SOP_NUMBER: 210.02-att-3
TITLE: Statement of Disciplinary Withdrawal from 90-Day Inmate Boot Camp Program
REFERENCE_CODE: IIB12-0002
DIVISION: Facilities
TOPIC_AREA: 210 Policy-Probation Boot Camp
EFFECTIVE_DATE: 2015-07-16
WORD_COUNT: 69
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/106056
URL: https://gps.press/sop-data/210.02-att-3/

SUMMARY:
This form documents the Boot Camp Staffing Committee's findings when an inmate is withdrawn from the 90-day Inmate Boot Camp Program due to disciplinary reasons. The form records the inmate's identifying information, the committee's findings, and signatures from the committee chairperson and warden. The completed form is filed in the inmate's case history file.

KEY_TOPICS: boot camp program, disciplinary withdrawal, inmate removal, boot camp staffing committee, program termination, disciplinary action, probation boot camp

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 3**
**SOP IIB12-0002**

**(210.02)**
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                                    (07/16/15)
              INMATE BOOT CAMP PROGRAM
    STATEMENT OF DISCIPLINARY WITHDRAWAL FROM 90-DAY PROGRAM

           __________________________________
                   PRISON

Inmate: _______________________________  DATE: ______________________

STATE ID#:_____________________________  DOB: _______________________

The above named inmate was brought before the Boot Camp Staffing Committee on
______. The findings of the Committee are as follows:

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________ ______________________________
Chairperson, Boot Camp Staffing Committee      Date

_______________________________________ ______________________________
Warden/Designee  Date

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

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