CLEE Course Application
Course Title
*
Method of Training
*
Lecture
Discussion
Demonstration
Practical Exercise
Instructor's Peace Officer License #
Instructor's Name
*
Organization
*
County Where Located
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Instructor's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Instructor's Email
*
example@example.com
Date Prepared
*
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Month
-
Day
Year
Date
Evaluation Plan: What does the participant have to do to successfully complete this course? (Check the applicable boxes)
*
Attendance & Participation
Written Test
Oral Test
Practical Exercise
Total Hours of Training (indicate the number of hours in each of the four (4) core curricula areas):
*
Rows
Legal Studies
Technical Studies
Interpersonal Perspectives
Skill Development
LS/TS/IP/SD
Racial Profiling
De-Escalation
Implicit Bias
Firearms
Total Course Hours
Scope
*
Terminal Learning Objective
*
Enabling Learning Objectives
*
References
*
Lesson Plan Upload (Doc or PDF)
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of
Instructor Submitting application
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Signature of Instructor Submitting the Application
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OFFICIAL USE ONLY
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Reviewed By
Date Reviewed
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Month
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Day
Year
Date
Status
Notes
Date Approved
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Month
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Day
Year
Date
Course POST Control #
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