Has Fulfilled All Requirements for Certification And, Subject to Annual

This certifies that

has fulfilled all requirements for certification and, subject to annual

recertification, is qualified to use physical techniques

NCI Interventions - Core Training

(Parts A and B)

A curriculum of the NC Division of Mental Health, Development Disabilities and Substance Abuse Services

Instructor Name

Instructor Signatures Date

Certificate is valid through Insert Expiration Date

Blocks: / Complex Hold Releases:
Overhead A / Front choke prevent
Overhead B / Front choke wedge
Hook A / Back choke fake
Hook B / Upper bear hug
Straight A / Lower bear hug
Straight B / Full Nelson prevent
Uppercut / Full Nelson release
Headlock
Back choke to headlock
Simple Hold Releases:
1-hand arm grab-roll
2-hand arm grab-pull up
1-hand front hair pull
1-hand back hair pull
Long hair
Bite release

Participant NCI Interventions Core+ Training 1008