Traffic Safety Specialist Program Designation II Survey

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* 1. Contact Information

First Name

Last Name

Rank

Email Address

Phone Number

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* 2. Department / Agency Name

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* 3. Do you have at least 3 or more years of Independent Patrol / Traffic experience?

Yes

Years of service in Law Enforcement?

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* 4. Have you achieved the mandated Traffic Safety Specialist I requirements?

Yes (Attach Documentation)

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* 5. Traffic Safety Specialist I Documentation

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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* 6. Have you participated (regular or overtime) in at least two (2) High Visibility Enforcement (HVE) Traffic Safety Campaigns?

Yes

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* 7. Which High Visibility Enforcement Campaigns?

Aggressive (ADAPT)

Distracted

Impaired (Checkpoints or Saturation Patrols)

Occupant Protection

Pedestrian / Bicycle

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* 8. Have you attended the Leading Effective Traffic Enforcement Programs (LETEP) Training?

Yes

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* 9. Leading Effective Traffic Enforcement Programs (LETEP) Training Documentation

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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* 10. Traffic Safety Specialist II Training Courses (3 out of the 5)

University of Maryland Institute of Advanced Law Enforcement Studies (DUI Institute) Training

Drug Recognition Expert (DRE) Training

Advance Crash Reconstruction Investigator Training

Child Passenger Safety (CPS) Technician Training

Highway Safety Related Instructor Certification

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* 11. University of Maryland Institute of Advanced Law Enforcement Studies (DUI Institute) Documentation

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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* 12. Drug Recognition Expert Training (DRE) Documentation

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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* 13. Crash Reconstruction Investigator Training (80 hour course) Documentation

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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* 14. Child Passenger Safety Technical Training (CPS) Documentation

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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* 15. Instructor Certification Training Documentation

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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* 16. Traffic Safety Specialist II requirements (1 out of the 2)

Attended at least three (3) of the Emphasis Area Team meetings

Two or more Traffic Safety Awards from: MHSO ADAPT, DUI, DRE, or WRAP DUI

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* 17. Which of the SHSP Emphasis Area Team (EAT) meetings have you attended?
(Three meetings are required either in person or by phone)

Aggressive

Distracted

Highway Infrastructure

Impaired

Occupant Protection

Pedestrian / Bicycle

None

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* 18. List the Emphasis Area Team (EAT) meeting along with the date you attended in person or by phone.

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* 19. List the Emphasis Area Team (EAT) meeting along with the date you attended in person or by phone.

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* 20. List the Emphasis Area Team (EAT) meeting along with the date you attended in person or by phone.

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* 21. Two or more Traffic Safety Awards from: MHSO ADAPT, DUI, DRE, or WRAP DUI

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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Copy and Print the Supervisor Verification Form and have an Executive Officer (Captain or above) sign. Upload the form into the Supervisor Verification Documentation below.

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* 1. Contact Information

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* 2. Department / Agency Name

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* 3. Do you have at least 3 or more years of Independent Patrol / Traffic experience?

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* 4. Have you achieved the mandated Traffic Safety Specialist I requirements?

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* 5. Traffic Safety Specialist I Documentation

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* 6. Have you participated (regular or overtime) in at least two (2) High Visibility Enforcement (HVE) Traffic Safety Campaigns?

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* 7. Which High Visibility Enforcement Campaigns?

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* 8. Have you attended the Leading Effective Traffic Enforcement Programs (LETEP) Training?

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* 9. Leading Effective Traffic Enforcement Programs (LETEP) Training Documentation

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* 10. Traffic Safety Specialist II Training Courses (3 out of the 5)

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* 11. University of Maryland Institute of Advanced Law Enforcement Studies (DUI Institute) Documentation

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* 12. Drug Recognition Expert Training (DRE) Documentation

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* 13. Crash Reconstruction Investigator Training (80 hour course) Documentation

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* 14. Child Passenger Safety Technical Training (CPS) Documentation

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* 15. Instructor Certification Training Documentation

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* 16. Traffic Safety Specialist II requirements (1 out of the 2)

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* 17. Which of the SHSP Emphasis Area Team (EAT) meetings have you attended? (Three meetings are required either in person or by phone)

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* 18. List the Emphasis Area Team (EAT) meeting along with the date you attended in person or by phone.

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* 19. List the Emphasis Area Team (EAT) meeting along with the date you attended in person or by phone.

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* 20. List the Emphasis Area Team (EAT) meeting along with the date you attended in person or by phone.

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* 21. Two or more Traffic Safety Awards from: MHSO ADAPT, DUI, DRE, or WRAP DUI

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Copy and Print the Supervisor Verification Form and have an Executive Officer (Captain or above) sign. Upload the form into the Supervisor Verification Documentation below.

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* 22. Print the supervisors name and rank in the space below

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* 23. Supervisor Verification Documentation

* 17. Which of the SHSP Emphasis Area Team (EAT) meetings have you attended?
(Three meetings are required either in person or by phone)