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  <item rdf:about="https://www.doc.ks.gov/juvenile-services/supervision-standards/supervision-standards">
    <title>Supervision Standards: Forms</title>
    <link>https://www.doc.ks.gov/juvenile-services/supervision-standards/supervision-standards</link>
    <description></description>
    <content:encoded xmlns:content="http://purl.org/rss/1.0/modules/content/"><![CDATA[<p style="padding-left: 120px; "> </p>
<p style="text-align: center; "><img alt="KDOC logo" class="image-inline" src="../../images/KSCorrectionsLogo_Blue-Gold_PMS.jpg/@@images/image/thumb" /></p>
<h2 style="text-align: center; "><strong>Juvenile Services - Supervision Standard Forms</strong></h2>
<p></p>
<table style="width: 84.12%;">
<tbody>
<tr>
<td id="" scope="" style="width: 40px; text-align: left;"><a class="internal-link" href="forms/0014-acknowledgement-parental-obligation">0014</a></td>
<td id="" scope="" style="width: 250px;">
<p>Acknowledgement of Parental Obligation</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0020-hearing-request">0020</a></p>
</td>
<td width="319">
<p>Request for Permanency Hearing Within 30 Days</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0064-trust-fund">0064</a></p>
</td>
<td width="319">
<p>Trust Fund Reimbursement/ Withdrawal Request</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0065-social-security">0065</a></p>
</td>
<td width="319">
<p>Notice to Social Security</p>
</td>
</tr>
<tr>
<td colspan="1" style="text-align: center; ">
<p style="text-align: left; "><a class="internal-link" href="0066a-critical-incident-report"><em></em>0066A</a></p>
</td>
<td colspan="1" style="text-align: left; ">Critical Incident Report</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="KDOC0085.pdf">0085</a></p>
</td>
<td width="319">
<p>Permanency Plan/ Court Report</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="KDOC0086.pdf">0086</a></p>
</td>
<td width="319">
<p>Provider Placement Agreement</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0087-client-service">0087</a></p>
</td>
<td width="319">
<p>Client Service Agreement Payment Authorization</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0088-release-information">0088</a></p>
</td>
<td width="319">
<p>Authorization for Release of Confidential Information</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0089-travel">0089</a></p>
</td>
<td width="319">
<p>Travel Permit</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0090-foster-report">0090</a></p>
</td>
<td width="319">
<p>Foster Parent Report to the Court</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="consent-to-medical-care">0091</a></p>
</td>
<td width="319">
<p>Consent to Medical Care</p>
</td>
</tr>
<tr>
<td colspan="1" style="text-align: center; ">
<p style="text-align: left; "><a class="internal-link" href="0092-medical-consent-parent">0092</a></p>
</td>
<td colspan="1">Medical Consent - Parent</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0093-affidavit">0093</a></p>
</td>
<td width="319">
<p>Affidavit</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0094-juvenile-supervision-plan">0094</a></p>
</td>
<td width="319">
<p>Juvenile Supervision Plan</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0110-orientation-check">0110</a></p>
</td>
<td width="319">
<p>Standardized Orientation Checklist</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0112-placement-notification">0112</a></p>
</td>
<td width="319">
<p>Standardized Placement Notification</p>
</td>
</tr>
<tr id="">
<td width="393">
<p><a class="internal-link" href="forms/0114-eeif">0114</a></p>
</td>
<td width="319">
<p>Educational Enrollment Information Form (EEIF)</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0120-emergency-shelter">0120</a></p>
</td>
<td width="319">
