PHYSICAL FITNESS TEST MEDICAL CERTIFICATE Name Date Dear Physician: The above-named individual has submitted an application to become a Correctional Officer at the Central Falls Detention Facility Corporation (CFDFC). The Central Falls Detention Facility Corporation (CFDFC) requires each applicant to provide a completed Physical Fitness Test Medical Certificate before being allowed to participate in the test. A statement must be obtained from a licensed physician stating that the applicant may safely perform the Physical Fitness Test. Enclosed in this package is a listing and description of the individual events and the minimum physical fitness standards a recruit/trainee must attain. We ask that your evaluation be based upon these criteria. In the event that this applicant successfully completes this Physical Fitness Test and other portions of the application process, a medical examination at a later time will be conducted, at our expense, by a physician designated by the Central Falls Detention Facility Corporation (CFDFC). PHYSICIAN S STATEMENT After reviewing each of the four (4) events, I certify that the above applicant can safely perform the Central Falls Detention Facility Corporation (CFDFC) Physical Fitness Test. Physician s Name Address Telephone Number Physician s Signature Date W y a t t D e t e n t i o n F a c i l i t y 9 5 0 H i g h S t r e e t C e n t r a l F a l l s, R h o d e I s l a n d 0 2 8 6 3 1 of 8
Full Name: Date: PHYSICAL FITNESS TEST FOR THE POSITION OF CORRECTIONAL OFFICER Each Physical Fitness Test event examines a specific area of physical fitness. These specific areas include: Explosive Power, Dynamic Strength, and Aerobic Power. The Physical Fitness Test is comprised of four (4) events. Candidates must pass all events to continue in the recruit selection process. These events are listed as follows: Test Event Measurement Vertical Jump Explosive Power Sit Up Dynamic Strength Push Up Dynamic Strength 1.5 Mile Run Aerobic Power The Central Falls Detention Facility Corporation (CFDFC) requires each applicant to provide a Fitness Test Medical Certificate showing that he/she can safely participate in the Physical Fitness Test. Each applicant is required to provide the Fitness Test Medical Certificate along with the Fitness Test Procedure Sheet and the Minimum Physical Fitness Standards Sheet to his/her physician. The Fitness Test Medical Certificate must be completed by your physician before the Physical Fitness Test date and returned to the facility prior to the day you take the test. Failure to provide this certificate will exclude you from taking the Physical Fitness Test and further participation in the recruit selection process. 2 of 8
MINIMUM PHYSICAL FITNESS STANDARDS FOR MALES AND FEMALES TEST EVENT MALES - AGE 18 29 30 39 40 49 50 + Vertical Jump 20.0 18.6 15.5 13.5 Sit Ups 38 35 29 24 Push Ups 29 24 18 13 1.5 Mile Run 12:38 12:58 13:50 15:06 TEST EVENT FEMALES - AGE 18 29 30 39 40 49 50 + Vertical Jump 14.0 12.0 9.6 N/A Sit Ups 32 25 20 14 Push Ups 23 19 13 12 1.5 Mile Run 14:50 15:43 16:31 18:18 Candidates are tested at the 40 th percentile using the Cooper Institute of Aerobic Research standards. 3 of 8
PHYSICAL FITNESS TEST PROCEDURE Vertical Jump: EXPLOSIVE POWER TEST A. Objective: This is a measure of muscular explosiveness or strength of the recruit s legs. B. Procedure: 1) Candidates stands with one side toward the wall and reaches up as high as possible to mark his/her standard reach. 2) Candidates jumps as high as possible and marks the spot on the wall above his/her standard reach mark. Prior to jumping, one foot must remain stationary on the floor. 3) Score is the total inches, to the nearest ½ inch. 4) The best of three trials is the score. 4 of 8
