Schedule In-House Training
REQUIRED FOR AGENCY HELD IN-HOUSE TRAINING (30 Days Notice Required)
County/Agency Conducting Training
*
Where you live.
Name of Class to be Taught
*
POST# of class to be Taught
*
Where will training be held
*
Start Date and Time
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
End Date and Time
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Instructor Name
*
First Name
Last Name
Daytime Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Instructor Email
*
example@example.com
Comments
OFFICIAL USE ONLY
____________________________________________________________________________________________________
Notes
Status
Reviewed By
MSA Use Only
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Save
Submit
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