1
OJJDP FY 2020 Title II
Training Certification
(Submit in the Compliance Monitoring Tool as
part of Category 2)
CERTIFICATION REGARDING STATE POLICY
REQUIRING TRAINING AND CERTIFICATION TO WORK WITH JUVENILES
On behalf of the applicant, the ______________________________________________
and in support of the state/territory of ______________________________________
application for a Title II, Part B formula grant under the Juvenile Justice and Delinquency
Prevention Act, I certify under penalty of perjury to the U.S. Department of Justice
(“Department”), Office of Justice Programs (“OJP”), Office of Juvenile Justice and
Delinquency
Prevention, that all of the following are true and correct:
(1) I have the authority to make the following representations on behalf of myself and the
applicant. I understand that these representations will be relied upon as material in any OJP
decision to make an award to the applicant based on its application.
(2) The State of_____________________ has
in effect a policy that requires individuals who
work with juveniles
1
and adult inmates
2
to have training and certification to work with juveniles.
I acknowled
ge that a materially false, fictitious, or fraudulent statement (or concealment or
omission of a material fact) in this certification, or in the application that it supports, may be the
subject of criminal prosecution (including under 18 U.S.C. §§ 1001 and/or 1621, and/or 34
U.S.C. § 10272), and also may subject me and the applicant to civil penalties and administrative
remedies for false claims or otherwise (including under 31 U.S.C. §§ 3729-3730 and 3801-
3812). I also acknowledge that OJP awards, including certifications provided in connection with
such awards, are subject to review by the Department, including by OJP and by the
Department’s Office of the Inspector General.
Signature of Cer
tifying Official (Head of Designated State Agency or Management Official
Designee):___________________________________________________________________
Printed Nam
e of Certifying Official: ________________________________________________
Name of Sta
te/Jurisdiction: ______________________________________________________
Name of Des
ignated State Agency:________________________________________________
Date:________________________________________________________________________
1
“Juveniles” refers to those individuals accused of or adjudicated for a delinquent offense, charged with or adjudicated for a
status offense, or “nonoffenders” who meet the requirements of 34 U.S.C. § 11133(a)(11)(B).
2
“Adult inmate” is defined at 34 U.S.C. § 11103(26).
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