Corrections
Accreditation Application

Agency/Facility Name

Mailing Address

City

Zip

County

Physical Address (if different from above)

City

Agency/Facility website

Chief Executive Officer

Phone A value is required.

Fax

Accreditation Manager

Phone A value is required.

Fax

Auth. Cert. Correctional Officers

Auth. Civilian Support

Total Authorized Inmate Beds

Does your agency have a current copy of the Florida Corrections Accreditation Standards Manual? Yes No

Please check chapters below which you feel are not applicable to your agency:

General Administration	Programs
Written Directive System	Clothing and Bedding
Fiscal Services	Sanitation and Hygiene
Personnel	Food Services
Training	Direct Supervision Jails
Security and Control	Housing of Juveniles
Order and Discipline	Medical Section
Special Operations	Pharmacy Section
Inmate Housing	Public Information
Privileges	Physical Plant and Safety
Admission, Classification, and Release of Juveniles
Admission, Classification, and Release of Adults

Are you currently Accredited? Yes No

If yes, by whom?

Date Accreditation Awarded

Are you currently under an accreditation contract? Yes No

If yes, by whom?

Proposed date of award

Total of all Jail Facilities operated by your Agency

Please list all Jail Facilities you wish to be accredited through FCAC.

Facility	Address
Administrator		Phone
State Rated Capacity	Last Months A.D.P.

Facility	Address
Administrator		Phone
State Rated Capacity	Last Months A.D.P.

Facility	Address
Administrator		Phone
State Rated Capacity	Last Months A.D.P.

Facility	Address
Administrator		Phone
State Rated Capacity	Last Months A.D.P.

Facility	Address
Administrator		Phone
State Rated Capacity	Last Months A.D.P.

Agency/Facility Status Survey
Your answers to the following questions will assist Commission staff in determining the status of your facility's readiness to begin the state accreditation process.
1.) Have any additional staff members been assigned? Yes No Please make a selection.
2.) Does anyone on staff have accreditation experience? Yes No Please make a selection.
3.) Have any current facility members attended Accreditation Manager training?
Yes No Please make a selection.
If yes, Attendee(s) and date(s)
4.) Have any current facility members attended Assessor training? Yes No Please make a selection.
If yes, Attendee(s) and date(s)
5.) Has anyone in your facility attended an FCAC Commission meeting or a Florida Police Accreditation Coalition (FLA-PAC) accreditation conference? Yes No Please make a selection.
Additional Comments:
6.) Is your facility a member of the FLA-PAC? Yes No Please make a selection.
7.) Have you been in contact with the Executive Director or your facility's Program Manager to discuss the application process? Yes No Please make a selection.
8.) What influenced your CEO's decision to apply for state accreditation?
Other local agency involvement	Local government officials
Community interest	Florida Sheriff's Association
Local media	Other
9.) How did you first hear about the state accreditation process?
FCAC Marketing	FLA-PAC
Other Correctional Facility	Local Media
Florida Sheriff's Association	Other
10.) Does your facility employ part-time or auxiliary members? Yes No Please make a selection.
11.) Does your facility receive any type of assistance from other correctional facilities?
Yes No Please make a selection.
If yes, please explain
12.) Does your facility contract services from private vendors? (i.e., medical services, food services, etc.) Yes No Please make a selection.
13.) Have you been in contact with any accredited facilities/agencies in your area?
Yes No Please fax form to (850) 410-7349 or email to Deborah Moody Please make a selection.

Corrections Accreditation Application

Agency/Facility Status Survey

Corrections
Accreditation Application