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Download Ad 5 Nevada Template

The Ad 5 Nevada form is an application used by peace officers seeking to obtain an intermediate certificate from the Nevada Commission on Peace Officers’ Standards and Training. This form requires detailed information about the applicant's education, training, and work history to ensure they meet the necessary standards for certification. To start your application process, please fill out the form by clicking the button below.

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Ad 5 Nevada Example

STATE OF NEVADA

COMMISSION ON PEACE OFFICERS’ STANDARDS AND TRAINING

Records and Certification Section

5587 Wa Pai Shone Avenue Carson City, Nevada 89701

(775) 687-7678*Fax (775) 687-4911

INTERMEDIATE CERTIFICATE APPLICATION

Refer to NAC 289.240 for certificate requirements

Last Name

 

 

 

First Name

 

 

 

 

 

 

 

 

Middle

 

POST ID#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence Address (not agency address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

 

City

 

 

 

 

 

 

 

State

 

 

Zip

 

Agency Name

 

 

 

 

 

 

Agency ID#

 

 

 

 

 

Hire Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLLEGE CREDIT DOCUMENTATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Copies of official transcripts required)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subject

 

 

Term/Yr

College

 

 

 

 

 

Credits

3 Credits English Composition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 Credits Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please itemize and include support documents of the training to include dates, college terms/quarters and hours in each area below.

200 HOURS – SPECIFIC TRAINING

Only courses that were passed can be used. College credits are converted at a ratio of 15 hours for each college credit.

40 HOURS - SKILLS OF OFFICERS

Course Topics (Include College Credits)

 

Hours

 

Course Topics Cont. (Include College Credits)

 

Hours

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

40 HOURS - INVESTIGATIVE SKILLS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

40 HOURS - HUMAN DEVELOPMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

40 HOURS - LEGAL SUBJECTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

40 HOURS – ELECTIVE TRAINING RELATING TO PEACE OFFICERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Single Point of

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

Signature

 

Title

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Agency Administrator

 

 

 

 

 

 

 

 

 

 

 

 

 

or Designee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

Signature

 

Title

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POST USE ONLY – DO NOT WRITE IN THIS SPACE

 

 

 

 

 

Date Reviewed

 

 

Reviewed By

 

 

 

 

 

Approved

Denied

Data Entry

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Form AD-5 Intermediate Certificate Application R-06/2011

Guide to Writing Ad 5 Nevada

Filling out the Ad 5 Nevada form requires careful attention to detail. Each section must be completed accurately to ensure the application is processed without delays. Gather all necessary documentation before beginning the process.

  1. Begin with the personal information section. Enter your Last Name, First Name, and Middle Name.
  2. Provide your POST ID# in the designated field.
  3. Fill in your Residence Address, including Street, City, State, and Zip code. This should not be your agency address.
  4. Enter your Agency Name and Agency ID#.
  5. Input your Hire Date in the specified format.
  6. For COLLEGE CREDIT DOCUMENTATION, list the subjects, terms/years, and college credits earned. Ensure to attach copies of official transcripts.
  7. In the section for 200 HOURS – SPECIFIC TRAINING, detail the courses that were passed, including the total hours and college credits for each course.
  8. Complete the 40 HOURS - SKILLS OF OFFICERS section. List course topics and their corresponding hours and college credits.
  9. Continue to fill out the 40 HOURS - INVESTIGATIVE SKILLS section, providing relevant details.
  10. Next, fill in the 40 HOURS - HUMAN DEVELOPMENT section with appropriate information.
  11. Complete the 40 HOURS - LEGAL SUBJECTS section.
  12. Fill in the 40 HOURS – ELECTIVE TRAINING RELATING TO PEACE OFFICERS section.
  13. Designate a Single Point of Contact by entering their name, signature, title, and date.
  14. Have the Agency Administrator or Designee provide their name, signature, title, and date.
  15. Leave the POST USE ONLY section blank, as it is reserved for internal processing.

More PDF Documents

Understanding Ad 5 Nevada

What is the purpose of the Ad 5 Nevada form?

The Ad 5 Nevada form is an application for the Intermediate Certificate issued by the Commission on Peace Officers’ Standards and Training (POST) in Nevada. This certificate recognizes law enforcement officers who have met specific training and educational requirements. By completing this form, officers can demonstrate their qualifications and commitment to professional development within the field of law enforcement.

What are the requirements to complete the Ad 5 Nevada form?

To successfully complete the Ad 5 Nevada form, applicants must provide personal information, including their name, POST ID number, and agency details. Additionally, they must submit copies of official college transcripts to document their educational credits. The form requires detailed information about specific training hours completed, categorized into various areas such as skills of officers, investigative skills, human development, and legal subjects. Each category has a required number of hours that must be met to qualify for the Intermediate Certificate.

How is college credit calculated on the Ad 5 Nevada form?

College credits are converted into training hours on the Ad 5 Nevada form at a ratio of 15 hours for each college credit. For example, if an applicant has earned 3 college credits in English Composition, this would equate to 45 training hours. It is important for applicants to provide detailed documentation of their college courses and ensure that only courses they have successfully completed are included in the application.

What happens after submitting the Ad 5 Nevada form?

