American Board of Criminalistics Recertification Professional Development Report

American Board of Criminalistics Recertification Professional Development Report
NOTE: Refer to the Recertification Point Structure (09-0608S) for further explanation of requirements and a listing of acceptable documentation.
Certificant Name (Last Name, First Name, MI) *
Certificant Name Page 2:
Certificant Name Page 3:
Certificant Name Page 4:
Certificant Name Page 5:
Certificant Number: *
Certificant Number, Page 2:
Certificant Number, Page 3:
Certificant Number, Page 4:
Certificant Number, Page 5:
Please select the first specialty you will be claiming points for on this submission. This will be SPECIALTY 1. You can only claim two specialties for each form submission. *
Page 2 Specialty 1.
Page 3 Specialty 1.
Page 4 Specialty 1.
Page 5 Specialty 1.
Please select the second specialty you will be claiming points for on this submission. This will be SPECIALTY 2. You can only claim two specialties for each form submission. *
Page 2 Specialty 2.
Page 3 Specialty 2.
Page 4 Specialty 2.
Page 5 Specialty 2.
Please check each activity for which you are claiming points. Please refer to the Points Chart (09-0608S) for further guidance if necessary.

1. Forensic Work 2. Forensic Teaching 3. Forensic Organization Membership 4. Elected Officer/Committee Chair in Forensic Organization 5. Committee Member 6. Participation in SWG, TWG, OSAC, state or national forensic science commission 7. Elected Officer/Committee Chair/Sub-Committee Chair in SWG, TWG, OSAC, state or national forensic science commission 8. External Audit, External Inspection, External Assessment Activity 9. Internal Audit of Technical Specialty 10. Workshop, Seminar, Registered Meeting Attendance 11. Successful Completion of Relevant College Course 12. Panel Discussion/Plenary Discussion 13. Technical Paper/Poster Presentation 14. Technical Paper Publication 15. Book Chapter Authorship 16. Book Editing 17. Technical Training Presentation 18. Conducting Workshop in Forensic Skill Area 19. Training of Examiner 20. Primary Instructor of Forensic Science Unlisted Professional Activities
1. Forensic Work

2 pts/year
Points Claimed (Section I)
Place of Employment:
Name of Supervisor or Co-worker:
E-mail of Supervisor or Co-worker:
example@example.com
2. Forensic Teaching

2 pts/year
Points Claimed (Section I)
Place of Employment:
Name of Supervisor or Co-worker:
E-mail of Supervisor or Co-worker:
example@example.com
3. Forensic Organization Membership

1 pt/year/org with a Max of 10/year
Points Claimed (Section I)
List organizations:

0/190
4. Elected Officer / Committee Chair in Forensic Organization

2 pts/year/org with a Max of 10/year
Points Claimed (Section I)
List organizations and positions:

0/95
5. Committee Member

1 pt/year/org with a Max of 10/year
Points Claimed (Section I)
List organizations and positions:

0/190
6. Participation in SWG, TWG, OSAC, state or national forensic science commission

(3/year/org with a Max of 6/year)

List organization(s) and position(s):

0/190
7. Elected Officer/Committee Chair/Sub-Committee Chair in SWG, TWG, OSAC, state or national forensic science commission

(2/year/org with a Max of 10/year)

List organization(s) and position(s):

0/190
Additional Comments/Notes for Activities 1-7:

0/420
8. External Audit, External Inspection, External Assessment Activity

(2 pts/day with a Max of 20/year)

9. Internal Audit of Technical Specialty

(1 pt/day with a Max of 10/year)

10. Workshop, Seminar, Registered Meeting Attendance

(3 pts/day with no Max)

11. Successful Completion of Relevant College Course

(5 pts/ credit hour with a Max of 15)

List name of course, location, and credit hours:

0/190
12. Panel Discussion/Plenary Discussion

(2 pts/ discussion with a Max of 10)

List topic/title, date(s) given, and forum of presentation

0/190
Additional Comments/Notes on Activities 8-12:

