"Cso Renewal Training Page" - Arkansas

Cso Renewal Training Page is a legal document that was released by the Arkansas State Police - a government authority operating within Arkansas.

Form Details:

  • Released on May 1, 2019;
  • The latest edition currently provided by the Arkansas State Police;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Arkansas State Police.

ADVERTISEMENT
ADVERTISEMENT

Download "Cso Renewal Training Page" - Arkansas

Download PDF

Fill PDF online

Rate (4.6 / 5) 10 votes
Effective Date
5-2019
CSO RENEWAL TRAINING PAGE
NOTICE: Information contained on this application is considered a public record and may be released under the
Freedom of Information Act. Under penalty of A.C.A. § 5-53-103, knowingly giving a false statement or
submitting a false document constitutes a Class A Misdemeanor.
NAME OF COMPANY _________________________________________________
CMPY ____________________
Employee Credential Number
NAME __________________________________________________________________________
Last
First
MI
SS#: _______-______-__________
DOB: __________________
N
CURRENT AND ACTIVE CERTIFIED LAW ENFORCEMENT OFFICER?
Yes
o
(CERTIFIED LAW ENFORCEMENT OFFICERS ARE EXEMPT FROM THE TRAINING REQUIREMENTS. THE OFFICER MUST BE A
CURRENT, ACTIVE LAW ENFORCEMENT OFFICER. (SEE RULE 10.6)
(PLEASE ATTACH A COPY OF YOUR LAW ENFORCEMENT CERTIFICATION AND A LETTER FROM THE LAW ENFORCEMENT
AGENCY THAT YOU ARE CURRENTLY EMPLOYED WITH THAT STATES YOU ARE A CURRENT, ACTIVE LAW ENFORCEMENT
OFFICER.) ________________________________________________________
(If checked, a signature of TA or ATA is required)
PHASE I MAY BE CONDUCTED BY A TRAINING ADMINISTRATOR (TA), ASSISTANT TRAINING
ADMINISTRATOR (ATA), TRAINING INSTRUCTOR (TI), OR GUEST INSTRUCTOR.
*Renewal training must consist of twelve (12) hours minimum. The training shall include, but not limited to, the subjects
found in Phase I and Phase II. Renewal training shall include firing range qualification on an ALETA qualification course and
a safety course (Rule 10.11).
PHASE I – Training Requirements for Renewal of PSO, CSO and CSSO
Legal Authority
Familiarity with Act 393
Field Note Taking and Report Writing
DATE TRAINING COMPLETED
_______________
The instructor(s) and guest instructor(s) by completing this form affirm that he/she has successfully
administered the training required by A.C.A. §§17-40-208 et seq. and the Arkansas State Police Licensing
Rules. I hereby affirm that the representations made herein are true and correct.
TRAINING ADMINISTRATOR OR ASSISTANT TRAINING
TRAINING ADMINISTRATOR OR ASSISTANT
ADMINISTRATOR SIGNATURE:
TRAINING ADMINISTRATOR SIGNATURE:
Sign: _______________________________
Sign: _______________________________
Print: _______________________________
Print: _______________________________
Credential Number: _____________
Credential Number: _____________
GUEST INSTRUCTOR OR TRAINING
GUEST INSTRUCTOR OR TRAINING
INSTRUCTOR SIGNATURE:
INSTRUCTOR SIGNATURE:
Sign: _______________________________
Sign: _______________________________
SUBJECT TAUGHT: ____________________________
SUBJECT TAUGHT: ____________________________
Print: _______________________________
Print: _______________________________
Address: ________________________________________
Address: ________________________________________
DOB: __________ Phone Number: __________________
DOB: __________ Phone Number: __________________
**If more than two guest instructors, please attach the ASP Supplemental Instructor Training Page. **
Guest instructors can be utilized to teach training requirements under the guidance and supervision of a registered
Training Administrator. If a guest instructor teaches any portion of the required training the credentialed Training
Administrator or Assistant Training Administrator must be present during instruction and must also sign this form.
Page 1 of 2
Effective Date
5-2019
CSO RENEWAL TRAINING PAGE
NOTICE: Information contained on this application is considered a public record and may be released under the
Freedom of Information Act. Under penalty of A.C.A. § 5-53-103, knowingly giving a false statement or
submitting a false document constitutes a Class A Misdemeanor.
NAME OF COMPANY _________________________________________________
CMPY ____________________
Employee Credential Number
NAME __________________________________________________________________________
Last
First
MI
SS#: _______-______-__________
DOB: __________________
N
CURRENT AND ACTIVE CERTIFIED LAW ENFORCEMENT OFFICER?
Yes
o
(CERTIFIED LAW ENFORCEMENT OFFICERS ARE EXEMPT FROM THE TRAINING REQUIREMENTS. THE OFFICER MUST BE A
CURRENT, ACTIVE LAW ENFORCEMENT OFFICER. (SEE RULE 10.6)
(PLEASE ATTACH A COPY OF YOUR LAW ENFORCEMENT CERTIFICATION AND A LETTER FROM THE LAW ENFORCEMENT
AGENCY THAT YOU ARE CURRENTLY EMPLOYED WITH THAT STATES YOU ARE A CURRENT, ACTIVE LAW ENFORCEMENT
OFFICER.) ________________________________________________________
(If checked, a signature of TA or ATA is required)
PHASE I MAY BE CONDUCTED BY A TRAINING ADMINISTRATOR (TA), ASSISTANT TRAINING
