SOP_NUMBER: 210.02-att-2
TITLE: Statement of Withdrawal from 90-Day Program by the Parole Board
REFERENCE_CODE: IIB12-0002
DIVISION: Facilities
TOPIC_AREA: 210 Policy-Probation Boot Camp
EFFECTIVE_DATE: 2015-07-16
WORD_COUNT: 71
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/106055
URL: https://gps.press/sop-data/210.02-att-2/

SUMMARY:
This is an official form used by the Parole Board to document the rejection of an inmate from the 90-day Inmate Boot Camp Program. The form records the inmate's identifying information, the date of the decision, and the reasons for withdrawal from the program. The completed form is retained in the inmate's case history file.

KEY_TOPICS: boot camp program, parole board, program rejection, inmate withdrawal, 90-day program, inmate eligibility, program removal, case file 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 2**
**SOP IIB12-0002**

**(210.02)**
```
                                        (07/16/15)
              INMATE BOOT CAMP PROGRAM
  STATEMENT OF WITHDRAWAL FROM 90-DAY PROGRAM BY THE PAROLE BOARD

           __________________________________
                   PRISON

Inmate: __________________________   DATE: _________________________

STATE ID#:_______________________    DOB: __________________________

The Parole Board has made the decision to reject the above named inmate
from the 90-day Inmate Boot Camp Program for the following reasons:

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________     _______________________________
Counselor      Date

_____________________________________  _______________________________
Warden/Designee    Date

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

```