Traffic Safety Specialist Program Designation III

TSS III - Enrollment Form

Complete this Form

Question Title

* 1. Contact Information

First Name

Last Name

Rank

Email Address

Phone Number

Question Title

* 2. Department / Agency Name

Question Title

* 3. Do you have at least 5 or more years of Independent Patrol / Traffic experience?

Yes

Years of service in Law Enforcement?

Question Title

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

Yes (Attach Documentation)

Question Title

* 5. Traffic Safety Specialist II Documentation

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

Question Title

* 6. Have you referred at least three (3) new Traffic Safety Specialist Designation I?

Yes

Question Title

* 7. Provide the names and emails of those you referred to the TSS Program.

Question Title

* 8. Have you completed a Traffic Safety Project Proposal

Yes

Question Title

* 9. Name of the Traffic Safety Project

Question Title

* 10. Completed and Approved Traffic Safety Project Documentation

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

Question Title

Copy and Print the Supervisor Verification Form and have an Executive Officer (Chief, Colonel, or Sheriff) sign. Upload the form into the Supervisor Verification Documentation below.

Traffic Safety Specialist Program Designation III

TSS III - Enrollment Form

Question Title

* 1. Contact Information

Question Title

* 2. Department / Agency Name

Question Title

* 3. Do you have at least 5 or more years of Independent Patrol / Traffic experience?

Question Title

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

Question Title

* 5. Traffic Safety Specialist II Documentation

Question Title

* 6. Have you referred at least three (3) new Traffic Safety Specialist Designation I?

Question Title

* 7. Provide the names and emails of those you referred to the TSS Program.

Question Title

* 8. Have you completed a Traffic Safety Project Proposal

Question Title

* 9. Name of the Traffic Safety Project

Question Title

* 10. Completed and Approved Traffic Safety Project Documentation

Question Title

Copy and Print the Supervisor Verification Form and have an Executive Officer (Chief, Colonel, or Sheriff) sign. Upload the form into the Supervisor Verification Documentation below.

Question Title

* 11. Supervisor Verification Documentation

Question Title

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