Annual Training Reporting Form

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Illinois Law Enforcement Training and Standards Board

4500 South Sixth Street Road * Suite 173 * Springfield, IL * 62703‐6617

Phone: 217/782‐4540 * Fax: 217/524‐5350 *

Compliance with Public Act 94‐354

Annual Police Chief and Deputy Police Chief Training ‐ 20 Hours

for Calendar Year__________.

Annual Training Reporting Form

(Fill In Year)

The training mandate must be completed on a calendar year, January 1 to December 31 annually. It is

the responsibility of the law enforcement agency to submit the completed form to the Board office

certifying training by the end of the calendar year.

Name: ___________________________________________Telephone No: ________________

Title: _______________ Email: _______________________________

Agency: ______________________________________________________________________

Pre‐Approved Course Sponsors:

Mobile Team In‐Service Training

IL Department of Corrections

Illinois Executive Institute

IL Attorney General’s Office

ILETSB Certified Course

IL Secretary of State’s Office

ILETSB Certified Academies

Illinois Sheriff’s Association

Illinois Assoc. of Chiefs of Police

Illinois State Police

Chicago Police Department

Natl Ctr for Missing & Exploited Children

Cook County Sheriff’s Office

U.S. Attorney’s Office

Critical Incident/NIMS

U.S. Dept. of Homeland Security

IL Dept. Of Homeland Security

U.S. Dept. of Justice

DuPage County Sheriff’s Office

U.S. Secret Service

FBI

Note: All training courses attended must relate to law enforcement, management or executive

development, or ethics as required by Public Act 94‐354 (this applies to all courses, including courses

delivered by a pre‐approved sponsor).

List the approved course(s) or conference(s) attended: Give course title, dates attended, sponsoring

agency and number of hours completed. If additional room is needed, please run copies of this form,

complete and sign.

Pre‐Approved Sponsor List Course:

Course Sponsor: _______________________________________________________________

Course Title: Dates Attended:________________

Sponsoring Agency: Hours Completed:__________

.........................................................................................................................................................

Pre‐Approved Sponsor List Course:

Course Sponsor: _______________________________________________________________

Course Title: Dates Attended:________________

Sponsoring Agency: Hours Completed:__________