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SECTION V PERSONAL HISTORY
a. If you have ever been adjudicated incapacitated (determined by the court to be incapable of taking care of yourself),
you must provide a copy of the court document restoring your capacity.
b. If you have ever been involuntarily placed in a treatment facility for the mentally ill under Chapter 394, F. S., or
similar laws of another state, you must provide a copy of the court document restoring your competency.
c. If you have ever been diagnosed with a mental illness, you must provide a statement from a psychologist or
psychiatrist licensed in Florida attesting that you are not currently suffering from a mental illness that precludes you
from performing the duties of an unarmed security ofcer.
d. If you are currently abusing a controlled substance, you are not eligible for licensure.
e. If you have a history of controlled substance abuse, you must provide evidence of successful completion of a
substance abuse rehabilitation program and three letters of reference, one of which should be from your sponsor
in the program.
f. If you have a history of alcohol abuse, you must provide evidence of successful completion of an alcohol rehabilitation
program and three letters of reference, one of which should be from your sponsor in the program.
SECTION VI TRAINING/EXPERIENCE
You must submit proof of successful completion of a minimum of 40 hours of professional training provided by a
Security Ofcer School or Training Facility licensed by the Department of Agriculture and Consumer Services.
Exceptions:
1. If you are a currently employed law enforcement ofcer, correctional ofcer or correctional probation ofcer certied
by FDLE Criminal ustice Standards Training Commission, a copy of your valid ID card issued by your employing
law enforcement agency is sufcient to satisfy the training requirement.
2. If you have successfully completed a training program approved by the Florida Criminal ustice Standards and
Training Commission for certication as a law enforcement ofcer, correctional ofcer or correctional probation
ofcer, a copy of your certicate of completion is sufcient to satisfy the training requirement.
3. If you qualify for a Class DI Security Ofcer Instructor license under Rule 5N-1.138(1)(e)-(g), Florida Administrative
Code, proof of such qualication is sufcient to satisfy the training requirement.
4. Relevant military training or education received and completed during service in the United States Armed Forces.
SECTION VII CERTIFICATION OF QUALIFIED EXEMPTION FROM PUBLIC RECORDS DISCLOSURE
Section 119.071, F.S., excludes from public disclosure specied information such as home addresses, telephone
numbers, Social Security numbers, and photographs pertaining to certain individuals. To determine whether you
qualify for an exemption, read the complete text of the law on line at http://www.leg.state..us/Statutes/. IF YOU
QUALIFY FOR EXEMPTION, answer this question to specify whether you want the statutorily exempt information to
be kept from public disclosure. If you do NOT qualify for the exemption, leave it blank.
SECTION VIII CITIZENSHIP
If you are not a U.S. Citizen, you must submit proof of current employment authorization issued by the Department of
Homeland Security, U.S. Citizenship and Immigration Services (USCIS). A COPY of the front and back of one of the
following USCIS forms is sufcient: I-551, I-766.
SECTION IX PERSONAL INQUIRY AIVER AND NOTARIZATION STATEMENT
Do not sign the application until you are in the presence of the Notary Public who will notarize your application.