<p>Emergency Shelter - Placement Extension Request</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/0121">0121</a></p>
</td>
<td width="319">
<p>New Employee Orientation Checklist</p>
</td>
</tr>
<tr>
<td colspan="1">
<p><a class="internal-link" href="forms/conditional-release-placement-exception-form">0130</a></p>
</td>
<td colspan="1">
<p>Conditional Release Placement Exception Request</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="0131-cip-application">0131</a></td>
<td colspan="1">
<p>Community Integration Program Application</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="forms/0152">0152</a></td>
<td colspan="1">
<p>Foster Parent/Staff Annual Tracking Sheet</p>
</td>
</tr>
<tr>
<td colspan="1" style="text-align: left; "><a class="internal-link" href="forms/0180">0180</a></td>
<td colspan="1">
<p>Community Supervision Agency Program Hours Tracking Worksheet</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="../library/yls/Checklist">0181</a></td>
<td colspan="1">
<p>Interview Observation Checklist</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="KDOC0190CourtNotificationofAllegedViolation.pdf">0190</a></td>
<td colspan="1" style="text-align: left; ">
<p>Court Notification of Alleged Violation</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="forms/0200-placement-cap">0200</a></td>
<td colspan="1">
<p>Placement CAP Exception Request</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="forms/form-a">Form A</a></td>
<td colspan="1">
<p>Notice of Earned Discharge Credit Award</p>
</td>
</tr>
<tr>
<td colspan="1"><a class="internal-link" href="forms/form-b">Form B</a></td>
<td colspan="1">
<p>Denial of Earned Discharge Credit</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/pps-5460-change-notice">PPS-5460</a></p>
</td>
<td width="319">
<p>Notice of Change in IV-E/ Medicaid Eligibility or CSE Status</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/pps-5410-eligibility">PPS-5410A</a></p>
</td>
<td width="319">
<p>Initial IV-E Eligibility Determination</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="iv-e-eligibility-redetermination">PPS-5425A</a></p>
</td>
<td width="319">
<p>IV-E Eligibility Redetermination</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/5q-disclose-info">Appendix 5Q<br /></a>(formally CFS-4003)</p>
</td>
<td width="319">
<p>Authorization to Disclose Information, Including Child(ren)'s Individually Identifiable Health Information (Required to save information on the Foster Care/ EEIF Database)</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/ferpa001-consent-release-info">KSDE/ FERPA001</a></p>
</td>
<td width="319">
<p>Consent for Release of Information (Required to save information on the Foster Care/ EEIF Database)</p>
</td>
</tr>
</tbody>
</table>
<p> </p>
<h3 style="text-align: center; ">Kansas Department of Health &amp; Environment<br /> </h3>
<table style="width: 84.12%;">
<tbody>
<tr>
<td scope="" style="width: 393px;">
<p><a class="internal-link" href="forms/ccl-053-medical-record">CCL 053</a></p>
</td>
<td width="319">
<p>Medical Record for Children in 24-hour Care Facilities</p>
</td>
</tr>
<tr>
<td width="393">
<p><a class="internal-link" href="forms/ccl-054-dental-record">CCL 054</a></p>
</td>
<td width="319">
<p>Continuous Dental Record for Children in Foster Care</p>
</td>
</tr>
</tbody>
</table>
<p style="text-align: center; "><strong><a class="internal-link" href="supervision-standards-1"><br /></a></strong><a class="internal-link" href="supervision-standards-1">Return to Standards Listing</a>  | <a class="internal" href="glossary">Glossary</a></p>]]></content:encoded>
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Nancy Burghart</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-08-07T19:55:00Z</dc:date>
    <dc:type>Page</dc:type>
  </item>


