Form CS-365 "Request for in-Service Training Incentive Credit" - Rhode Island

What Is Form CS-365?

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 printable version of Form CS-365 by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Administration.

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Download Form CS-365 "Request for in-Service Training Incentive Credit" - Rhode Island

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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
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