ATLANTA POLICE DEPARTMENT

REQUEST FOR ATLANTA POLICE FOUNDATION

TRAINING FUNDS

Name of Applicant
(Please print clearly) Last Name First Name MI

Rank	Assignment
Business Phone #	Cell Phone #
E-mail address
Type of Training Requested:
Group Training:
(Size of APD group)
Location of Training:
Training Dates:	POST Certified Course:
Yes
No
Vendor’s Name:
Vendor’s Address:
Vendor Qualifications:

*Attach vendor’s proposal to include a description of the curriculum, material provided, number of instructors, space required, number of training hours provided, and vendor invoice.

Cost of Training:	Tuition:
Cost Per Student:	Travel cost:
Lodging Cost:	Other cost:
Total Cost of Training:

Please answer completely all of the following questions, which will be used to prioritize and approve this training request.

1.	What training need does this training fulfill and why does it require special funding to accomplish this training?

2.	Specifically describe how the training will improve or contribute to a specific need, unit or function.

3.	Is this training offered at GPSTC (Forsyth) or other nearby training centers; if so, which ones?

4.	Describe how this training is specialized and advanced and why this trainer is the best choice to offer the training.

5.	Describe why you are the best applicant to take this training and will you be able to share this training with other employees through teaching, roll call training, supervision, IT certified, function as an expert in the area, etc?

6.	If the training cannot be brought to Atlanta, what is the closest location to Atlanta it is offered within the next year? What are the travel and lodging expenses versus tuition expenses?

I, ________________________________hereby acknowledge that I am familiar with the SOP on Outside Training, and if my application is approved, I understand I must comply with Section 4.10 of APD.SOP.2080 when I return.

APPLICANT ACKNOWLEDGEMENT: I do hereby acknowledge and agree to maintain employment with the City of Atlanta for a period of not less than three years following completion of any training costing in excess of $1,000.00. If I resign, retire or involuntarily separate from the employment of the Atlanta Police Department, I must reimburse the City for the entire cost of the training if such separation occurs within one year; reimburse 50% of the cost if such separation occurs between the 1st and 2nd years; or reimburse 25% of the cost if separation occurs between the 2nd and 3rd year after course completion. I do hereby authorize the City of Atlanta to deduct from my salary any training costs, if the length of service is not met.

Applicant’s Signature: ______________________________ Date: _________________

Immediate Supervisor:  Recommend  Not Recommend

If not recommended, explain why. ___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Signature and Title: _________________________ Date Signed: _____________________

Unit Commander:  Recommend  Not Recommend

If not recommended, explain why. ___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Signature and Title: _________________________ Date Signed: _____________________

Section Commander:  Recommend  Not Recommend

If not recommended, explain why. ___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Signature and Title: _________________________ Date Signed: _____________________

Division Commander:  Recommend  Not Recommend

If not recommended, explain why. ___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Signature and Title: _________________________ Date Signed: _____________________

Academy Receipt Stamp:

Program Chair:  Recommend  Not Recommend

If not recommended, explain why. ___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Signature and Title: _________________________ Date Signed: _____________________

APF Liaison:

Signature and Title: _________________________ Date Signed: _____________________

Deputy Chief SSD:  Approved  Not Approved

If not recommended, explain why. ___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Signature and Title: _________________________ Date Signed: _____________________

Assistant Chief of Police:  Approved  Not Approved

If not recommended, explain why. ___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Signature and Title: _________________________ Date Signed: _____________________

Chief of Police:  Approved  Not Approved

If not recommended, explain why. ___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Signature and Title: _________________________ Date Signed: _____________________

APF President/CEO:  Approved  Not Approved

If not recommended, explain why. ___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Signature and Title: _________________________ Date Signed: _____________________

APF Resource

Investment Committee:  Approved  Not Approved

If not recommended, explain why. ___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Signature and Title: _________________________ Date Signed: _____________________

Program that will fund the request (if applicable)

 Recruitment  Mounted Patrol  Affordable Housing

 Training  Scholarship  Crime Stoppers

Training Control # _________________

Form APD 277 Page 5 of 5 Revised 9/13/07

Form APD 277 Page 1 of 5 Revised 9/13/07

ATLANTA POLICE DEPARTMENT

VLivsey

2007-10-03