SOP_NUMBER: 210.02-att-1
TITLE: Inmate Boot Camp Program - Statement of Voluntary Withdrawal from 90-Day Program
REFERENCE_CODE: IIB12-0002
DIVISION: Facilities
TOPIC_AREA: 210 Policy-Probation Boot Camp
EFFECTIVE_DATE: 2015-07-16
WORD_COUNT: 68
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/106054
URL: https://gps.press/sop-data/210.02-att-1/

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

ATTACHMENTS:
  1. Inmate Boot Camp Program - Statement of Voluntary Withdrawal from 90-Day Program
     URL: https://gps.press/sop-data/210.02-att-1/
  2. Statement of Withdrawal from 90-Day Program by the Parole Board
     URL: https://gps.press/sop-data/210.02-att-2/
  3. Statement of Disciplinary Withdrawal from 90-Day Inmate Boot Camp Program
     URL: https://gps.press/sop-data/210.02-att-3/
  4. Statement of Medical Withdrawal from 90-Day Inmate Boot Camp Program
     URL: https://gps.press/sop-data/210.02-att-4/

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FULL TEXT:
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```
                                   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.

```