The affirmation letter (signed by the CEO) is a requirement confirming your request for technical assistance.
the template here, print it out on agency letterhead, and have the CEO sign it. Then upload the completed document below. This field is first so it does not get overlooked. It's best to have this document ready to upload prior to filling out the form. Download
- Select - Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming
Type of Organization
- Select - County City Municipality Regional State Federal Bureau of Prisons Federal Probation Federal – Indian Affairs Federal – Other Department of Defense Tribal – Indian Country Private Practice – Non-Profit Private Practice – For Profit College or University U.S. Commonwealth or Territory Foreign
Criminal Justice Service Areas
What is the criminal justice service area you are seeking assistance for?
Promote and assist efforts to ensure safe, cost-effective, and efficient prisons, jails and community corrections programs and facilities through effective management and operations.
Strengthen the knowledge, skills and effectiveness of correctional personnel in operating safe, efficient and constitutional systems.
Promote problem solving, the exchange of effective strategies and improved capacity of tribal, local, state, federal and foreign corrections agencies through an information clearinghouse, networks, intergovernmental partnerships and other information sharing.
Promote and assist agencies in providing offender services through classification, programs, management of special populations, productive work and education, religion and social services supporting responsible, law-abiding behavior for offenders during the period of correctional supervision and after release.
Promote and assist the development of effective criminal justice systems that improve public safety, enhance the public trust, and coordinate the use of state and local resources while appropriately using pretrial, sanctioning, supervision, and control options for offenders.
Describe Your Request
Briefly describe the problem for which assistance is requested. In your statement, include why the need cannot be met within the agency.
(e.g., "We would like to more effectively manage our multi-generational workforce more effectively, attract and retain solid high-performing staff, and improve staff morale today and in the future.")
What background, context or supporting documentation can you share with NIC that have an effect on the problem(s) that you would like to resolve.
Please select the NIC Division that most closely represents your request.
- Select - Jails Division Prisons Division Community Services Division Academy Division
Is the training or presentation needed in a language other in English?
Desired Delivery Date If Known
Desired Outcomes/Agency Goals of TA
Please indicate your desired outcomes of this assistance (e.g., “Explore new ways to encourage the facility administrative team to integrate the use of management tools into its operations, thereby facilitating the development of cohesive working relationships to accomplish a multitude of unprecedented changes in the agency.”)
Participants (if applicable)
For trainings and presentations, describe the participants and the expected number of attendees (e.g., “Tentative participants include the director, assistant director, executive assistant to the director, executive chiefs (10), deputy directors (7), wardens (25), and managers (2).")
How Did You Hear About NIC?
If you have questions about your request prior to submitting this form, please email or call one of the managers below.
Please click the Submit button to send this form directly to NIC and also a copy to yourself.