One Minute Sit Up: DYNAMIC STRENGTH TEST A. Objective: To measure the muscular endurance of the abdominal and hip flexor muscles. B. Procedure: 1) The candidates start by lying on their back with their knees bent, feet flat on the floor, with the hands cupped behind their head. Note: Avoid pulling on the head with the hands. 2) A partner holds the feet down firmly using their hands. 3) The candidate then performs as many correct sit ups as possible in one minute. 4) In the up position, the individual should touch elbows to knees and then return until the shoulder blades touch the floor. A correct sit up will be counted each time the up position is met while maintaining proper form. 5) The score is the total number of correct sit ups. Any resting should be done in the up position 6) Breathing should be as normal as possible. Exhaling on the way up and inhaling on the way down is strongly recommended. The candidate should NOT hold their breath. 7) The neck should always remain in the neutral position. 8) DO NOT pull on the head or the neck. 5 of 8
One Minute Push Up: DYNAMIC STRENGTH TEST A. Objective: This test measures the muscular endurance of the upper body (anterior deltoid, pectoralis, and triceps). B. Procedure: 1) The hands are placed slightly wider than shoulder width apart, with fingers pointed forward. The administrator places one fist on the floor below the subject s chest. If a male is testing a female, a 3-inch sponge should be placed under the sternum to substitute for the fist. 2) Starting from the up position (elbows extended), the subject must keep the back straight at all times and lower body to the floor until the chest touches the administrator s fist. Subject then returns to the up position. This is one repetition. 3) Resting should be done only in the up position a. If at any point during the exam the tester s knee is used to rest on or if the tester lays on the floor to rest, the test will be concluded and we will take that last repetition as their final score. 4) The candidate score will be the total number of correct push-ups completed in one (1) minute and/or by failure to follow resting instructions. 6 of 8
1.5 Mile Run: AEROBIC POWER TEST A. Objective: To measure the efficiency of the cardiovascular system and how it responds to imposed physical demand. B. Procedure: 1) Candidates will be allowed to warm-up and stretch prior to this test. 2) Candidates will run or jog a distance of 1.5 miles in the shortest time possible. Prior to the test, candidates should practice the 1.5 mile run several times to determine the best individual pace for the entire distance. 3) A group of candidates will run at the same time. Candidates may choose to walk or jog if they so desire. However, this event is an individual effort. All scores are individually recorded. 7 of 8
RECEIPT OF ACKNOWLEDGEMENT Name: Age: Height: Weight: DOB: Email address: I, (print full name), have applied to participate in the Mandatory Law-Enforcement Physical Fitness Assessment Test (LEPFAT) being administered by the Donald W. Wyatt Detention Facility (DWWDF). I, hereby affirm that I have read and fully understand the Written Instruction Script (pages 2-7 of this packet) for the following physical fitness tests: o Sit-Up (number in one (1) minute) o Push-Up (number in one (1) minute) o Vertical Jump (inch) o 1.5 Mile Run (time) I, (please, initial), hereby affirm that I am in good physical condition and do not suffer from any disability which would prevent or limit my participation in today s physical fitness assessment test. In consideration of my participation in the DWWDF Law-Enforcement Physical Fitness Assessment Test, I, (please, initial), for myself, my heirs and assigns, hereby release the Donald W. Wyatt Detention Facility (its employees and owners), from any claims, demands, and causes of action, now or in the future, arising from my participation in the LEPFAT. I fully understand that I may injure myself as a result of my participation in the DWWDF Law- Enforcement Physical Fitness Assessment Test including, but not limited to miscarriage, heart attack, muscle strains, pulls, or tears, broken bones, shin splints, heat prostration, knee-lower back/foot injuries and any other illness, soreness, or injury however caused occurring during or after my participation in the LEPFAT. Signature: Today s Date: I hereby affirm that I am exercising with my physician s approval regarding this physical fitness assessment test. Also, I confirm that I have read and fully understand the above agreement. Signature: Today s Date: Staff Signature: Today s Date: 8 of 8