Once the Ad 5 Nevada form is submitted, it will be reviewed by the POST staff. They will verify the information provided, including training hours and educational credits. The form contains a section specifically for POST use, where staff will mark the application as approved or denied. Applicants will be notified of the outcome, and if approved, they will receive their Intermediate Certificate, which signifies their enhanced qualifications as a peace officer in Nevada.

Common mistakes

  1. Incorrect Personal Information: Failing to provide accurate last name, first name, or middle name can lead to processing delays.

  2. Wrong POST ID: Using an incorrect or outdated POST ID# can cause confusion and may result in a denial of the application.

  3. Agency Address Instead of Residence Address: Listing the agency address instead of the personal residence address is a common mistake.

  4. Missing College Credit Documentation: Not including copies of official transcripts can lead to an incomplete application.

  5. Incorrect Calculation of Training Hours: Miscalculating the hours of training or college credits can affect eligibility.

  6. Omitting Course Details: Failing to itemize course topics and associated hours can make it hard for reviewers to assess qualifications.

  7. Signature Errors: Not signing the application or having an unauthorized person sign can lead to rejection.

  8. Missing Dates: Forgetting to include important dates, such as hire date or training completion dates, can cause delays.

  9. Ignoring the POST Use Section: Writing in the POST use section, which is meant for internal use only, can lead to confusion.

  10. Submitting Incomplete Forms: Not reviewing the entire application for completeness before submission can result in processing delays.

Document Data

Fact Name Description
Governing Law The Ad 5 Nevada form is governed by the Nevada Administrative Code (NAC) 289.240, which outlines the requirements for obtaining an intermediate certificate.
Purpose This form serves as an application for individuals seeking an intermediate certificate from the Nevada Commission on Peace Officers’ Standards and Training.
Contact Information Applicants can reach the Records and Certification Section at 5587 Wa Pai Shone Avenue, Carson City, Nevada, or by calling (775) 687-7678.
Documentation Requirement Applicants must submit copies of official college transcripts as part of the application process, ensuring that all required training and education is documented.
Training Hours The form requires a total of 200 hours of specific training, with detailed breakdowns for various categories such as skills of officers, investigative skills, and human development.
Signature Requirement The application must be signed by both the applicant and the agency administrator or designee, indicating endorsement and verification of the information provided.
Review Process After submission, the form undergoes a review process, during which it can be approved or denied. This decision is recorded in the designated "POST USE ONLY" section.

Documents used along the form

The Ad 5 Nevada form is a critical document for individuals seeking an Intermediate Certificate from the Nevada Commission on Peace Officers’ Standards and Training. However, several other forms and documents often accompany this application to ensure completeness and compliance with the certification requirements. Below is a list of these essential documents.

  • Official Transcripts: These documents provide proof of college credits earned by the applicant. They must detail the courses taken, grades received, and the institution attended. The transcripts are crucial for verifying educational qualifications that contribute to the certification process.
  • Ohio Horse Bill of Sale Form: For those engaged in equine transactions, the important Horse Bill of Sale documentation requirements provide essential guidelines for a smooth transfer of ownership.
  • Training Documentation: This includes records of specific training courses completed by the applicant. It should outline the training dates, hours, and topics covered. This documentation supports the claim of having met the required 200 hours of specific training.
  • Agency Verification Form: This form is typically filled out by an agency administrator or designee. It serves to confirm the applicant's employment status and the agency's endorsement of the application. This verification is vital for establishing the applicant's professional background.
  • Continuing Education Certificates: These certificates demonstrate that the applicant has engaged in ongoing professional development. They can include workshops, seminars, or additional courses relevant to law enforcement. Such documentation helps to illustrate the applicant's commitment to maintaining and enhancing their skills.
  • Background Check Authorization: This document allows the relevant authorities to conduct a background check on the applicant. It is a standard procedure in the certification process to ensure that candidates meet the necessary ethical and legal standards required for peace officers.

In conclusion, the Ad 5 Nevada form is just one part of a larger set of documentation required for obtaining an Intermediate Certificate. Each accompanying document plays a vital role in verifying qualifications, training, and the applicant's overall suitability for certification in law enforcement. Properly compiling these documents can significantly enhance the chances of a successful application.

Similar forms

The Ad 5 Nevada form is an application for an intermediate certificate for peace officers. It shares similarities with several other documents in the realm of professional certification and training. Here are four documents that are comparable:

  • POST 2 Nevada Form: This form is also related to the certification of peace officers. It focuses on the completion of basic training and the necessary qualifications for entry-level officers. Both forms require documentation of training hours and course completion.
  • California Motor Vehicle Bill of Sale: This essential document provides proof of ownership transfer for vehicles, similar to how important forms like the fastpdftemplates.com serve crucial roles in their respective processes.
  • Certification of Completion Form: This document certifies that an individual has completed specific training programs. Like the Ad 5 form, it requires detailed information about training hours and course subjects. Both forms aim to validate the training and skills of the applicant.
  • Continuing Education Documentation: This document tracks ongoing education for peace officers. It is similar to the Ad 5 form in that it requires proof of completed courses and training hours. Both are essential for maintaining certification and ensuring that officers stay current with their skills.
  • Professional Development Plan: This plan outlines the ongoing training and education goals for an officer. It resembles the Ad 5 form as it focuses on the skills and knowledge necessary for professional growth. Both documents emphasize the importance of structured training and development in law enforcement.