COLLEGE PARK POLICE DEPARTMENT

Office of Professional Standards

TRAINING REQUEST / STUDENT AUTHORIZATION FORM

AGENCY INFORMATION

 COURSE INFORMATION

Please print or type all agency information
Agency Course Number
Address
City State Zip Course Title  
Agency Phone # Fax #
Training Officer Phone # Dates
Email Address
Agency Head (or designee)
Type of Agency
 

STUDENT INFORMATION

Only three students per agency should be listed, in order of acceptance priority
Student # 1 Student # 2 Student # 3
Name      
SSN      
Sex      
Certification Number      
Certification Date      
Certification Type      
Date of Birth      
Rank      
Current Assignment      

WAIT LISTED STUDENTS- If placed on the waiting list, students can not be registered for any other class with the same title Nor any class that starts or ends during the same time period. The waiting list is for this class only. If the student is not selected for this class before the start date, the application will be cancelled.

AUTHORIZATION

By the signature below, I verify that the student(s) listed above has met or will have met all prerequisites for this class by the start date. All applicants for this program must supply proof to the course coordinator by the first day of class that he/she has satisfactorily completed the noted prerequisites. Failure to do so will require that the applicant be dismissed from the training program. Check with the sponsoring agency for verification of prerequisite requirements.

Agency Head (or Designee) Title Date
Signature