Law Enforcement Course Reservation Form

Timer

--:--

* = required field

Some content may be updated based on selection

Instructions

To reserve a seat in a Law Enforcement Program course, please complete this form by the deadline indicated on the program announcement.

Please note: Submitting a reservation form does not guarantee registration in a course.

Note: All of the fields marked with an asterisk (*) are required.

Course Title:

Course Start Date:

Name:

Rank / Title:

Agency:

Email:

County of Residence:

Does attendee meet course pre-requisites -if any?

Do you need to register another attendee?

Please enter the information of the person in your agency who is authorized to approve attendance.

Approver Name:

Approver Rank / Title:

Approver Email:

Approver Phone Number:

Are the Approver and Submitter the same contact?

Submitted by:

Submitter Rank / Title:

Submitter Email:

Submitter Phone Number:

Please wait for files to finish uploading