CUEA 2019 Annual Conference
year the CUEA 2019 Annual Conference will be held at Lake Tahoe Resort Hotel 4130 Lake Tahoe Blvd., South Lake Tahoe, CA 96150. The
theme of this year's conference is "Sharing Lessons Learned"
APPLICANT *required Name will appear on certificate of completionFirst Name: *Last Name: *Position/Title/Rank: *
AGENCY / ORGANIZATIONAgency/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 informationon class roster to attendees post workshop.(Name, Agency, Email Address Only)
AGENCY / ORGANIZATION ADDRESSAddress 1: *Address 2:City: *