NEW JERSEY STATE ASSOCIATION OF CHIEFS OF POLICE ACE (Accredited Chief/Command Executive) Certification Program APPLICATION 1 Instructions: Please ensure that all sections within this application are completed then press to submit button at the bottom of page 3. Additional supporting documents and materials (proofs) must be scanned and sent separately to [email protected]. After your application is received a quote will be generated and sent to the applicant via e-mail. Once payment is received via Credit Card or Purchase Order a review will be scheduled by the committee. Confidentiality Notice: All applicant related materials submitted to the NJSACOP Accredited Chief/Command Executive Certification Program Committee, all appeals and related materials to the NJSACOP State Office and/or Certification Committee Board of Directors, and all correspondence related to either applications for certification or appeal shall be held in strict confidence by the Committee, members of the Committee and Committee Board of Directors, the NJSACOP Board of Officers and staff. Applicant’s information shall not be released to any other party without the express written consent of the applicant. Only the names of successful candidates for Accreditation will be released or published by the NJSACOP and/or the Certification Committee. Applicant Information: Name: ________________________________________________ Title/Rank: ________________________ (First) (MI) (Last) Badge/ID#: _____________ Date of Birth: _____/_____/________ Agency Name: ___________________________________________________________________________ Agency Address: __________________________________________________________________________ City: _____________________________________________________ State: ______ Zip: ______________ Agency Telephone #: _____-_____-_________ Ext. # _________ Agency Fax #: _____-_____-__________ Agency E-mail Address: ____________________________________________________________________ Home Address: __________________________________________________________________________ City: _____________________________________________________ State: ______ Zip: ______________ Home Telephone #: ______-______-__________ Cell Phone #: ______-______-__________ __ Please share my agency contact information with NJSACOP ACE Certification Program Alumni __ I would like a press release of my achievement sent to my local newspaper(s) listed below; ________________________________________________________________________________ __ Please notify the below listed individuals of my certification, ie. Mayor, BA, Council, Chief, etc.; ________________________________________________________________________________ By electronically signing below I acknowledge and swear that all information that I have provided within this application is true and accurate. Signature: ______________________________________________________ Date: _____/_____/________ (Applicant's Name Typed) __ Electronic Signature Required. Box MUST be checked.
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NEW JERSEY STATE ASSOCIATION OF CHIEFS OF POLICE
ACE (Accredited Chief/Command Executive) Certification Program APPLICATION
1
Instructions: Please ensure that all sections within this application are completed then press to submit button at the bottom of page 3. Additional supporting documents and materials (proofs) must be scanned and sent separately to [email protected]. After your application is received a quote will be generated and sent to the applicant via e-mail. Once payment is received via Credit Card or Purchase Order a review will be scheduled by the committee.
Confidentiality Notice: All applicant related materials submitted to the NJSACOP Accredited Chief/Command Executive Certification Program Committee, all appeals and related materials to the NJSACOP State Office and/or Certification Committee Board of Directors, and all correspondence related to either applications for certification or appeal shall be held in strict confidence by the Committee, members of the Committee and Committee Board of Directors, the NJSACOP Board of Officers and staff. Applicant’s information shall not be released to any other party without the express written consent of the applicant. Only the names of successful candidates for Accreditation will be released or published by the NJSACOP and/or the Certification Committee.
By electronically signing below I acknowledge and swear that all information that I have provided within this application is true and accurate.
Signature: ______________________________________________________ Date: _____/_____/________ (Applicant's Name Typed) __ Electronic Signature Required. Box MUST be checked.
__ Sergeant (At the approval of Committee) __ Other (Executive Title, Rank or Position) ___________________
3. Executive Level Courses, NJSACOP Membership and ACE Program Participation (Proof of Training
Certifications, Active Membership or Program Participation)
__ I attended the required minimum of Approved Executive Level Leadership Courses listed below; If I checked Bachelor's Degree for ACE-COP Advanced or Associate's Degree for ACE-COP or ACE above I understand that
I must show proof of attendance at 4 Executive Level or Advanced Police Leadership courses respectively that I have
attended. Otherwise I only need to provide 2 Executive Level or Advanced Police Leadership Courses.
ACE COP-Advanced Applicant has provided proof that his/her agency has achieved or is currently
pursuing law enforcement accreditation through NJSACOP LEAP (Proof in attachment):
5. Active Participants in NJSACOP or a County Police Chiefs Association - Proof File 5 - (ACE-COP
Advanced ONLY)
ACE COP-Advanced Applicant has served, or is currently serving on the Board of Officers,Committee or Executive Board for the IACP, NJSACOP or County Chiefs Association (Proof in
attachment):
NJSACOP ACE Certification Program – ACE Assessor Checklist - Page 3 of 3
The above listed ACE Certification Program Applicant: ______________________________________
Has successfully completed all requirements for the ______________________certification and is hereby recommended for award of certification.
Note: The above specified proof files and below attachments have been forwarded in the form
of an applicant file to the Program Chairman for final approval and record management.
Attachment A - ACE Application & Proofs Files 1-3
Attachment B - ACE Certification Program Assessor Checklist Memorandum
Has not met the requirements for the Accredited Chief/Command Executive Certification
Program. Please explain reasons for not meeting certification requirment(s).
Assessor's Name (Printed): _______________________________________________________