Form CS365 "Request for in-Service Training Incentive Credit" - Rhode Island

What Is Form CS365?

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

Form Details:

  • Released on May 1, 2009;
  • The latest edition provided by the Rhode Island Department of Administration;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CS365 by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Administration.

ADVERTISEMENT
ADVERTISEMENT

Download Form CS365 "Request for in-Service Training Incentive Credit" - Rhode Island

1011 times
Rate (4.3 / 5) 61 votes
CS365
Rev: 5/09
REQUEST FOR IN-SERVICE TRAINING INCENTIVE CREDIT
OFFICE OF TRAINING AND DEVELOPMENT
DIVISION OF HUMAN RESOURCES
One Capitol Hill, Providence, RI 02908
Telephone 222-2178
A COMPLETE APPLICATION MUST BE RECEIVED 7 DAYS IN ADVANCE OF COURSE
Please refer to KEY POINTS found on the Office of Training and Development web site:
www.admin.ri.gov/otd
Final credit will be
given for this
SOCIAL SECURITY NO:
course only if you:
PLEASE PRINT
1) Received
Approval by a
LAST NAME:
MAIDEN NAME:
CS-372 in
advance.
FIRST NAME:
MI:
2) Obtain Passing
Grades or
HOME ADDRESS:
satisfactory
completion
CITY
ZIP:
3) Forward Official
Transcripts of
DAYTIME TEL:
external courses
to us.
Note: If you do not
SERVICE:
UNCLASSIFIED:
CLASSIFIED:
receive your
CS-372 within a
reasonable time,
REQUEST:
please locate your
Request, and call
COURSE TITLE:
222-2178 in
advance of the
COURSE START DATE: (MM/DD/YY)
course start date.
SCHOOL OR AGENCY SPONSOR:
Office Use Only
HOURS: (TIMES OF DAY; DAYS OF WEEK)
COURSE LENGTH: (TOTAL HOURS)
(WORKING HOURS)
Disapproved
MOST RECENT INCENTIVE COURSE:
Approved
HIGHEST YEAR AND SCHOOL COMPLETED:
CS-372 Date:
JOB CLASSIFICATION:
DEPT:
_______________
DIVISION:
UNIT:
APPLICATION CONTINUED ON REVERSE SIDE
Your Signature is Required
CS365
Rev: 5/09
REQUEST FOR IN-SERVICE TRAINING INCENTIVE CREDIT
OFFICE OF TRAINING AND DEVELOPMENT
DIVISION OF HUMAN RESOURCES
One Capitol Hill, Providence, RI 02908
Telephone 222-2178
A COMPLETE APPLICATION MUST BE RECEIVED 7 DAYS IN ADVANCE OF COURSE
Please refer to KEY POINTS found on the Office of Training and Development web site:
www.admin.ri.gov/otd
Final credit will be
given for this
SOCIAL SECURITY NO:
course only if you:
PLEASE PRINT
1) Received
Approval by a
LAST NAME:
MAIDEN NAME:
CS-372 in
advance.
FIRST NAME:
MI:
2) Obtain Passing
Grades or
HOME ADDRESS:
satisfactory
completion
CITY
ZIP:
3) Forward Official
Transcripts of
DAYTIME TEL:
external courses
to us.
Note: If you do not
SERVICE:
UNCLASSIFIED:
CLASSIFIED:
receive your
CS-372 within a
reasonable time,
REQUEST:
please locate your
Request, and call
COURSE TITLE:
222-2178 in
advance of the
COURSE START DATE: (MM/DD/YY)
course start date.
SCHOOL OR AGENCY SPONSOR:
Office Use Only
HOURS: (TIMES OF DAY; DAYS OF WEEK)
COURSE LENGTH: (TOTAL HOURS)
(WORKING HOURS)
Disapproved
MOST RECENT INCENTIVE COURSE:
Approved
HIGHEST YEAR AND SCHOOL COMPLETED:
CS-372 Date:
JOB CLASSIFICATION:
DEPT:
_______________
DIVISION:
UNIT:
APPLICATION CONTINUED ON REVERSE SIDE
Your Signature is Required
CS-365 – Continued for: (applicant name)
MY JOB-RELATED OBJECTIVES:
I hereby apply for recommendation and approval to participate in :
Course Title:
I understand that I must receive advance approval by CS-372 and successfully complete this
course in order to receive credit toward my future incentive increment. I have consulted and
understand the KEY POINTS: INCENTIVE IN-SERVICE TRAINING PROGRAMS FOR STATE
EMPLOYEES*
SIGNATURE:
DATE:
NOTE: IT IS YOUR RESPONSIBILITY TO ENSURE THAT YOUR COMPLETED APPLICATION
HAS BEEN FORWARDED TO THE OFFICE OF TRAINING AND DEVELOPMENT (OTD)
DIVISION CHIEF OR UNIT SUPERVISOR:
I have inspected the Personnel Rules and/or KEY POINTS: INCENTIVE IN-SERVICE TRAINING
PROGRAMS FOR STATE EMPLOYEES* and nominate this course as directly related to this
employee’s job duties and career training incentive. (Every Department has a copy of the
Personnel Rules available for inspection.)
Recommended:
DATE:
(legible signature)
DEPARTMENT DIRECTOR:
I certify that this course is directly related to this employee’s job duties and attendance is
approved in accordance with the provisions outlined in the KEY POINTS: INCENTIVE IN-
SERVICE TRAINING PROGRAMS FOR STATE EMPLOYEES*
Recommended:
DATE:
(legible signature)
KEY POINTS: INCENTIVE IN-SERVICE TRAINING PROGRAMS FOR STATE EMPLOYEES* is
available on the OTD web site: www.admin.ri.gov/otd or by calling OTD at 222-2178
Page of 2