Exhibit 06 - DC SPO Firearms Course Certificate.pdf

Security Officers Management B�nch

2000 14m Street N.W. Third Floor, Washin�n D.C •• 20009 (202) 671-0500 FAX (202) 673-7418

Special Police Officers Firearms Course Certificate

Instmctions for Applicant:

· 1. Please type or print legibly in black ink the top portion of this form.

2. Take this form with )i'ou on the day or days of your training. ·

3. Return the Original completed form to the Security Oflicers Management Branch witmn 30 days of the course completion.

Last Name: First Name: Middle Initial:

Address:

-----City: ================:-u-tate-=---: -------Zip-cod...,:�-------�-

Home Phone:; Cell Phone: ---------- -------------

Employing Agency: ___________________ ---,--__ _

· To be Completed ·by MPDC Certified Range Instructor

Security Offi.een Firearms Ceriffication Course Date Completed

□ Forty (40) Initial Certification Coms�: Score __ out of 50

□ Eight (8) Firearms lunge Training: Score __ out of 50

Range Name and Location: ____________ ....:..._ _______ -'-_ I hereby affirm that the above identified individual has successfully c9mpleted the Firearms Certification Course requirements as prescribed by the Metropolitan Police Department Security Officers Management Branch in compliance with General Order 308. 7(D)(5) and DCMR Title 6A and that the above information is true and correct to the best of my knowledge, information and belief I understand that making a false statement is punishable• by crimmaI penalties under D.C. Code Title 22-2405.

MPDC Certified Instructor's Name: ID Number:

Address:

City: ___________ State: _______ Zip code:--,-----

Work Phone: Cell Phone: ---------- -------------rv!PDC Certified Instructor's Signature: ___________ Date: _____ _

Applicants Signature: ______________ Date:----�---

*This training certificate is only valid for 30 days from the day the course is completed* bfalk Typewritten Text Exhibit 6