  <item rdf:about="https://www.doc.ks.gov/victim-services/office-of-victim-services">
    <title>Office of Victim Services</title>
    <link>https://www.doc.ks.gov/victim-services/office-of-victim-services</link>
    <description>The Office of Victim Services (OVS) provides confidential support and information if you are the victim, survivor or witness to a crime and the offender was sentenced to the Kansas Department of Corrections.</description>
    <content:encoded xmlns:content="http://purl.org/rss/1.0/modules/content/"><![CDATA[<p align="center" style="text-align: left; "></p>
<p><b></b> </p>
<ul class="buttonList" style="text-align: center; ">
<li><b><a class="internal internal-link" href="services" title="In order to receive notification, you will need to register with the KDOC. The offender has to be in a KDOC facility or supervised by KDOC for the victim to receive notification.">Victim/Witness Registration</a> </b></li>
<li></li>
<li><b><a class="internal internal-link" href="http://kdocrepository.doc.ks.gov" title="Link to Offender Search">Offender Search</a> </b></li>
<li><b><a class="internal internal-link" href="minor" title="Register minors for approved offender visits">Minor Registration</a> </b></li>
</ul>
<p></p>
<h2 align="center"> Office of Victim Services</h2>
<p style="text-align: center; "><em>"Giving Kansas crime victims a voice in corrections by providing information, services and support with compassion and respect."</em></p>
<h3 align="center"><img class="image-inline" src="mary-stafford/@@images/image/mini" /><br /><strong><br />Mary Stafford<br /></strong><strong>Director</strong></h3>
<p align="center"><span class="mail mail-link"><a class="mail-link" href="mailto:KDOC_Victim_Witness@ks.gov">E-mail</a><br /></span>Toll-free hotline: (866) 404-6732<br />Kansas Department of Corrections<br />ATTN: Office of Victim Services<br />714 SW Jackson, Suite 300  <br />Topeka, KS 66603</p>
<p align="center">____________________________________________________________________________ </p>
<div class="columns"><strong><br /></strong></div>
<div class="columns"><strong><br /></strong></div>
<div class="columns"><strong><br /></strong></div>
<div class="columns"><strong><br /></strong></div>
<div class="columns"><strong><br /></strong></div>
<div class="columns"><strong><br /></strong></div>
<div class="columns"><strong><br /></strong></div>
<table class="plain" summary="Summary Services">
<tbody>
<tr><th colspan="3">Services:</th></tr>
<tr>
<td>
<ul>
<li><strong><a class="internal" href="notification-program">Notification Program</a></strong></li>
<li><strong><a class="internal" href="safety-planning">Safety Planning</a></strong></li>
<li><strong><a class="internal" href="financial-restitution-and-compensation">Financial Restitution &amp;<br />Compensation</a></strong></li>
</ul>
</td>
<td>
<ul>
<li><strong><a class="internal" href="public-comment-session-advocacy">Public Comment Session Advocacy</a></strong></li>
<li><strong><a class="internal" href="victim-offender-dialouge-program">Victim/offender Dialogue Program</a></strong></li>
<li><strong><a class="internal" href="facility-tours">Facility Tours</a></strong></li>
<li><strong><a class="internal" href="apology-letters">Apology Letters</a></strong></li>
</ul>
</td>
<td>
<ul>
<li><strong><a class="internal" href="visitation-and-family-reintegration">Visitation &amp; Family Reintegration</a></strong></li>
<li><strong><a class="internal" href="training-education">Training &amp; Education</a></strong></li>
<li><strong><a class="internal" href="links">Other Links</a></strong></li>
<li><strong><a class="internal-link" href="cold-case-playing-cards">Cold Case Playing Cards</a></strong></li>
</ul>
</td>
</tr>
</tbody>
</table>
<p style="text-align: center; "><strong><a class="internal-link" href="publications">OVS Publications</a></strong></p>
<p style="text-align: center; ">____________________________________________________________________________ </p>
<p style="text-align: center; "><a class="internal-link" href="biography">Mary Stafford Biography</a> | <a class="internal-link" href="contact-information-1">OVS Contact Information<br /></a>___________________________________________________________________________</p>]]></content:encoded>
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Nancy Burghart</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-08-07T18:10:00Z</dc:date>
    <dc:type>Page</dc:type>
  </item>


