Student Information

I certify that I have successfully completed the Course listed below at the Location listed below. The course certificate confirms that the course is the hours in length listed below.(Required)

Training Information

I have attached the following documents for inclusion in the training files as required by TCOLE rules:

Upload the following files listed below:(Required)
Max. file size: 80 MB.
Max. file size: 80 MB.
Max. file size: 80 MB.
Max. file size: 80 MB.

Training Critique/Evaluation

Instructor Name (If online, provide web address)(Required)
MM slash DD slash YYYY

Course

ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A

Instructor (if online, check N/A)

ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A
ExcellentGoodAverageFairPoorN/A

TRAINEE SIGNATURE
MM slash DD slash YYYY

This form should be attached to the certificate of completion and kept on file readily accessible for inspection for a minimum period of five (5) years after completion of the course and submission of training roster.

Submittal of the document to the training coordinator does not guarantee training credit will be submitted to TCOLE. The agency may establish alternate submittal standards or requirements.