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Outline

Navigating the pathways to professional certification can seem like a daunting endeavor, especially for those in public service positions. In the State of Nevada, peace officers aiming to ascend in their careers must familiarize themselves with an essential stepping stone: the Ad 5 Nevada form, officially known as the Intermediate Certificate Application. This form, overseen by the Nevada Commission on Peace Officers' Standards and Training (POST), plays a pivotal role in the certification process, acting as a comprehensive record for officers aiming to reach an intermediate level of recognition. To achieve this milestone, the form requires detailed information, including personal identification, employment details, and most importantly, extensive documentation of academic achievements and training. Candidates must provide proof of completed college coursework alongside a breakdown of specialized training hours that span various key competencies, from investigative skills to human development and legal education. MéRing the application's requirements demands a methodical compilation of supporting documents, including official transcripts and records of training, underscoring the commitment required for advancement in law enforcement careers within Nevada. As potential applicants embark on this process, understanding the nuances of the Ad 5 Nevada form and its significance in their professional development is the first step towards achieving their career goals.

Sample - Ad 5 Nevada Form

STATE OF NEVADA

COMMISSION ON PEACE OFFICERS’ STANDARDS AND TRAINING

Records and Certification Section

5587 Wa Pai Shone Avenue Carson City, Nevada 89701

(775) 687-7678*Fax (775) 687-4911

INTERMEDIATE CERTIFICATE APPLICATION

Refer to NAC 289.240 for certificate requirements

Last Name

 

 

 

First Name

 

 

 

 

 

 

 

 

Middle

 

POST ID#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residence Address (not agency address)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street

 

 

 

City

 

 

 

 

 

 

 

State

 

 

Zip

 

Agency Name

 

 

 

 

 

 

Agency ID#

 

 

 

 

 

Hire Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLLEGE CREDIT DOCUMENTATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Copies of official transcripts required)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subject

 

 

Term/Yr

College

 

 

 

 

 

Credits

3 Credits English Composition

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3 Credits Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please itemize and include support documents of the training to include dates, college terms/quarters and hours in each area below.

200 HOURS – SPECIFIC TRAINING

Only courses that were passed can be used. College credits are converted at a ratio of 15 hours for each college credit.

40 HOURS - SKILLS OF OFFICERS

Course Topics (Include College Credits)

 

Hours

 

Course Topics Cont. (Include College Credits)

 

Hours

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

40 HOURS - INVESTIGATIVE SKILLS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

40 HOURS - HUMAN DEVELOPMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

40 HOURS - LEGAL SUBJECTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

40 HOURS – ELECTIVE TRAINING RELATING TO PEACE OFFICERS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Single Point of

 

 

 

 

 

 

 

 

 

 

 

 

 

Contact

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

Signature

 

Title

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Agency Administrator

 

 

 

 

 

 

 

 

 

 

 

 

 

or Designee

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

Signature

 

Title

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POST USE ONLY – DO NOT WRITE IN THIS SPACE

 

 

 

 

 

Date Reviewed

 

 

Reviewed By

 

 

 

 

 

Approved

Denied

Data Entry

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 of 1

 

 

 

 

 

 

 

Form AD-5 Intermediate Certificate Application R-06/2011

Form Specs

Fact Detail
Governing Law Nevada Administrative Code (NAC) 289.240
Purpose of Form Application for Intermediate Certificate for Peace Officers
Issuing Body Commission on Peace Officers' Standards and Training, Nevada
Address for Submission 5587 Wa Pai Shone Avenue, Carson City, Nevada 89701
Documentation Requirement Copies of official college transcripts and documentation of specific training hours
Training Hours Requirement 200 specific training hours, plus additional hours in skills, investigative skills, human development, legal subjects, and elective training

How to Fill Out Ad 5 Nevada

Filling out the AD 5 Nevada form is a crucial step for officers seeking their Intermediate Certification. This detailed application requires accurate and comprehensive information about your training, education, and professional background. Ensuring that every section is completed thoroughly will streamline the review process and get you closer to achieving your certification. Below is a step-by-step guide designed to help you navigate through the form without any confusion.

