DISCLOSURES AND AGREEMENTS 1. Have you ever been convicted of a felony? * If yes, explain 2. Have you ever been convicted of a misdemeanor? * If yes, explain 3. Have you ever had a professional registration, license or certification denied, suspended or revoked? * If yes, explain 4. Do you have any disciplinary actions taken against you in your work experience? * If yes, explain I hereby certify that the information contained in this application is true and correct to the best of my knowledge. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any misrepresentation, falsification or omission of information on this application or on any document used shall be grounds for rejection of this application.
I also understand that i must adhere to CCTP certification code of conduct. Due to the sensitivity of the CCTP program and the information that will be shared I hereby authorize CCTP board to thoroughly investigate the information on my application, my references, work record and education. I am typing my full name below to agree that I have read and agree with the terms of this submission Date
* 5. Applicant Understands That Attendance is Required for All 14 of the Instruction Modules to Recieve Certification
6. At the end of the training, the participant will be required to take an examination which will test their understanding of the course work. A minimum of 70% passing grade must be achieved in order to qualify for the Certified Counter Terrorism Practitioner certification Next