DEC Course Registration - Arkansas Criminal Justice Institute Arkansas Criminal Justice Institute

Course Name *

Course Date *

Course Location *

Rank/Title/Position *

First Name *

Middle Initial (if you have no middle initial, enter NMI) *

Last Name *

Nickname/Preferred Name

Email *

Would you like training schedule notifications emails sent to you?

Yes
No

CLEST-ID Number (Required for Arkansas Commission on Law Enforcement Standards & Training (CLEST) reporting if you are Arkansas LE.)

Phone *

Alternate/Evening Phone Number

Employer *

Employer Address *

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Employer Phone/Extension

Employer Fax

Are you Sworn or Non-Sworn? *

Sworn
Non-Sworn

Position Type (Select all that apply) *

Law Enforcement
Correctional Officer
Detention Center Employee
Jailer
Part-Time I
Part-Time II
Auxiliary
Educator/School Staff
Other

If you selected other, What is your position?

How did you hear about this class?

Internet Search
Email
Fax
Facebook
Twitter
Policetraining.net
Referral
Other

If you selected "Other" above, how did you hear about this class?

LAW ENFORCEMENT/CORRECTIONS PERSONNEL ONLY. Please complete the following information. (THESE ARE NOT REQUIRED)

Training Officer's Rank First Last Name

Training Officer's Phone Number/Extension

Training Officer's Email Address

How many sworn officers are in your agency?

Population Served

Type of Agency

I Agree *

Yes, I agree.

Fee based classes: To confirm a slot in the class, payment must be received no later than three weeks prior to the start date of the course and registrants must email a signed and dated verification letter on agency letterhead within five days of submission of registration request form to [email protected] which includes the following statement: This letter will verify that I, (name of registrant), am an employee of (agency name), and hold the position of (sworn/non-sworn) (position title), located at (address) and have registered for (name of class) on (date). Your registration will be verified and you will receive separate notification (within 5 working days) of your acceptance into the course, as well as payment information. Please do not make any travel plans until you receive your acceptance notification. Sorry, faxing is not an option at this time. Free classes: Registrants must email a signed and dated verification letter on agency letterhead within five days of submission of registration request form to [email protected] which includes the following statement: This letter will verify that I, (name of registrant), am an employee of (agency name), located at (address) and have registered for (name of class) on (date). Your registration will be verified and you will receive separate notification (within 5 working days) of your acceptance into the course. Sorry, faxing is not an option at this time.

Phone

This field is for validation purposes and should be left unchanged.