  1. Begin with your personal information. Enter your Last Name, First Name, and Middle in the designated fields.
  2. Fill in your POST ID#. This is a unique identifier assigned to you by the Commission on Peace Officers’ Standards and Training.
  3. Under "Residence Address," ensure to input your current living address. Remember, this address should not be the same as your agency address. Include the Street, City, State, and Zip code.
  4. Provide the Agency Name and Agency ID# to identify your law enforcement agency.
  5. Indicate your Hire Date to reflect when you began your service with the agency.
  6. Under "COLLEGE CREDIT DOCUMENTATION," list the subjects taken, term/year, and the college credits earned. Remember, official transcripts must accompany this application.
  7. For the section requiring 200 HOURS – SPECIFIC TRAINING, detail the courses passed. Include dates, college terms/quarters, and hours for each area. Convert college credits to hours at a ratio of 15 hours for each college credit.
  8. Briefly itemize 40 HOURS in each of the required skill areas: SKILLS OF OFFICERS, INVESTIGATIVE SKILLS, HUMAN DEVELOPMENT, LEGAL SUBJECTS, and ELECTIVE TRAINING RELATING TO PEACE OFFICERS. Include both the course topics and the hours dedicated to each.
  9. In the "Single Point of Contact" section, input the name, signature, and title of the point of contact within your agency.
  10. Finally, the "Agency Administrator or Designee" section must be signed by an authorized person within your agency, identifying their name, signature, and title.
  11. Double-check all sections for accuracy and completeness before submitting. Note that the bottom part of the form labeled "POST USE ONLY – DO NOT WRITE IN THIS SPACE" should be left blank.

This thorough completion of the AD 5 form is essential for a smooth review process. Pay close attention to detail and ensure all supporting documents are attached as required. Once submitted, your application will be one step closer to achieving the Intermediate Certification, marking a significant milestone in your peace officer career.

Obtain Clarifications on Ad 5 Nevada

  1. What is the purpose of the Ad 5 Nevada form?

    The Ad 5 Nevada form is designed for current peace officers in Nevada looking to apply for an Intermediate Certificate. This certification acknowledges an officer’s advanced level of training and education in specific areas critical to their duties. It’s part of a structured process by the State of Nevada Commission on Peace Officers’ Standards and Training to ensure officers meet established standards of professionalism and competency.

  2. Where do applicants send the completed Ad 5 Nevada form?

    Completed forms should be sent to the Commission on Peace Officers’ Standards and Training's Records and Certification Section, located at 5587 Wa Pai Shone Avenue, Carson City, Nevada, 89701. For additional documentation or inquiries, applicants can also reach out via phone at (775) 687-7678 or fax at (775) 687-4911.

  3. What documentation is required for the college credit section of the form?

    Applicants need to submit copies of official transcripts as proof of college credits. Specifically, the form requires documentation for 3 credits in English Composition, alongside 3 credits in another subject. Additionally, details regarding the subject, term/year, and college must be clearly itemized and supported by these documents.

  4. How are college credits converted for the purposes of this application?

    For the training sections of the application, college credits are converted at a ratio of 15 hours for each college credit. This means that for every college credit you have earned, it counts as 15 hours of specific training towards the certificate's requirements.

  5. What are the main categories of training required for the Intermediate Certificate?

    • 200 hours of specific training
    • 40 hours in skills of officers
    • 40 hours in investigative skills
    • 40 hours in human development
    • 40 hours in legal subjects
    • 40 hours of elective training relating to peace officers

    Each category requires detailed documentation of courses passed, including dates, terms, and hours, ensuring applicants have well-rounded training.

  6. Who needs to sign the Ad 5 Nevada form?

    Two signatures are required on the form: one from the Single Point of Contact, which could be the applicant or a designated individual responsible for the submission, and the Agency Administrator or Designee. These signatures confirm the accuracy and endorsement of the application contents on behalf of the applicant and the agency.

  7. If my application is approved, what are the next steps? If it’s denied, what can I do?

    Upon approval, the applicant will receive an Intermediate Certificate from the Commission, recognizing their achievement. It signifies a step forward in their professional development and qualifications as a peace officer. If the application is denied, the commission will provide reasons for the denial. Applicants are encouraged to address the specified deficiencies or requirements and reapply. Continuous professional development and gaining additional training can help in meeting the application criteria upon reapplication.

Common mistakes

When filling out the AD-5 Nevada form, an application for an intermediate certificate from the Commission on Peace Officers' Standards and Training, applicants often encounter several common mistakes that can lead to delays in processing or even the denial of their application. By understanding and avoiding these pitfalls, applicants can streamline their experience and increase their chances of success.

The first mistake is not using the candidate’s legal name in full, including the first name, middle name, and last name. It's crucial to use the same name as it appears on official identification to avoid any discrepancies.

Another common error is entering an agency address in the residence address field. The form specifically requests the candidate's personal residence address, not the address of their agency. This distinction is important for records and contact purposes.

  1. Incorrect or Incomplete College Credit Documentation: Applicants often submit incomplete information regarding their college credits. It's imperative to include all required documents, such as official transcripts, and to ensure that the documentation clearly shows the completion of required subjects.
  2. Not Specifying Training Hours Clearly: The form asks for detailed information about specific training, skills of officers, investigative skills, human development, legal subjects, and elective training relating to peace officers. Applicants frequently make the mistake of not itemizing these hours or not accurately converting college credits into training hours at the specified ratio of 15 hours for each college credit.
  3. Overlooking the Requirement for Supporting Documents: All sections that request training details require supporting documents, yet applicants often submit the form without these critical pieces of evidence. Including dates, college terms or quarters, and hours for each training area is essential for verification purposes.
  4. Leaving Signatures Blank: The form requires signatures from both the candidate and an agency administrator or designee. Missing signatures are a common oversight that directly leads to processing delays.
  5. Attempting to Fill Out the "POST USE ONLY" Section: Some applicants mistakenly try to fill out the section labeled "POST USE ONLY – DO NOT WRITE IN THIS SPACE." This section is strictly for the use of the agency reviewing the application and should be left blank.
  6. Not Checking for the Most Current Form Version: Using an outdated version of the form can result in an application being rejected. Candidates should always verify that they are using the most current form version available.
  7. Miscellaneous Completeness and Accuracy Issues: Lastly, there are often small mistakes like typographical errors, incorrect dates, or incompletely filled fields which, while seemingly minor, can cause significant issues in the processing of the application.

In summary, carefully completing the AD-5 Nevada form by paying special attention to the common mistakes outlined above can make a significant difference in the processing time and outcome of an application. It's always beneficial to review the form thoroughly before submission, ensuring that all information is accurate, complete, and up to date.

Documents used along the form

The Ad 5 Nevada form, an essential document for peace officers seeking intermediate certification, represents just one piece in the puzzle of administrative requirements in Nevada's law enforcement certification process. Gathering and completing related documents is crucial for a seamless and successful application. The list below outlines several forms and documents typically associated with or required alongside the AD-5 form, providing a broader understanding of the certification process.

  • Ad 1 Nevada Form – This is the initial application for certification as a peace officer in Nevada. It collects basic personal and employment information necessary for entering the certification process.
  • Ad 6 Nevada Form – An advanced certificate application that peace officers may need after completing further training or education beyond the intermediate level.
  • Criminal History Request Form – A form used to request a background check from the Nevada Department of Public Safety, ensuring the applicant meets the moral character requirements.
  • Physical Fitness Standards Acknowledgment – A document where the applicant acknowledges understanding the physical fitness requirements necessary for the certification.
  • Medical Examination Form – Completed by a licensed physician, this form certifies that the applicant is physically capable of performing the duties of a peace officer.
  • POST Training Record – A detailed record of all training sessions attended by the applicant, including topics covered and hours completed, supporting the application for certification.
  • Fingerprint Cards – Required for running a criminal background check, these cards must be submitted as part of the applicant's background investigation process.
  • Proof of Education – Copies of diplomas and transcripts from accredited institutions, verifying the educational achievements claimed by the applicant.
  • Employment Verification Letter – A letter from the applicant’s current or previous law enforcement agency confirming employment status, dates, and the nature of the service.
  • Firearms Qualification Record – A record of the applicant’s achievement in firearms proficiency, demonstrating compliance with Nevada’s standards for law enforcement officers.

Together, these forms and documents create a comprehensive profile of the candidate, allowing the Nevada Commission on Peace Officers' Standards and Training to make informed decisions. Accurate and thorough completion of the Ad 5 form, accompanied by these additional documents, ensures that applicants are both qualified and prepared for the responsibilities of intermediate certification and beyond.

Similar forms

The Ad 5 Nevada form, utilized for intermediate certificate applications by peace officers, finds its similarities with a variety of other standard documents used within the law enforcement and regulatory sectors. These include the application forms for initial certification, the forms required for subsequent progressive certifications, and standardized training documentation forms. Each of these documents shares common elements in both purpose and structure, emphasizing the necessity for detailed personal information, professional qualifications, and specific training records.

Similar to the Ad 5 Nevada form, initial certification application forms used by peace officers across various states share the requirement for detailed personal and professional information. These forms typically require the applicant to provide a comprehensive list of personal details, alongside evidence of completed training and educational qualifications. Both sets of documents necessitate the inclusion of official transcripts to corroborate educational claims, such as college credits. However, initial certification forms may place greater emphasis on basic qualifications and entry-level training, as opposed to the intermediate-level specifications and detailed training history required by the Ad 5 form.

Another document reflecting similarities with the Ad 5 Nevada form is the application for progressive certifications. This type of form is used by officers seeking advanced-level recognition within their careers. Like the Ad 5 form, applications for progressive certifications demand extensive documentation of additional training and educational achievements beyond initial qualifications. They both utilize a comprehensive approach to evaluating an officer’s continued education and specialization, often requiring information on specific courses taken, credits earned, and the detailed breakdown of training hours in various law enforcement skills.

Lastly, standardized training documentation forms bear a resemblance to the Ad 5 Nevada form in their detailed requirements for listing specific training courses, dates, and hours. These forms are critical for officers to validate their participation in required training programs and to quantify the expertise gained in areas such as investigative skills, human development, legal subjects, and elective training related to peace officer duties. Both types of documents serve as essential tools for maintaining transparency and accountability in the certification and re-certification processes, ensuring that officers meet the necessary standards for their roles.

Dos and Don'ts

When filling out the Ad 5 Nevada form for the Intermediate Certificate Application, it's important to approach the task with care and attention to detail. This process is crucial for those in the field of law enforcement seeking certification in Nevada. Below is a comprehensive list of dos and don'ts to guide you through the process effectively.

Do:

  1. Ensure that all personal information is accurate and matches your legal documents. This includes your full name, POST ID#, and residence address.
  2. Provide your agency's correct name and ID#. The agency address should not be confused with your residence address.
  3. Include all required college credit documentation. Copies of official transcripts need to accompany the application as proof of completed coursework.
  4. Accurately list and document the specific training hours including dates, college terms/quarters, and hours for each area as required on the form.
  5. Complete the sections pertaining to skills of officers, investigative skills, human development, legal subjects, and elective training with precise hours and relevant details.
  6. Ensure the single point of contact information is filled out completely, including the name, signature, and title of the agency administrator or designee.
  7. Review the application thoroughly before submission to ensure all required fields are filled out and the information provided is correct.
  8. Maintain a copy of the completed form and all support documents for your records.

