Pretrial Accreditation Application

Agency

Address

City

Zip

County

Chief Executive Officer/Administrator

Phone A value is required.

Fax

Accreditation Manager

Phone

Fax

Service Area Total Population

Agency/Facility website (if applicable)

Authorized Pretrial Program Staffing:

Certified

Civilian

Agency 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 accreditation staff members been assigned? Yes No
Please make a selection.

If yes, please provide names and contact numbers below.

2.) Does anyone on staff have accreditation experience? Yes No
Please make a selection.

3.) Have any current agency members attended Accreditation Manager training?
Yes No
Please make a selection.

If yes, Attendee(s) and date(s)

4.) Have any current members attended Assessor Training? Yes No
Please make a selection.

If yes, Attendee(s) and date(s)

5.) Has anyone in your agency attended a FCAC Commission meeting or a Florida Police Accreditation Coalition (FLA-PAC) accreditation conference?

Yes No
Please make a selection.

6.) Is your agency a member of FLA-PAC? Yes No
Please make a selection.

7.) Have you been in contact with the Executive Director or your 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	Other Pretrial Agency
Florida Sheriff's Association Please make a selection.	FLA-PAC
Association of Pretrial Professionals of Florida
Other

9.) How did you first hear about the state accreditation process?

Other local agency involvement	Other Pretrial Agency
Florida Sheriff's Association	FLA-PAC
Association of Pretrial Professionals of Florida
Other

10.) Have you been in contact with any accredited agencies in your area?

Yes No
Please make a selection.

If yes, please explain

Please fax form to (850) 410-7349 or email to Deborah Moody