Alabama Administrative Code Chapter 650-X-AF — Appendix F - Instructor Application

650 Alabama Peace Officers Standards and Training Commission

Ala. Admin. Code r. 650-X-AF-1 Appendix F

Alabama Peace Officers Standards and Training Commission's Instructor Application.

PEACE OFFICERS STANDARDS AND TRAINING COMMISSION

Instructor Certification Application

SUBJECT: _______________________________________________________________

Name _________________________________________________________________ Last First Middle S.S. Number

Date of Birth _____________ Race __________ Sex _____________________________

Place of Birth __________________________________________________________

City State County

NAME OF ACADEMY THAT YOU WILL BE INSTRUCTING AT:______________________________

APOST Certified ___ / ___ PLEASE MARK BELOW WHICH TYPE OF CERTIFICATION

Yes No THAT YOU HAVE BEEN ISSUED FROM THIS AGENCY:

APOST Basic Police Training Graduate ......___ / ___ / __________

Yes No Certificate Number

APOST Basic Corrections Training Graduate..___ / ___ / __________

Yes No Certificate Number

APOST Grandfather .........................___ / ___ / __________

Yes No Certificate Number

APOST Waiver ..............................___ / ___ / __________

Yes No Certificate Number

APOST Instructor ..........................___ / ___ / __________

Yes No Certificate Number *****************************************************************

Current Employment:

Agency____________________

Date Hired _________________________________________

Rank or Title _________________________________________________________________

Present Assignment or Position ________________________________________________

LAW ENFORCEMENT OR RELATED EXPERIENCE:

Agency and Unit Assignment

1. ---

2. ---

3. ---

LAW ENFORCEMENT TRAINING: (attach extra pages if necessary)

School Name and Course Title and Hours Taken

---

---

TOPIC _________________________________________________________________

HOURS _________________________________________________________________

PURPOSE__________________________________________________________

OBJECTIVE:

METHODOLOGY:

lectures __________

films _____________

handouts __________

other _____________

LESSON OUTLINE:

(major points)

EVALUATION: (5-7 questions with correct answers that can be incorporated into an over-all test on entire course.)

BIBLIOGRAPHY: