Waiting List Notification

You are on a waiting list for this course; as spaces become available we will fill them from the waiting list.  If you are admitted to the course list you will receive an email confirmation.  If at any time you find that you are unable to attend please select "cancel" at the bottom of your registration confirmation email (depending on your email account settings, you may need to check "Junk Mail" for your confirmation).

Hosted by California Governor's Office of Emergency Services and Fredericks Community College, funded by the Department of Homeland Security's Federal Emergency Management Agency

Maturing Public-Private Partnerships (P3) Workshop
Tuesday, May 1 - Wednesday, May 2, 2018
8:30 AM - 4:30 PM
Location: Department of Public Social Services (DPSS)
Directions: 4060 County Circle Drive, Riverside, CA 92503

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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: *