Private Security Guard: Bail Enforcer (Phase V Online)

Private Security Guard: Bail Enforcer (Phase V Online)
Kiamichi Tech’s Workforce & Economic Development Center offers CLEET Phase I & II, III, and V online using the Canvas LMS. For each of these classes, once enrolled, students will have 30 days to complete the online course. Once you complete the course and log your training hours, contact y our instructor for confirmation of your completion. Once confirmed, your program instructor will notify the WED Coordinator of. your completion, and the WED Coordinator will send your completion certificate to the Testing Center to be held until you pass your CLEET certification test, or to y ou directly if you prefer. If you'd like your certificate sent to you directly upon completion, please contact Shannen Hamby via email at shamby@ktc.edu and inform her of your request.

As outlined in the terms and conditions below, it is Kiamichi Tech's policy that once students attend one hour of training (in person or online) they are not eligible for a refund in any amount. Additionally, one attempt at the certification exam is included in your tuition - if you choose to test somewhere other than the Poteau campus, you forefit your testing attempt and will have to pay the test fee again wherever you choose to test. The test fee is not transferable or refundable.

Students should schedule their end-of-instruction certification exam with Kiamichi Tech’s Poteau Testing Center after the class ends (after the 30th of the month) by calling 918-647-4525. In order to take your test, you must have your program completion certification card. It’s important to note the WED office only generates completion certificates at the end of each month.

If you have any questions about this training program, please contact Shannen Hamby at 918-647-4525 or via email at shamby@ktc.edu.

Tuition & Fees

Phase I & II Tuition: $100

Testing: $40

WED Fee: $100 (includes background check)

Total Cost: $240 *does not include $50 CLEET licensing fee

CLEET Licensing Fee: $50*
* students must pay this directly to CLEET, Kiamichi Tech will not collect this fee
* price is subject to change
Who is funding your tuition?*

Self PayEmployer
If your employer is paying your tuition, please list your employer below and provide their contact information (Supervisor name, phone number, and email):
Please list the name of your employer that will be listed on your completion certificate (you MUST list an employer):*
What is your desired start date? (Note: we only start students on the first of the month - you are selecting the month you want to take the course in)*

MonthDayYear
Date
Name*

First NameMiddle NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth*
What school district in OK do you live in?
Race

American IndianAsianBlack or African AmericanLatinoWhite or CaucasianOther
Education Level

Less than HS diplomaHS Grad/GED/HiSetSome CollegeTechnical DiplomaAssociate's DegreeBachelor's DegreeMaster's DegreeDoctorate Degree
Gender*

MaleFemale
Do you consider yourself a person with a disability?*

YesNo
If yes, please provide the accommodations you will be requesting to support your learning:
Have you ever entered a plea of guilty or Nolo Contendere, or been convicted of, a state (any state) or federal felony offense?*

YesNo
Several occupations require certification or licensure which may be denied if a felony record exists. In addition, certain licensure boards require submission of a Social SecurityNumber before training can begin. No person seeking admission will be unilaterally excluded solely on the basis of a felony conviction, but those with felony convictions aresubject to administrative review. If this is a concern, please discuss your questions with your career advisor or technology center representative.

Kiamichi Technology Center does not discriminate on the basis of race, color, sex, pregnancy, gender, gender expression or identity, national origin, religion, disability, veteran status, sexual orientation, age, or genetic information with respect to the terms, conditions, privileges or responsibilities in admission to its programs and services, employment practices, treatment of individuals, or any aspect of its operations. The district also provides equal access to the Boy Scouts of America and other designated youth groups. This notice is provided in compliance with Title VI of the Civil Rights Act, Section 504/Title II of the Americans with Disabilities Act, Title IX, the Age Discrimination Act, and any other applicable federal or state anti-discrimination laws. The following person has been designated to handle inquiries concerning application of KTC’s non-discrimination policies: KTC Compliance Coordinator, Jay R. Warren, 1004 Hwy 2 North, Wilburton, OK. 74578, (888) 567-6807 or (918) 465-2323. Outside assistance may be obtained from: U.S. Department of Education Office for Civil Rights, One Petticoat Lane 1010 Walnut Street, Suite 320, Kansas City, MO 64106, (816) 268-0550, (877) 521-2172 (TTY), OCR.KansasCity@ed.gov.

BY SIGNING BELOW, I UNDERSTAND IT IS KIAMICHI TECH’S POLICY THAT STUDENTS ARE NOT ELIGIBLE FOR A TUITION REFUND AFTER THEY ATTEND OR LOG 1 HOUR OF TRAINING.

BY SIGNING BELOW, I UNDERSTAND IF I DO NOT SHOW UP FOR MY TRAINING/OR START THE COURSE ONLINE, I FORFEIT THE COURSE FEE.

BY SIGNING BELOW, I UNDERSTAND THAT IF I CHOOSE TO TEST AT ANOTHER TECH CENTER OR CAMPUS BESIDES POTEAU THAT I FOREFIT MY TEST FEE AND WILL HAVE TO PAY FOR THE TEST AGAIN AT WHATEVER SITE I CHOOSE TO TEST AT.
Signature*

Clear
Date*

MonthDayYear
Date
Authorization to Voluntarily Release Confidential Information

I hereby request and authorize the voluntary release of information to Kiamichi Technology Centers, any and all information or records concerning me; my background and personal history; my employment, education, military service, or criminal history. The intent of this authorization is to give my consent for full and confidential, or privileged, and to include the contents of investigator files; evaluations or ratings; complaints or grievances filed against me.

A photocopy or fax copy of this release form will be valid as an original thereof, even though the said photocopy or fax copy does not contain an original writing of my signature. I agree to indemnify and hold harmless any person to whom this request is presented and his/her agents and employees from and against all claims, damages, losses, and expenses, arising out of, or by, reason of complying with this request.

Failure to release the information requested by Kiamichi Technology Centers may result in the discontinuance of the background investigation and the processing of my application. For, and in, consideration of the Kiamichi Technology Centers acceptance and processing of my application for training, I agree to hold the district, its agents and employees, harmless from any and all claims and liability associated with my application for training or in any way connected with the decision whether or not to admit me into the training program. I understand that should information of a serious criminal nature surface as a result to this investigation, such information may be turned over to the proper authorities.

This authorization is valid for one (1) year from the date of signature.
Name*

First NameMiddle NameLast Name
Driver's License Number*
Social Security Number*
Date of Birth*
Signature*

Clear
Date*

MonthDayYear
Date
Upload a photo of your driver's license here:*

Cancelof
Upload evidence of your CLEET Phase I & II license here:*

Cancelof
Should be Empty: