Continuing Education Program (C.E.P.) Class Request Information Form Use this form when you want a class placed on the CEP Calendar. This form must be typed and emailed to the CEP Mailbox. To submit this form to the CEP Coordinator: 1. Click “File” on top tool bar 2. Click on “Send to” 3. Click on “Mail Recipient as Attachment” ATTACH THIS FORM 4. Email to: DPDCEP@ci.denver.co.us Page 1 of 2 Academy Use: (Form Revised 01/11/2012) COURSE INFORMATION: Course Name: Total Class Hours: (i.e. 5 day class is 40 hours, if class is 8 hours per day) Course Description: (Describe all elements of the class) Special Equipment students must bring to class: (i.e. Students need to wear workout clothing and shoes and bring a gun belt, etc.) General Learning Goal Student Performance Objectives Student Learning Measures 1. 2. 3. 4. 5. Class discussion and participation Student demonstration Informational only Scenario or skills evaluation Written test Source / Reference Material Prerequisites: (Describe any requirements that must be completed before this class can be taken) Who May Attend: Only Denver PD Officers Only Denver PD CSA Employees Only Denver PD Officers & DPD CSA Employees Only Denver PD Officers & Other Law Enforcement Officers Denver Officers, Other Law Enforcement Officers, and CSA Employees Length of Course: (i.e. Number of days class will be held): Is this a Supervisory-Level Class? Yes No Continuing Education Program (CEP) Class Request Information Form Page 2 of 2 CLASS INFORMATION: DPD Students: Is there a Course Fee to attend this class? Yes No Amount: $ Non-DPD Students: Yes No Amount: $ If you select “Yes for Non-DPD Students”, and you do not indicate an amount, a minimum of $100.00 per student will be assessed, depending on the number of days and other circumstances. Maximum DPD students allowed = Maximum Non-DPD students allowed = When determining theses numbers keep in mind the size of the classroom or area where the class will take place! Total number of all students = What is the least number of students to which you will present the class? Denver PD Academy Audio/AV and Computer Capabilities: If you are planning on rearranging tables, chairs and/or equipment, all items must be returned to their original positions. Classrooms have: A desktop PC (with Windows XP and 2003 Microsoft Office software) Flash/Thumb drives, CDs and DVDs can be used but are not supplied Overhead projector and screen Audio equipment White board Flip charts CLASS DATES AND TIMES: If any classes will be held at the Denver PD Academy, indicate all areas needed for this training, i.e. Classroom, DEVOC Track, Large Mat Area, etc., in the “Location of Training” Start Date: End Date: 1. Instructor (Name and Title): Location of Training: Class Times (i.e. 0800 – 1600): Start Date: End Date: Instructor (Name and Title): 2. Location of Training: Class Times (i.e. 0800 – 1600): Same as in 1. above Other instructor: Same as in 1. above Other location: Same as in 1. above Other hours: Start Date: End Date: Instructor (Name and Title): 3. Location of Training: Class Times (i.e. 0800 – 1600): Same as in 1. above Other instructor: Same as in 1. above Other location: Same as in 1. above Other hours: Start Date: End Date: Instructor (Name and Title): 4. Location of Training: Class Times (i.e. 0800 – 1600): Same as in 1. above Other instructor: Same as in 1. above Other location: Same as in 1. above Other hours: