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First Name *

Last Name *

Position/Rank *

(if none, please enter 'none')

Agency/CDCR *

(specify institution or office)

Email *

Address *

Apt., Suite, Building

City *

State *

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Postal/ZIP *

Country *

Phone *

POST/STC Credit *Need POST creditsNeed STC creditsFederal AgencyCivilian

POST ID#

(if you do not have a POST ID, please enter STC in the box)

Email of Training Manager *(if you do not have a training manager, re-enter your e-mail address)

Number of Students You Are Registering? *

(if none, and self only, please enter 'self')

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