June 12-16 2023 SFST Instructor Application

Application deadline November 28th, 2021

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* 1. Applicant Information

Name

Department

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. Position

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* 3. Years of law enforcement experience

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* 4. Approximate number of DWI arrests

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* 5. Type II or Type III Department of Health breath testing permit number?

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* 6. Type II/III Permit expiration date

Date

Date

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* 7. Date of your 24-hour basic DWI Detection and Standardized Field Sobriety Testing Training (original academy training)

Date

Date

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* 8. Have you had any SFST update training?

Yes

No

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* 9. If you answered yes to question 8, what was the approximate date of your updated training?

Date

Date

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* 10. Does the head of your agency agree to the following:
As the head of the agency, I support the above-named instructor candidate in becoming an SFST Instructor. I understand to maintain an instructor in Missouri the above-named instructor candidate will not only have to attend this instructor development course but will have to team teach with two (2) certified instructors for four (4) hours in a classroom setting. I understand the instructor candidate will then have to teach a minimum of eight (8) hours in each two-year cycle to maintain instructor status and provide their instruction documentation to the SFST State Coordinator or his/her designee.

Yes

No

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* 11. If you answered “yes” to question 10, you need to return to the Missouri State Highway Patrol Training Division page after submission of this application and print the document “SFST Inst. Head of Agency Commitment.” This document must be signed and returned before the application deadline (listed on the document). Email the completed form to Cpl. Ryan Hutton at ryan.hutton@mshp.dps.mo.gov

I have read and understand the above instructions.

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* 12. All applications are forwarded to the Missouri Technical Advisory Panel (TAP) for review. The TAP will select qualified students to attend the course on November 29th. Once selections are made, students will be notified. If you have any questions, please forward them to:

Cpl. Ryan Hutton at the Missouri State Highway Patrol Training Division.
Email ryan.hutton@mshp.dps.mo.gov
Office Phone (573)751-9943

I have read the above statement.