Form Cs365 PDF Details

Saint Louis University is one of the most prestigious schools in the United States. Because of this, many students are vying for a spot in the freshman class. In order to be considered for admission, prospective students must complete a form called CS365. This form contains all of your personal and academic information. It is important that you fill out this form accurately, as it will be used to make decisions about your admission status. If you have any questions about how to complete this form, be sure to consult with an admissions counselor. Good luck!

QuestionAnswer
Form NameForm Cs365
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesincentiveform20 09 rhode island cs365 form

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CS365

Rev: 5/09

REQUEST FOR IN-SERVICE TRAINING INCENTIVE CREDIT

OFFICE OF TRAINING AND DEVELOPMENT

DIVISION OF HUMAN RESOURCES

One Capitol Hill, Providence, RI 02908

Telephone 222-2178

A COMPLETE APPLICATION MUST BE RECEIVED 7 DAYS IN ADVANCE OF COURSE

Please refer to KEY POINTS found on the Office of Training and Development web site:

www.admin.ri.gov/otd

SOCIAL SECURITY NO:

PLEASE PRINT

LAST NAME:

 

 

 

 

MAIDEN NAME:

 

FIRST NAME:

 

 

 

 

 

 

MI:

 

HOME ADDRESS:

 

 

 

 

 

CITY

 

 

 

 

 

ZIP:

 

DAYTIME TEL:

 

 

 

 

 

 

 

 

SERVICE:

UNCLASSIFIED:

 

CLASSIFIED:

REQUEST:

COURSE TITLE:

COURSE START DATE: (MM/DD/YY)

SCHOOL OR AGENCY SPONSOR:

HOURS: (TIMES OF DAY; DAYS OF WEEK)

COURSE LENGTH: (TOTAL HOURS)

 

(WORKING HOURS)

MOST RECENT INCENTIVE COURSE:

HIGHEST YEAR AND SCHOOL COMPLETED:

JOB CLASSIFICATION:

DEPT:DIVISION:

UNIT:

APPLICATION CONTINUED ON REVERSE SIDE

Your Signature is Required

Final credit will be given for this course only if you:

1)Received Approval by a CS-372 in advance.

2)Obtain Passing Grades or satisfactory completion

3)Forward Official Transcripts of external courses to us.

Note: If you do not receive your CS-372 within a reasonable time, please locate your Request, and call 222-2178 in advance of the course start date.

Office Use Only

Disapproved

Approved

CS-372 Date:

_______________

CS-365 – Continued for: (applicant name)

MY JOB-RELATED OBJECTIVES:

I hereby apply for recommendation and approval to participate in :

Course Title:

I understand that I must receive advance approval by CS-372 and successfully complete this course in order to receive credit toward my future incentive increment. I have consulted and understand the KEY POINTS: INCENTIVE IN-SERVICE TRAINING PROGRAMS FOR STATE EMPLOYEES*

SIGNATURE:DATE:

NOTE: IT IS YOUR RESPONSIBILITY TO ENSURE THAT YOUR COMPLETED APPLICATION HAS BEEN FORWARDED TO THE OFFICE OF TRAINING AND DEVELOPMENT (OTD)

DIVISION CHIEF OR UNIT SUPERVISOR:

I have inspected the Personnel Rules and/or KEY POINTS: INCENTIVE IN-SERVICE TRAINING PROGRAMS FOR STATE EMPLOYEES* and nominate this course as directly related to this employee’s job duties and career training incentive. (Every Department has a copy of the Personnel Rules available for inspection.)

Recommended:DATE:

(legible signature)

DEPARTMENT DIRECTOR:

I certify that this course is directly related to this employee’s job duties and attendance is approved in accordance with the provisions outlined in the KEY POINTS: INCENTIVE IN-

SERVICE TRAINING PROGRAMS FOR STATE EMPLOYEES*

Recommended:DATE:

(legible signature)

KEY POINTS: INCENTIVE IN-SERVICE TRAINING PROGRAMS FOR STATE EMPLOYEES* is

available on the OTD web site: www.admin.ri.gov/otd or by calling OTD at 222-2178

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