Drug Recognition Expert Seminar Registration - Arkansas Criminal Justice Institute Arkansas Criminal Justice Institute

Course Name *

Course Date *

Course Location *

Will you be driving 50 miles or more and if so, will you be requesting lodging? *

If requesting lodging, please include your home address, city, st, zip:

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?

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? *

Position Type (Select all that apply) *

If you selected other, What is your position?

How did you hear about this class?

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

Email

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