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#21-002247-0121
Supplemental Questionnaire

Last Name
First Name

 

***Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.***


1.

Do you have at least two years of criminal justice related defensive tactics skills experience within the past five years?

Yes No
2.

Are you able to hold a valid Academic Instructor Certification and Defensive Tactics Instructor Certification under COMAR 12.04.06 or 12.10.06 OR be able to achieve such certification within six months of beginning employment?

Yes No
3.

Please describe in detail your experience instructing police training courses. Include in your answer employer name(s) and dates of employment. If you do not possess this experience, enter N/A.

4.

Please describe in detail your experience creating training materials for class instruction. Include in your answer employer name(s) and dates of employment. If you do not possess this experience, enter N/A.


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