  <item rdf:about="https://www.doc.ks.gov/victim-services/training-education">
    <title>Training &amp; Education</title>
    <link>https://www.doc.ks.gov/victim-services/training-education</link>
    <description>The Office of Victim Services provides training to inmates, Kansas Department of Corrections employees, other correctional agencies, and community organizations. </description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Nancy Burghart</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-08-07T17:55:00Z</dc:date>
    <dc:type>Folder</dc:type>
  </item>


  <item rdf:about="https://www.doc.ks.gov/victim-services/publications/publications-1">
    <title>Publications</title>
    <link>https://www.doc.ks.gov/victim-services/publications/publications-1</link>
    <description>Office of Victim Services Publications</description>
    <content:encoded xmlns:content="http://purl.org/rss/1.0/modules/content/"><![CDATA[<p> </p>
<blockquote>
<blockquote>
<blockquote>
<blockquote>
<blockquote>
<p style="text-align: center; "><img alt="OVS Logo" class="image-inline" src="../images-ovs/copy_of_Victimserviceslogo.gif/@@images/image/thumb" /></p>
<p style="text-align: center; "><strong><a class="internal-link" href="brochures">Brochures</a></strong></p>
<p style="text-align: center; "><strong><a class="internal-link" href="office-of-victim-services-newsletters">Newsletters</a></strong></p>
</blockquote>
</blockquote>
</blockquote>
</blockquote>
</blockquote>]]></content:encoded>
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>cherylca</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-08-07T17:40:00Z</dc:date>
    <dc:type>Page</dc:type>
  </item>


  <item rdf:about="https://www.doc.ks.gov/victim-services/publications">
    <title>Publications</title>
    <link>https://www.doc.ks.gov/victim-services/publications</link>
    <description>Office of Victim Services Publications</description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>cherylca</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-08-07T17:35:17Z</dc:date>
    <dc:type>Folder</dc:type>
  </item>


  <item rdf:about="https://www.doc.ks.gov/publications/population/archived-reports/2013">
    <title>FY 2013 Offender Population Report </title>
    <link>https://www.doc.ks.gov/publications/population/archived-reports/2013</link>
    <description></description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>cherylca</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-08-06T19:15:00Z</dc:date>
    <dc:type>File</dc:type>
  </item>


  <item rdf:about="https://www.doc.ks.gov/kdoc-policies/AdultIMPP/chapter-10/chapter-10-revoked-policies/10-113">
    <title>10-113A Revoked</title>
    <link>https://www.doc.ks.gov/kdoc-policies/AdultIMPP/chapter-10/chapter-10-revoked-policies/10-113</link>
    <description>Offender Visitation -- Revoked 12/05/16; See KDOC IMPP 10-113D.</description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>Libby Snider</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-07-25T15:15:00Z</dc:date>
    <dc:type>File</dc:type>
  </item>


  <item rdf:about="https://www.doc.ks.gov/juvenile-services/provider/contact-form">
    <title>Contact Form</title>
    <link>https://www.doc.ks.gov/juvenile-services/provider/contact-form</link>
    <description>Please fill out all fields</description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>David Cook</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-07-19T14:36:11Z</dc:date>
    <dc:type>Form Folder</dc:type>
  </item>


  <item rdf:about="https://www.doc.ks.gov/employment/images/army-pays-logo">
    <title>Army PaYS logo</title>
    <link>https://www.doc.ks.gov/employment/images/army-pays-logo</link>
    <description>Army PaYS logo</description>
    
    <dc:publisher>No publisher</dc:publisher>
    <dc:creator>cherylca</dc:creator>
    <dc:rights></dc:rights>
    <dc:date>2013-07-18T19:59:55Z</dc:date>
    <dc:type>Image</dc:type>
  </item>