ADMINISTRATOR (ATA), TRAINING INSTRUCTOR (TI), OR GUEST INSTRUCTOR.
*Renewal training must consist of twelve (12) hours minimum. The training shall include, but not limited to, the subjects
found in Phase I and Phase II. Renewal training shall include firing range qualification on an ALETA qualification course and
a safety course (Rule 10.11).
PHASE I – Training Requirements for Renewal of PSO, CSO and CSSO
Legal Authority
Familiarity with Act 393
Field Note Taking and Report Writing
DATE TRAINING COMPLETED
_______________
The instructor(s) and guest instructor(s) by completing this form affirm that he/she has successfully
administered the training required by A.C.A. §§17-40-208 et seq. and the Arkansas State Police Licensing
Rules. I hereby affirm that the representations made herein are true and correct.
TRAINING ADMINISTRATOR OR ASSISTANT TRAINING
TRAINING ADMINISTRATOR OR ASSISTANT
ADMINISTRATOR SIGNATURE:
TRAINING ADMINISTRATOR SIGNATURE:
Sign: _______________________________
Sign: _______________________________
Print: _______________________________
Print: _______________________________
Credential Number: _____________
Credential Number: _____________
GUEST INSTRUCTOR OR TRAINING
GUEST INSTRUCTOR OR TRAINING
INSTRUCTOR SIGNATURE:
INSTRUCTOR SIGNATURE:
Sign: _______________________________
Sign: _______________________________
SUBJECT TAUGHT: ____________________________
SUBJECT TAUGHT: ____________________________
Print: _______________________________
Print: _______________________________
Address: ________________________________________
Address: ________________________________________
DOB: __________ Phone Number: __________________
DOB: __________ Phone Number: __________________
**If more than two guest instructors, please attach the ASP Supplemental Instructor Training Page. **
Guest instructors can be utilized to teach training requirements under the guidance and supervision of a registered
Training Administrator. If a guest instructor teaches any portion of the required training the credentialed Training
Administrator or Assistant Training Administrator must be present during instruction and must also sign this form.
Page 1 of 2
THE FIREARMS PORTION OF PHASE II AND III MUST BE CONDUCTED BY A CERTIFIED FIREARMS
TRAINING INSTRUCTOR.
*Certified Firearms Instructors must attach a current copy of their Firearms certification to this training page*
PHASE II – Training Requirements for Renewal of CSO and CSSO
Use of Deadly Force and Arkansas Law
Familiarity with Act 393
Weapons and Safety
Live Fire Training, Marksmanship and Qualifications
Pistol Qualification Course
_______________
_______________
Primary Weapon Caliber
Secondary Weapon Caliber
_______________
_______________
Primary Weapon Make
Secondary Weapon Make
_______________
_______________
Primary Weapon Model
Secondary Weapon Model
Rifles or Shotgun Qualification Course
_______________
Weapon Caliber
_______________
Weapon Make
_______________
Weapon Model
DATE TRAINING COMPLETED
_______________
The instructor(s) and guest instructor(s) by completing this form affirm that he/she has successfully
administered the training required by A.C.A. §§17-40-208 et seq. and the Arkansas State Police Licensing
Rules. I hereby affirm that the representations made herein are true and correct.
TRAINING ADMINISTRATOR OR ASSISTANT TRAINING
TRAINING ADMINISTRATOR OR ASSISTANT
ADMINISTRATOR SIGNATURE:
TRAINING ADMINISTRATOR SIGNATURE:
Sign: _______________________________
Sign: _______________________________
Print: _______________________________
Print: _______________________________
Credential Number: _____________
Credential Number: _____________
GUEST INSTRUCTOR OR TRAINING
GUEST INSTRUCTOR’S OR TRAINING
INSTRUCTOR SIGNATURE:
INSTRUCTOR SIGNATURE:
Sign: _______________________________
Sign: _______________________________
SUBJECT TAUGHT: ____________________________
SUBJECT TAUGHT: ____________________________
Print: _______________________________
Print: _______________________________
Address: ________________________________________
Address: ________________________________________
DOB: __________ Phone Number: __________________
DOB: __________ Phone Number: __________________
**If more than one guest instructor, please attach the ASP Supplemental Instructor Training Page. **
**** Certified Firearms Instructors must attach a current copy of their Firearms certification to this training page****
The applicant by completing this form, affirms that he/she has successfully completed the training as required
by A.C.A. §§17-40-208 et seq. and the Arkansas State Police Licensing Rules.
Signature of Applicant: __________________________________________________________________________________
Guest instructors can be utilized to teach training requirements under the guidance and supervision of a registered
Training Administrator. If a guest instructor teaches any portion of the required training the credentialed Training
Administrator or Assistant Training Administrator must be present during instruction and must also sign this form.
Page 2 of 2
Page of 2