Request to Become and Eligible Training Provider
Transcript Of Request to Become and Eligible Training Provider
REQUEST TO BECOME AN ELIGIBLE TRAINING PROVIDER FOR SECURITY GUARDS
Revised 05/07/19
Requests must be e-mailed to [email protected] with a subject line that reads "Request to Become an Eligible Training Provider". Requests brought to the Excise and Licenses counter will not be accepted.
SECTION I - REQUESTOR INFORMATION
Requestor: ________________________________________________________________________________________________
(Legal name of the business providing training, or legal name of standalone trainer)
Trade Name/DBA (if applicable): ________________________________________________________________________________
Principal Place of Business: ___________________________________________________________________________________
City: _______________________________________ State: ____ Zip: ________ Phone: ______________
Main Contact Name: ___________________________________ E-Mail: _______________________________________________
SECTION II - COURSE INFORMATION
Will these courses be available to the public?
YES
NO
Optional - Provide the contact information you would like us to publish, enabling security guards to reach out to you for training:
Website: ______________________________________ Phone: ______________ E-Mail: _________________________________
Please provide information regarding the course(s) you are requesting be recognized as eligible:
First Course Details (required)
Course Title: _______________________________________________________________________________________________
This training course is applicable to a:
New Security Guard
Security Guard Renewal
This course will be taught:
Online
In Person
Please describe how many hours will be dedicated to each of these topics during the training:
• Duties of a Security Guard: ___________ hours
• Communication Protocols and Procedures: ___________ hours
• Interaction with Law Enforcement: ___________ hours
• Use of Force : ___________ hours
Second Course Details (optional)
Course Title: _______________________________________________________________________________________________
This training course is applicable to a:
New Security Guard
Security Guard Renewal
This course will be taught:
Online
In Person
Please describe how many hours will be dedicated to each of these topics during the training:
• Duties of a Security Guard: ___________ hours
• Communication Protocols and Procedures: ___________ hours
• Interaction with Law Enforcement: ___________ hours
• Use of Force : ___________ hours
SECTION III- TRAINERS
Please provide a brief explanation of the qualifications/experience that you will be looking for in regards to the individuals who will be developing and carrying out your training program.
SECTION IV - OATH OF REQUEST
I declare under penalty of perjury in the second degree that this request and all attachments are true, correct, and complete to the best of my knowledge. I also acknowledge that it is my responsibility and the responsibility of my agents and employees to comply with the provisions of the Denver Revised Municipal Code and the Colorado Revised Statues.
Authorized Signature:
Date:
Print Name:
Title:
Revised 05/07/19
Requests must be e-mailed to [email protected] with a subject line that reads "Request to Become an Eligible Training Provider". Requests brought to the Excise and Licenses counter will not be accepted.
SECTION I - REQUESTOR INFORMATION
Requestor: ________________________________________________________________________________________________
(Legal name of the business providing training, or legal name of standalone trainer)
Trade Name/DBA (if applicable): ________________________________________________________________________________
Principal Place of Business: ___________________________________________________________________________________
City: _______________________________________ State: ____ Zip: ________ Phone: ______________
Main Contact Name: ___________________________________ E-Mail: _______________________________________________
SECTION II - COURSE INFORMATION
Will these courses be available to the public?
YES
NO
Optional - Provide the contact information you would like us to publish, enabling security guards to reach out to you for training:
Website: ______________________________________ Phone: ______________ E-Mail: _________________________________
Please provide information regarding the course(s) you are requesting be recognized as eligible:
First Course Details (required)
Course Title: _______________________________________________________________________________________________
This training course is applicable to a:
New Security Guard
Security Guard Renewal
This course will be taught:
Online
In Person
Please describe how many hours will be dedicated to each of these topics during the training:
• Duties of a Security Guard: ___________ hours
• Communication Protocols and Procedures: ___________ hours
• Interaction with Law Enforcement: ___________ hours
• Use of Force : ___________ hours
Second Course Details (optional)
Course Title: _______________________________________________________________________________________________
This training course is applicable to a:
New Security Guard
Security Guard Renewal
This course will be taught:
Online
In Person
Please describe how many hours will be dedicated to each of these topics during the training:
• Duties of a Security Guard: ___________ hours
• Communication Protocols and Procedures: ___________ hours
• Interaction with Law Enforcement: ___________ hours
• Use of Force : ___________ hours
SECTION III- TRAINERS
Please provide a brief explanation of the qualifications/experience that you will be looking for in regards to the individuals who will be developing and carrying out your training program.
SECTION IV - OATH OF REQUEST
I declare under penalty of perjury in the second degree that this request and all attachments are true, correct, and complete to the best of my knowledge. I also acknowledge that it is my responsibility and the responsibility of my agents and employees to comply with the provisions of the Denver Revised Municipal Code and the Colorado Revised Statues.
Authorized Signature:
Date:
Print Name:
Title: