Form Lea-Pst - Safety Telecommunicator Training Paperwork Checklist Form - New Mexico Department Of Public Safety Training Center

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New Mexico Department of Public Safety Training Center
4491 Cerrillos Road, Santa Fe, New Mexico 87507
(505) 827-9251―(877) 237-7532 (NM Only) ―Fax: (505) 827-3449―
PUBLIC SAFETY TELECOMMUNICATOR TRAINING PAPERWORK CHECKLIST
The following documents must be submitted for enrollment in the New Mexico Department of Public
Safety Training Center’s Basic Public Safety Telecommunicator Training Program, OR New Mexico
Regional Academy Public Safety Telecommunicator Graduate Program.
Incomplete applications will be
returned.
ITEMS REQUIRED
ITEMS REQUIRED BY ALL APPLICANTS
PPLICANTS
 Form No. LEA-1 -
.
Application for Admission/Certification
 Form No. LEA-3A -
.
PST Audiology Compliance Form
Form No. LEA-5 -
Fingerprint Affidavit. Form must have original signatures. Submit only after FBI and
DPS clearances have been received.
 Form No. LEA-6 -
.
Applicant Affidavit. Form must have original signatures
 Form No. LEA-7 -
Mental, Physical, Emotional Certification by department head. Form must have original
signatures.
 Form No. LEA-8 -
Waiver of Liability. Form must have original signatures.
 Form No. LEA-9 -
.
Release of Information. Form must have original signatures
 Form No. LEA-10 -
.
Employment Verification. Form must have original signatures
 Form No. LEA -12-
Applicant Affidavit of United States citizenship or legal residency or proof U.S.
citizenship issued by an official government agency. Hospital birth records and baptismal records are not
acceptable. Photocopies of birth certificates and naturalization papers are not legal under New Mexico Law.
 Form No. LEA-82 -
Agency Employment Action. Form must have been previously submitted or attached to
this application.
 Notarized
.
copy of high school diploma, G.E.D. certificate or college diploma, or official/certified transcripts
 Notarized
copy of DD214 form (if applicant has had military service) must have character of
service.
 Purchase Order for tuition.
 Notarized copy of Handicap Statement.
Mail Entire Packet to:
Academy Location:________________________
New Mexico Department of Public Safety
Academy Dates___________________________
Training Center, ATTN: Basic Bureau
4491 Cerrillos Road, Santa Fe, NM 87507
DPS Use Only: DPS Use Only:
Basic Bureau Review by:_________________________________________ Date_________________
Regional Academy Review by: ___________________________________ Date _________________
Incomplete - Returned to agency/academy
Date returned:_____________________________
Approved by Deputy Director
Date approved:____________________________________________
Date Permanent file created:_________________________________ File number_________________
Skills manger profile created by__________________________ Date___________________________
Profile creation pending. Reason:________________________________________________________
LEA-PST
Revised 10-05-12

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