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. 1. _________________________________________________________________
2. 2. _________________________________________________________________

3. 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: