SOP 210.02-att-1: Inmate Boot Camp Program - Statement of Voluntary Withdrawal from 90-Day Program

Division:
Facilities
Effective Date:
July 16, 2015
Reference Code:
IIB12-0002
Topic Area:
210 Policy-Probation Boot Camp
PowerDMS:
View on PowerDMS
Length:
68 words

Summary

This form documents an inmate's voluntary decision to withdraw from the GDC's 90-day Inmate Boot Camp Program. The form requires the inmate to state their reasons for withdrawal and must be signed by the inmate, a counselor, and the warden or designee. Once completed, the form is placed in the inmate's case history file for record-keeping purposes.

Key Topics

  • boot camp program
  • voluntary withdrawal
  • inmate discharge
  • program termination
  • 90-day program
  • case history file
  • inmate documentation

Full Text

                                   Attachment 1
                                  SOP IIB12-0002
                                     (210.02)
                                    (07/16/15)
              INMATE BOOT CAMP PROGRAM
     STATEMENT OF VOLUNTARY WITHDRAWAL FROM 90-DAY PROGRAM

           __________________________________
                   FACILITY

Inmate:_______________________________ DATE:___________________________

STATE ID#___________________________ DOB:_____________________________

I, the above named inmate, have made the decision to withdraw from the
90-day Inmate Boot Camp Program for the following reasons:

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________  _____________________________
Inmate Signature Date

______________________________________  ______________________________
Counselor    Date

_____________________________________  _______________________________
Warden/Designee    Date

RETENTION SCHEDULE:
Upon completion of this form, it will be placed in inmate/
probationer's case history file.

Attachments (4)

  1. Inmate Boot Camp Program - Statement of Voluntary Withdrawal from 90-Day Program (68 words)
  2. Statement of Withdrawal from 90-Day Program by the Parole Board (71 words)
  3. Statement of Disciplinary Withdrawal from 90-Day Inmate Boot Camp Program (69 words)
  4. Statement of Medical Withdrawal from 90-Day Inmate Boot Camp Program (66 words)
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