ECNS CRS Page 1 Service ENDER, COPY 128031;? ?lm 1c Ham 0 in! FILE See distribution FPS Number USTODY RATING SCALE Family Name Given Name (SI .12 Location Date of Birth ASSESSMENT UNIT )mpleted by: INSTITUTIONAL ADJUSTMENT RATING 16 1. History of Involvement in Institutional Incidents: a. Prior involvement ln institutional incidents: 0 ND PRIOR INVOLVEMENT b. Incidents occurring in the last five years: 0 N0 PRIOR INVOLVEMENT c. Involvement in incidents of severe categories: 0 NO PRIOR INVOLVEMENT d. Incident se?Ierity remand information: 0 NO PRIOR INVOLVEMENT 2. Escape History: 0 NO ESCAPE OR ATTEMPTS 3. Street Stability: 16 AVERAGE .u - Alcohol/Drug Use: 0 NO IDENTIFIABLE PROBLEMS u- Age at Time of Sentencing: 0 30 YEARS OR MORE RATING scum: fomulaire existe aussi an frangais. Original offender CM t'ile 1091 lR-95-08) OHS VERS (3) t- Ind T1.- Iuockod IS BASED A ZG-EDUR CLOCK MOD. Page 1 of 2 Page 2 ?mncum 1A [x13 1C rmwanm mum FPS NAME DOB LOC. II. SECURITY RISK RATING 86 1. Number of Prior Convictions: 0 NONE 2. Most Severe Outstanding Charge: 0 NONE 3. Severity of Current Offence: 36 SERIOUS OR MDJOR 4. Sentence Length: 45 TEN To 24 YEARS (MORE THAN 9 YEARS AND UP To 24 YEARS) 5. Street Stability: 5 AVERAGE 6. Full Parole and/or Statutory Release: a . Full Parole: 0 NONE b. statutory Release: 0 NONE 7. Age at Time of Admission: 0 35 IEARS OR MORE CLASSIFICATION CUSTODY scum: DIWIW Original - Offender File Ce tormulaire exiate aussi en francais. CSC 1091 (R-95-DE) OHS VERS (3) out. and run- Lock-d :5 mm on A 24-3003 emu: PERIOD. Page 2 of 2