Don't:

  • Do not leave any required fields blank. Incomplete applications may lead to delays or outright rejection.
  • Do not use the agency address in place of your residence address. They must be accurately provided as instructed.
  • Do not submit unofficial or tampered documents. Only official transcripts and valid documents are acceptable.
  • Do not estimate or falsify training hours. All information must be verifiable and accurate.
  • Do not overlook the signature and title sections at the bottom of the application. Unsigned applications are not processed.
  • Do not write in the "POST USE ONLY" section. This area is reserved for the commission's use.
  • Do not rush through the application. Errors or omissions can cause delays.
  • Do not hesitate to contact the commission at the provided phone number for guidance if there are any questions or uncertainties.

Misconceptions

When dealing with the Ad 5 Nevada form, which is crucial for peace officers in Nevada seeking intermediate certification, several misconceptions can arise. Understanding these misconceptions is key to ensuring that applicants complete the form correctly and meet all the necessary criteria.

  • Misconception 1: Residence Address Must be the Agency Address

    Some believe that they need to provide their agency's address rather than their residence address. The form explicitly requests the "Residence Address (not agency address)." This ensures that all communications and certificates are sent directly to the officer, not the agency, to maintain privacy and direct contact.

  • Misconception 2: College Credits Do Not Require Documentation

    Another common misconception is that stating college courses and credits is enough, without needing to provide documentation. The form requires copies of official transcripts to verify the college credits claimed, ensuring that the officer's educational background meets the standards set by the Commission on Peace Officers’ Standards and Training (POST).

  • Misconception 3: Any Course Can Count Towards the 200 Hours of Specific Training

    It's often misunderstood that any course, regardless of its relevance or passing status, can be included in the 200 hours of specific training. However, only courses that were passed can be used, and they must be related to the role of peace officers. This ensures that the training counted towards certification is both relevant and verified.

  • Misconception 4: Submission to Agency Administrator is Optional

    A common oversight is the role of the agency administrator or designee in the application process. Some applicants think submitting the form to their agency administrator or a designated official is optional. The form requires the signature of the Agency Administrator or Designee, verifying the applicant's information and supporting their application, which is a crucial step before it can be reviewed by POST.

Understanding these misconceptions ensures that applicants provide the necessary documentation and information accurately, supporting a smooth certification process. It also highlights the importance of reading instructions carefully and providing accurate, verified information to meet the criteria set by POST.

Key takeaways

Understanding the AD 5 Nevada form, officially associated with the State of Nevada Commission on Peace Officers’ Standards and Training, is crucial for those in the law enforcement sector of Nevada seeking an Intermediate Certificate. Here are the key takeaways to ensure the form is filled out correctly and utilized effectively.

  • The applicant must provide personal identification information, including last name, first name, middle initial, POST ID number, and a residential address that is distinct from the agency address. This ensures the application is correctly attributed to the individual applying and helps in verifying their identity.

  • Agency details are required, including the agency name and ID, along with the applicant's hire date. This information links the applicant to the employing agency and helps in the validation of the applicant’s law enforcement status within Nevada.

  • College credit documentation is a critical component of the application process. Applicants are required to submit copies of official transcripts for verification purposes. These transcripts must detail subjects taken, the term/year they were completed, and the college credits earned. Specifically, documentation must include 3 credits of English Composition among other specified subjects, showcasing the applicant's educational background and readiness for intermediate certification.

  • The form requires applicants to itemize and support their specific training with documents, including dates, terms/quarters, and hours for each listed training area. It emphasizes a broad spectrum of training requirements totaling 200 hours, covering skills of officers, investigative skills, human development, legal subjects, and elective training related to peace officers. Successful completion of these courses, validated by the presentation of documentation, is mandatory for certification.

  • Lastly, the form must be endorsed by a single point of contact, typically the Agency Administrator or Designee, who must provide their name, signature, and title before submission. This approval is a testament to the applicant's good standing within their agency and confirms the accuracy of the submitted information.

Completing the AD 5 Nevada form with diligence and attention to detail is essential for peace officers aspiring to advance their certification. It’s a testament to their commitment to enhancing their skills and serving with greater responsibility within the State of Nevada.

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