In-Service Continuing Ed Grant Application Form - Colorado Page 2
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3On-Line Training Subscription Requested: (submit detailed quote)
Priority #: ____
Provider : ______________________________________________________________________________
Individual Officer Fee: $ ________
Number of Certified Officers Employed by Agency: ________
Subscription Date (start and end): __________________________________________
0.00
Total Yearly Subscription Fee: $ ______________
Priority #: ____
Provider : ______________________________________________________________________________
Individual Officer Fee: $ ________
Number of Certified Officers Employed by Agency: ________
Subscription Date (start and end): __________________________________________
0.00
Total Yearly Subscription Fee: $ ______________
0.00
Total Cost of ALL Subscriptions: $ ______________
Training Requested: (hosting a class)
Priority #: ____
Course Title: ________________________________________________ POST Course #: _____________
Instructor Name: _______________________________________________
Course Date(s) and Location: ______________________________________________________________
Total Number of Hours: ____________
Total Cost: $ ________________________
Scholarship Funds Requested: (submit training announcement)
Priority #: ____
0.00
Tuition Fee per Officer: $ _______ Number of Officers Attending Class: ____ Total Tuition Cost: $ ________
Hotel Name: __________________________
Rooms: ____ Cost Per Night: $ _______
0.00
Total Hotel Cost: $ ____________
Airfare Total: $ _______________
Rental Car Total: $ ____________
0.00
Per Diem Rate: $ _______ Number of Officers: _____
# of Days: ____
Per Diem Total: $ ___________
0.00
Number of Miles: ____________________
Rate Per Mile: ________
Total: $ ___________________
0.00
Total Scholarship Funds Requested (this is the total of all officers combined): $ _____________________
Priority #: ____
0.00
Tuition Fee per Officer: $ _______ Number of Officers Attending Class: ____ Total Tuition Cost: $ ________
0.00
Total Hotel Cost: $ ____________
Airfare Total: $ _______________
Rental Car Total: $ ____________
0.00
Per Diem Rate: $ _______ Number of Officers: _____
# of Days: ____
Per Diem Total: $ ___________
0.00
Number of Miles: ____________________
Rate Per Mile _________
Total: $ ___________________
0.00
Total Scholarship Funds Requested (this is the total of all officers combined): $ _____________________
Priority #: ____
0.00
Tuition Fee per Officer: $ _______ Number of Officers Attending Class: ____ Total Tuition Cost: $ ________
0.00
Total Hotel Cost: $ ____________
Airfare Total: $ _______________
Rental Car Total: $ ____________
0.00
Per Diem Rate: $ _______ Number of Officers: _____
# of Days: ____
Per Diem Total: $ ___________
0.00
Number of Miles: ____________________
Rate Per Mile: ________
Total $ ___________________
0.00
Total Scholarship Funds Requested (this is the total of all officers combined): $ _____________________
0.00
Total Cost of ALL Scholarships: $ _______________
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