0/500
13. Technical Paper/Poster Presentation
a. Author or Co-author

(5 pts/ presentation with a Max of 20)

List title, date(s) given, and forum of presentation

0/190
b. Non-author Presenter

(2 pts/ presentation with a Max of 10)

List title, date(s) given, and forum of presentation

0/190
14. Technical Paper Publication
a. Peer Reviewed Article

(15 pts/ paper with no Max)

List publication title and complete reference:

0/95
b. Non-peer Reviewed Article

(3 pts/ paper with no Max)

List publication title and complete reference:

0/95
c. Technical Review of Paper or Thesis

(5 pts/ paper with no Max)

List title and complete reference:

0/95
15. Book Chapter Authorship

(20 pts/chapter with a Max of 40/year)

List title and complete reference:

0/190
16. Book Editing

(20 pts/chapter with a Max of 40/year)

List title and complete reference:

0/190
Additional Comments/Notes on Activities 13-16:

0/1000
17. Technical Training Presentation

(1 pt/presentation with a Max of 5/year)

List topic/title, date(s), and forum of presentation:

0/285
18. Conducting Workshop/Seminar

(5 pts/full day with a Max of 15/year)

19. Training of Examiner

(5 pts/40 hours with a Max of 15/year)

List trainee, discipline, and contact hours:

0/95
20. Primary Instructor of Forensic Science

(5 pts/credit Hour with a Max of 15/year)

List name of course, location, and credit hours:

0/95
Unlisted Professional Activities
If you have activities to report that do not fit into the above-listed categories that you feel should be considered for recertification, please note them here for consideration.

0/735
Additional Comments/Notes for activities 17-20:

0/735
The following points are being claimed on the Recertification Professional Development Reporting Form (09-0601F):
Points for Section I
Points for Section II
Points Claimed Speciatlty 1
Points Claimed Specialty 2
Total Points Claimed
Once, during a 5-year certification cycle, a certificant may use 2 employment points towards Specialty Area Activity Points, instead of Section I. Please indiciate below if you would like to have your points allocated towards your specialty.
Please count 2 employment points towards my specialty
Specialty Area
Declaration
The information listed on this Recertification Professional Development Report (09-0601F) is accurate and reflects the professional development activities in which I have participated. If I have not provided adequate supporting documentation as defined in the Recertification Points Structure document (09-0608S), I understand that points may be deducted. I understand that ABC, or its representative(s), will verify some or all of the information contained on this form. I agree to authorize the release of this information for recertification purposes.
Certificant or Affiliate Name
E-mail *
example@example.com
Certificate Number *
Certificant Specialties
Certification Status
Signature *

Clear
Date *

Month Day Year
Date
Upload Supporting Documentation

Upload supporting documentation for each Section.

Use the file name: Document type_Last Name_First Name_Certificant Number

For example, Supporting Documentation_Smith_John_9999
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American Board of Criminalistics Recertification Professional Development Report

1. Forensic Work

2. Forensic Teaching

3. Forensic Organization Membership

4. Elected Officer / Committee Chair in Forensic Organization

5. Committee Member

6. Participation in SWG, TWG, OSAC, state or national forensic science commission

7. Elected Officer/Committee Chair/Sub-Committee Chair in SWG, TWG, OSAC, state or national forensic science commission

8. External Audit, External Inspection, External Assessment Activity

9. Internal Audit of Technical Specialty

10. Workshop, Seminar, Registered Meeting Attendance

11. Successful Completion of Relevant College Course

12. Panel Discussion/Plenary Discussion

13. Technical Paper/Poster Presentation

a. Author or Co-author

b. Non-author Presenter

14. Technical Paper Publication

a. Peer Reviewed Article

b. Non-peer Reviewed Article

c. Technical Review of Paper or Thesis

15. Book Chapter Authorship

16. Book Editing

17. Technical Training Presentation

18. Conducting Workshop/Seminar

19. Training of Examiner

20. Primary Instructor of Forensic Science

Unlisted Professional Activities

Declaration