If your application is accepted you will receive a confirmation email.  Space is limited and will be filled from the waiting list. 

Hosted by the California Governor's Office of Emergency Services

Safety Assessment Program Training "Train the Trainer" Class (Dec 2017)
Friday, December 8, 2017
8:00 AM - 4:30 PM
Location: California Office of Emergency Services,
Directions: 10390 Peter A. McCuen Blvd California Room, Bldg D,, Mather, CA 95655

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This one-day course will allow personnel to become trainers for the Safety Assessment Program Evaluator and Coordinator training.


APPLICANT *required 
Name will appear on certificate of completion
First Name: *

Last Name: *

Position/Title/Rank: *

AGENCY / ORGANIZATION
Agency/Organization Name: *

Law Enforcement
Public Health
First Responder
Emergency Management Personnel
Other (enter below)

 

CONTACT INFORMATION
(for registration purposes only)
Phone Work: (include area code) *

Cell Phone: (include area code)

E-mail: *

Re-Type E-mail: *

Ok to include my contact information
on class roster to attendees post workshop.
(Name, Agency, Email Address Only)

AGENCY / ORGANIZATION ADDRESS
Address 1: *

Address 2:

City: *

State: * 
  Zip code: *