Baker
Group - International
Digital Voice Stress Analyzer
Telephone
321.289.3852
Facsimile: 321.268.9998
Email: bakergroupint@cs.com
Website: www.BakerDVSA.com
PRIVATE CRIMINAL
JUSTICE GRANT APPLICATION
Name of Agency: Telephone:
Address:
Authorizing Official: Title: Telephone:
Email address:
Department Size: Sworn Non-sworn
Do you now utilize any of
the following?
Polygraph. If yes, how many in use? ____. Number of examiners? ____.
CVSA. If yes, how many in use? ____. Number of examiners? ____.
PSE. If yes, how many in use? ____. Number of examiners? ____.
Other Identify instruments used. ____________________________.
Only use services of
another agency as necessary. Polygraph VSA
GRANT REQUEST
Number of DVSA software End
User Licenses requested through this grant program. _____. (If more than one
system is requested, please discuss needs.)
The Certified Examiners
Training Course is $1500.00 and recertification training is $300 annually
thereafter for each examiner. Our training certificate does not expire. A standardized software End User License Agreement
must be signed prior to installation into your computers. Reasonable multiple computer installation is
permitted without additional cost.
Total number of examiners to
be trained. _____ @ $1500.00 =
$___________.
Certification:
The authorized official
hereby certifies that the information submitted above is true and correct. We agree to provide non-identifiable feedback
on individual subjects tested and / or evaluation reports assessing the impact
of the DVSA technology when awarded.
Signature:__________________________ Title__________ Date___________