Form F-5 "Application for Basic Training" - Alaska

What Is Form F-5?

This is a legal form that was released by the Alaska Department of Public Safety - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2017;
  • The latest edition provided by the Alaska Department of Public Safety;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form F-5 by clicking the link below or browse more documents and templates provided by the Alaska Department of Public Safety.

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Download Form F-5 "Application for Basic Training" - Alaska

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Alaska Police Standards Council
PO Box 111200
Juneau, AK 99811-1200
Ph: 907 465-4378
F-5
APPLICATION FOR BASIC TRAINING
CHECK ONE:
ACADEMY:
Police
Correctional
Probation/Parole
APSC Recert Dates:
ACADEMY:
ACADEMY:
ACADEMY:
ALET Dates:
APD Dates:
UAF CTC Dates:
ACADEMY:
ACADEMY:
Correctional
Probation/Parole Dates:
Municipal Correctional Dates:
Last, First, Middle
Name (
)
Agency:
Date of Birth:
Agency Address:
Rank:
Vehicle Operator’s License Number:
Expiration Date:
Height:
Weight:
Date of Hire:
Date of Last Physical Examination:
Limitations Indicated by Physical Exam:
Current Assignment:
Previous Basic Law Enforcement Training:
T h e f o l l o w i n g d o c u m e n t s m u s t a c c o m p a n y t h i s a p p l i c a t i o n ( u n l e s s p r e v i o u s l y p r o v i d e d t o A P S C ) .
A. Health Questionnaire (F-2A)
B. Medical Exam Report (F-2B)
C. Personal History Statement (F-3)
D. Psychological Examination Report (F-11, unless an M.C.O.)
APPLICANT
2. Have you ever been convicted of a felony or a crime,
which limits or prevents you from possessing a firearm?
1. Have you ever been convicted of a firearms violation?
Yes
No
Yes
No
I release the sponsoring agency and other departments officially connected or associated with this training program from liability in case of
illness or accident. I acknowledge that information contained on this form will be used by the council for purposes of determining my
eligibility and qualifications for training, employment, and certification.
I swear and affirm, under penalty or PERJURY, that the foregoing is true and accurate to the best of my knowledge.
Done at ____________________________________ , Alaska on the ___________day of _______________________________, 20_______.
SWORN TO AND SUBSCRIBED before me on this
____________day of __________________, 20_______.
Applicant_______________________________________
______________________________________________
Notary Public in and for Alaska
My Commission Expires:__________________________
DEPARTMENT HEAD
I certify that this applicant has met the minimum employment standards and approve this application.
________________________________________________
_____________________________
______________________________
Department Head Signature
Printed Name/Title
Date
APSC Use:
APSC 6/01/2017
1
Alaska Police Standards Council
PO Box 111200
Juneau, AK 99811-1200
Ph: 907 465-4378
F-5
APPLICATION FOR BASIC TRAINING
CHECK ONE:
ACADEMY:
Police
Correctional
Probation/Parole
APSC Recert Dates:
ACADEMY:
ACADEMY:
ACADEMY:
ALET Dates:
APD Dates:
UAF CTC Dates:
ACADEMY:
ACADEMY:
Correctional
Probation/Parole Dates:
Municipal Correctional Dates:
Last, First, Middle
Name (
)
Agency:
Date of Birth:
Agency Address:
Rank:
Vehicle Operator’s License Number:
Expiration Date:
Height:
Weight:
Date of Hire:
Date of Last Physical Examination:
Limitations Indicated by Physical Exam:
Current Assignment:
Previous Basic Law Enforcement Training:
T h e f o l l o w i n g d o c u m e n t s m u s t a c c o m p a n y t h i s a p p l i c a t i o n ( u n l e s s p r e v i o u s l y p r o v i d e d t o A P S C ) .
A. Health Questionnaire (F-2A)
B. Medical Exam Report (F-2B)
C. Personal History Statement (F-3)
D. Psychological Examination Report (F-11, unless an M.C.O.)
APPLICANT
2. Have you ever been convicted of a felony or a crime,
which limits or prevents you from possessing a firearm?
1. Have you ever been convicted of a firearms violation?
Yes
No
Yes
No
I release the sponsoring agency and other departments officially connected or associated with this training program from liability in case of
illness or accident. I acknowledge that information contained on this form will be used by the council for purposes of determining my
eligibility and qualifications for training, employment, and certification.
I swear and affirm, under penalty or PERJURY, that the foregoing is true and accurate to the best of my knowledge.
Done at ____________________________________ , Alaska on the ___________day of _______________________________, 20_______.
SWORN TO AND SUBSCRIBED before me on this
____________day of __________________, 20_______.
Applicant_______________________________________
______________________________________________
Notary Public in and for Alaska
My Commission Expires:__________________________
DEPARTMENT HEAD
I certify that this applicant has met the minimum employment standards and approve this application.
________________________________________________
_____________________________
______________________________
Department Head Signature
Printed Name/Title
Date
APSC Use:
APSC 6/01/2017
1