are expected to participate in a 1-1/2 mile run, run 50 yards within 20
seconds, drag a 165 pound dummy for a distance of 20 feet in 30 seconds, walk a total of 75 feet within
30 seconds wearing a 30 pound air pack or backpack, walk or jog yards on a flat surface to a flight of
steps or stairs and climb up 10 steps then turn, climb back down the steps and jog or walk back to the
starting point within 30 seconds.
The individual must have sufficient and flexibility to run short distances and rapidly change body position
while controlling the firearm. Affiliated students must present this form or letter from their respective
agency stating that a medical examination was performed as part of the employment process and there
are NO limitations or restrictions that would prohibit the student from participating in this course.
Please complete the information below:
This letter is to certify that______________________________is currently employed by this agency in
the capacity of _________________________________.
Medical Clearance to Participate in the Physical Portion
Subsequent to her/his employment with this agency, a medical examination was conducted to determine
that this individual met the physical requirements for this portion. This examination has revealed NO
physical limitations or restrictions that would prohibit this individual from participating in the physical
requirements for the Correctional Core Course as outlined above. The above named individual was
medically cleared for employment on:
_______________________________________
Date
Parking
Please check which box applies to you. If ordering a permit, your staff will need to go to the yccd.edu
website, then go to WebAdvisor and put in their UserID and Password then go to: “Order Parking Permit”
□
□
Yes - This agency will pay the $40.00 parking fee
□
No - This agency is not paying
Staff is driving an Agency Vehicle
______________________________________
Date
Department of Justice Fingerprint Clearance (832pc Only)
Subsequent to her/his employment with this agency, fingerprints were submitted to the Department of
Justice in order to determine that this individual is in compliance with section 13511.5 p.c. The above
named individual was cleared by the Department of Justice on:
_______________________
Date
Signature_______________________________________________
Date:_________________________
Printed Name: _________________________________________ Printed Title:______________________
Agency:_______________________________________________ Telephone: _______________________
Address:_____________________________________City:________________State: ____ Zip:__________
Medical Clearance
(Non-Agency Students Only)
REVISED – 3/27/2014
Medical Clearance to participate in the physical conditioning program for the
Yuba College Public Safety Training Center
_____________________________________________
(Print Name of Individual)
Dear Physician,
The individual you are examining has been requested to obtain a Medical Clearance to
participate in the Physical Conditioning Program at the Yuba College Corrections Officer Core
Course. The student is required to perform a variety of physically demanding activities
including: repetitive bending, standing, rapid/multi-dimensional foot movements, sustained and
repeated application of pain compliance techniques to wrist/elbow/shoulder joints, and
stretching/warm up exercises to include push-ups and sit-ups. Students are expected to
participate in a 1-1/2 mile run, run 50 yards within 20 seconds, drag a 165 pound dummy for a
distance of 20 feet in 30 seconds, walk a total of 75 feet within 30 seconds wearing a 30 pound
air pack or backpack, walk or jog yards on a flat surface to a flight of steps or stairs and climb up
10 steps then turn, climb back down the steps and jog or walk back to the starting point within
30 seconds.
Having reviewed the above named individual’s PAR-Q, Health and History Statement, and
having read the descriptions provided of the physical performance tests and the physical
conditioning activities, and having personally examined the above-named individual, it is my
professional opinion that:
_______________________The above named individual may participate in the physical
conditioning program which is unlikely to pose a significant medical risk to the above named
individual.
_______________________The above named individual should not participate in the physical
conditioning program.
_________________________
Physician’s Signature
_______________________
Date
_______________________
Physician’s Printed Name
_______________________
Address
_______________________
Phone Number
Physician’s Stamp
LIVE SCAN SERVICES
832pc Firearms
Please remember that the below listed fees are always subject to change. You can call
your local agency or go to www.ag.ca.gov to check fees for this service. You must bring
in Live Scan prior to class starting or you will not be eligible to go to the range. Live
Scan has 90 expiration date.
Sutter County Sheriff’s Department Live Scan Hours:
Days:
Time:
Address:
Needs:
Completed
Monday through Friday
8:00 a.m. to 4:30 p.m.
*
Closed between 12-1 for lunch
*
Closes at 4:30 p.m. EXACTLY
1077 Civic Center Blvd, Yuba City CA 95993
D.O.J. Request for Live Scan Form BCII 8016, Rev. 6/09 –
Check 1 or EXACT Cash: Payable to County of Sutter
Check 2 or EXACT Cash: Payable to CA D.O.J.
Photo I.D.
Plan for minimum of 10 minutes to process prints
Yuba County Sheriff’s Department Live Scan Hours:
Days:
Monday & Thursday
Time:
1 p.m. to 4 p.m.
Address:
215 5th Street, Marysville CA 95901
Needs:
D.O.J. Request for Live Scan Form BCII 8016, Rev. 6/09 - Completed
Check 1 or EXACT Cash: Payable to County of Yuba
Check 2 or EXACT Cash: Payable to CA D.O.J.
Photo I.D.
Plan for minimum of 10 minutes to process prints
The applicant must show proof to the Yuba College Public Safety Center that the
fingerprint scan was performed (copy of receipt). Your name will not be cleared to
enroll until proof has been obtained. It could take several days, even a few weeks to
receive results. IF RESULTS SHOW A CRIMINAL HISTORY, YOUR NAME WILL BE
PULLED FROM THE ROSTER AND YOU WILL NOT BE ABLE TO ATTEND ANY
COURSE WITH FIREARMS TRAINING.
If you cannot obtain the State of California form from our website, please go to
www.ag.ca.gov ; search for Firearms Forms; scroll down and select Forms and
Publications, Bureau of Firearms Division; select Live Scan Request for POST
certification. Please fill out the form, print and take to agency for live scan services.
If you have questions or concerns, please call Rita at 530-749-3879 or email
rordiway@yccd.edu.