Law Enforcement Peer Application - Tennessee Public Safety Network (Page 2 of 3) in pdf

Law Enforcement Peer Application - Tennessee Public Safety Network Page 2

MEMBERSHIP IN LAW ENFORCEMENT ORGANIZATIONS

(List names and dates)

__________________________________________________

____________________

__________________________________________________

____________________

PARTICIPATION IN COMMUNITY ACTIVITIES

(List names and dates)

__________________________________________________

____________________

__________________________________________________

____________________

__________________________________________________

____________________

SUPPLEMENTAL INFORMATION

List any formal training you have received in stress management and any additional information you

would like us to have about you to aid in the CISD team selection process.

How much flexibility do you have to go on a debriefing on a 24-48 hour notice?

List any stress management techniques you have utilized effectively.

List three (3) personal references who can attest to your work in law enforcement and/or can support

your role on this team.

Name

____________________________

________________________ _________________________

Address

____________________________

________________________ _________________________

____________________________

________________________ _________________________

Phone Number(s)

____________________________

________________________ _________________________

Law Enforcement Peer Application - Tennessee Public Safety Network Page 2