  <item rdf:about="https://www.doc.ks.gov/employment/juvenile-corrections-officer">
    <title>Juvenile Corrections Officer</title>
    <link>https://www.doc.ks.gov/employment/juvenile-corrections-officer</link>
    <description></description>
    <content:encoded xmlns:content="http://purl.org/rss/1.0/modules/content/"><![CDATA[<h2 align="center"><b></b> </h2>
<p align="center"><b><img alt="KDOC logo" class="image-inline" src="../images/KSCorrectionsLogo_Blue-Gold_PMS.jpg/@@images/image/thumb" /></b></p>
<h2 align="center"><b>Immediate Openings Available. No Experience Necessary.<br /></b></h2>
<h3 align="center"><b>COME JOIN OUR TEAM OF PROFESSIONALS.</b></h3>
<p><br />The Juvenile Corrections Officer I is responsible for supervising residents in living units, shower rooms, recreation areas, during visitations and while on transfers to activities, dining room, or other facility functions in order to maintain security, safety, sanitation and good order of the facility.</p>
<p><b><span>Juvenile Corrections Officers Qualifications</span></b><b>:</b><b> </b></p>
<ul>
<li>Must be 21 years of age at time of appointment.</li>
<li>Must have earned a high school diploma or equivalent.</li>
<li>Must be free of felony conviction or adjudication, whether or not expunged.</li>
<li>Must be free of conviction or adjudication by a court of law or court-martial, of a crime punishable by imprisonment for a term exceeding one year (whether or not the sentence was imposed).</li>
<li>Must be free of conviction as an adult of Driving Under the Influence (or comparable law regarding driving while intoxicated or under the influence of a controlled substance) in the past 36 months, as an adult or juvenile.</li>
<li>Must be free of conviction or adjudication of a misdemeanor involving drug use or possession in the past 60 months.</li>
<li>Must be free of any pending criminal charges, indictments or outstanding warrants.</li>
<li>Must meet the minimum qualifications for the Juvenile Corrections Officer I classification (See "Minimum Qualifications" below).</li>
<li>Must be able to perform the essential/event-driven essential functions of this position.</li>
<li>Subject to an employment and criminal background check (including, but not limited to, a KBI and NCIC criminal background check and KDCF Child Abuse and Neglect Central Registry check).</li>
<li>Must possess a valid driver's license.</li>
<li>After a conditional offer of employment, must take and pass a physical agility test, physical exam, drug test and TB screen.</li>
 </ul>
<h3 style="text-align: left; "><b><a class="external-link" href="https://admin.ks.gov/docs/default-source/ops/class-specifications/protective-services/juvenile-corrections-officer.pdf?sfvrsn=96a6cfc7_8">Class/Job Specifications for a Juvenile Corrections Officer I</a></b><b> </b></h3>
<p style="text-align: left; "><b>(Entry-level Juvenile Corrections Officer)</b></p>
<p><b>Beginning Salary for a Juvenile Corrections Officer I is $23.31/hour or $48,484.80year.<br /></b>Juvenile Corrections Officers are subject to a six-month probationary period.</p>
<p style="text-align: center; ">____________________________________________________________________________</p>
<p align="center" style="text-align: center; "><i><img alt="Army pays logo" class="image-inline" src="images/army-pays-logo/@@images/image/thumb" /><br /></i><i>The Kansas Department of Corrections is a proud partner in the PaYS program developed by the U.S. Army to appeal to young people interested in civilian jobs after serving in the Army.</i> </p>
<p style="text-align: center; "> ____________________________________________________________________________</p>
<h3><b><span>For applicant information, contact</span></b><b>:</b></h3>
<p style="padding-left: 30px; "><strong><br />Kansas Juvenile Correctional Complex (KJCC), located in Topeka, Shawnee County: </strong><br />1430 NW 25th St.<br />Topeka, KS 66618<br /><a class="mail-link" href="mailto:kjccrecruiting@doc.ks.gov?subject=INQUIRY: Employment">E-mail </a><br />Phone: (785) 354-9811<br />Fax: (785) 354-9877</p>
<p style="padding-left: 30px; text-align: center; "><strong>Job vacancies are listed at <a class="external-link" href="http://www.jobs.ks.gov">www.jobs.ks.gov</a></strong>     </p>
<p style="text-align: center; ">____________________________________________________________________________</p>
<p align="center"><b><i>The Kansas Department of Corrections is an Equal Opportunity Employer.</i></b></p>]]></content:encoded>
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