Drug Abuse Recognition
Tuesday, October 17 - Thursday, October 19, 2017
8:00 AM - 5:00 PM
Location: Monterey County Sheriff's Department
Directions: 1414 Natividad Road Salinas, CA 93906

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Class limited to 35

CANCELLATION POLICY: Cancellations received 14 days prior to the start date of the class, will be fully refunded or credited towards a future presentation of the same topic. Cancellations received after this time period, or "no shows", will be charged a $35 cancellation fee. Substitution of students is allowed.

STUDENT INFORMATION * Required
First Name:
*
 
Last Name:
*
 
Middle Name:*
 
Position/Title/Rank:
*
 
Permanent Address: (no P.O. Boxes)*


City:*

State:*
Zip Code:*

CONTACT INFORMATION
Phone Work: (include area code)
*
 
Cell Phone: (include area code)
 
Fax: (include area code)
 
E-mail:
*
 
(Please Use Law Enforcement Agency Email Address)


IDENTIFYING INFORMATION *

 Sworn Law Enforcement Officer
Hispanic Non Hispanic / Latino
Post ID#:

Date of Birth (mm/dd/yy):*
 
(For College Credit)

Age:* 

Birth City:*
 

Birth State or Country:*
 
Last 4 digits of social security #  
Gender* Male Female

Previous Last Name (enter N/A if the same):*

 


HIGH SCHOOL LAST ATTENDED*
Name of High School*
 
County (if California)*
 
State or County (If NOT California)*
 
Years Attended*
 -  
Year Graduated*
 


High School Graduation Status*
 

WHEN DID YOUR PRESENT STAY IN CALIFORNIA BEGIN?*
Approximate date you arrived in California (mm/dd/yy)*
List the previous residence if current address is less than 2 years.
CityStateFrom: MM/DD/YYTo: MM/DD/YY

YOUR AGENCY / ORGANIZATION NAME* 

 Local   State  Federal  Military
Agency City:
*

Agency State:* 
 (ie: CA)
Agency Zip code:*

HIDTA TASKFORCE MEMBER
Yes  No


PRICE: $225

Members and Non-Members

 Law Enforcement Credentials Are Required at Registration

 

Cost per person: $225

Credit Card Information (all fields required)
Card Type

Cardholder's First Name

Cardholder's Last Name

Credit Card Number

Exp Date
(e.g.: 05/2018)
Security Code

 

Cardholder's Billing Street Address

Billing City

Billing State
(2-digit state code)
Billing Zip Code

Billing Country
(2-digit country code)

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