Continuing Education Program (C

advertisement
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:
Download