12 NCAC 09I .0101. INSTRUCTOR AND PROFESSIONAL LECTURER CERTIFICATION FORMS

The following Commission-approved forms shall be used by individuals applying for initial or renewal of certification as an instructor or professional lecturer, pursuant to 12 NCAC 09B .0300: (1) Form F-12, Application for Instructor or Professional Lecturer Certification, shall contain the following information: (a) name of applicant; (b) address, phone number, email address, date of birth, age, last four of Social Security Number, and academy ID number; (c) current agency or firm, status (Retired, Civilian, Sworn), agency address, and business phone number; (d) type of instructor certification applying for; (e) supporting documents for specific certification sought; (f) highest education level, school attended, school location, and graduation date; (g) criminal justice experience; (h) signature of applicant; (i) Commission-accredited school taught at, course title, hours taught, course dates, and whether the course was a requirement of Mandatory In-Service Training; and (j) signature of certifying School Director or In-Service Training Coordinator, school or agency name, phone number, and email address. (2) Form F-16, Criminal Justice Instructor Evaluation, shall contain the following information: (a) instructor's name, date of birth, and academy ID number; (b) evaluator's name and academy ID number; (c) block of instruction, date, location, and total hours of instruction; (d) scores for Instructional Ability and Strategies; and (e) Presentation Evaluation Criteria.