"Certification Application Form - Campus Security Officer (Cso)" - Virginia

Certification Application Form - Campus Security Officer (Cso) is a legal document that was released by the Virginia Department of Criminal Justice Services - a government authority operating within Virginia.

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  • Released on September 1, 2017;
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Commonwealth of Virginia
Virginia Department of Criminal Justice Services
Campus Security Officer (CSO)
Certification Application
To designated Virginia Campus Security Officer’s Point of Contact (POC): In order to conform to Virginia State Regulation 6 VAC 20-270, all
colleges and universities employing college, university, or private security companies must submit to the Virginia Department of Criminal Justice
(DCJS) a properly completed and signed application for certification on behalf of the Campus Security Officer (CSO) in a format provided by DCJS.
This form is required by DCJS before certification as a Campus Security Officer is issued and compliance with the regulation is complete.
CSO Name (First, MI, Last):
CSO Email Address:
CSO Driver’s License No. :
State of License:
Employer:
Date of Hire:
Date of Basic Certification Training:
In accordance with 6 VAC 20-270-30 Initial Certification and Training Requirements for Campus Security Officers, all applicants for Campus Security
Officer Certification must meet the following conditions. The above-named applicant:
is a United States citizen or legal resident eligible under United States law for employment in the United States.
1.
has undergone a background investigation that complies with the employer’s policy for this position.
2.
results of such background inquiries were examined by the employer.
3.
has a high school diploma, General Education Development diploma, or other accepted secondary school credential.
4.
is a minimum of 18 years of age.
5.
6. (if applicable by duties of office) possesses a valid driver’s license by his or her state of residence to operate a motor vehicle.
7. has successfully completed first aid training, the content of which was determined by the employer.
8. has successfully completed ICS-100.HE – Introduction to the Incident Command System (ICS-100) for Higher Education as provided by
FEMA’s Emergency Management Institute.
has complied with compulsory minimum entry-level training standards.
9.
I, the Campus Security Officer Point of Contact for the Employer, certify that all conditions above (1–8; 9 if applicable) have been met.
I understand that all information on this application is subject to verification.
CSO Point of Contact Name:
CSO Point of Contact Driver’s License No.:
State of License:
Date:
Please submit the completed form with documentation to DCJS
Virginia Department of Criminal Justice Services, Division of Law Enforcement, 1100 Bank Street, Richmond, VA 23219
Fax: 804-786-0410 or
Email:
campussecurity@dcjs.virginia.gov
Virginia Department of Criminal Justice Services
1100 Bank Street
Richmond, VA 23219
www.dcjs.virginia.gov
09/2017
Commonwealth of Virginia
Virginia Department of Criminal Justice Services
Campus Security Officer (CSO)
Certification Application
To designated Virginia Campus Security Officer’s Point of Contact (POC): In order to conform to Virginia State Regulation 6 VAC 20-270, all
colleges and universities employing college, university, or private security companies must submit to the Virginia Department of Criminal Justice
(DCJS) a properly completed and signed application for certification on behalf of the Campus Security Officer (CSO) in a format provided by DCJS.
This form is required by DCJS before certification as a Campus Security Officer is issued and compliance with the regulation is complete.
CSO Name (First, MI, Last):
CSO Email Address:
CSO Driver’s License No. :
State of License:
Employer:
Date of Hire:
Date of Basic Certification Training:
In accordance with 6 VAC 20-270-30 Initial Certification and Training Requirements for Campus Security Officers, all applicants for Campus Security
Officer Certification must meet the following conditions. The above-named applicant:
is a United States citizen or legal resident eligible under United States law for employment in the United States.
1.
has undergone a background investigation that complies with the employer’s policy for this position.
2.
results of such background inquiries were examined by the employer.
3.
has a high school diploma, General Education Development diploma, or other accepted secondary school credential.
4.
is a minimum of 18 years of age.
5.
6. (if applicable by duties of office) possesses a valid driver’s license by his or her state of residence to operate a motor vehicle.
7. has successfully completed first aid training, the content of which was determined by the employer.
8. has successfully completed ICS-100.HE – Introduction to the Incident Command System (ICS-100) for Higher Education as provided by
FEMA’s Emergency Management Institute.
has complied with compulsory minimum entry-level training standards.
9.
I, the Campus Security Officer Point of Contact for the Employer, certify that all conditions above (1–8; 9 if applicable) have been met.
I understand that all information on this application is subject to verification.
CSO Point of Contact Name:
CSO Point of Contact Driver’s License No.:
State of License:
Date:
Please submit the completed form with documentation to DCJS
Virginia Department of Criminal Justice Services, Division of Law Enforcement, 1100 Bank Street, Richmond, VA 23219
Fax: 804-786-0410 or
Email:
campussecurity@dcjs.virginia.gov
Virginia Department of Criminal Justice Services
1100 Bank Street
Richmond, VA 23219
www.dcjs.virginia.gov
09/2017