149th BASIC COURSE FOR POLICE OFFICERS

Please fill out the form below and click "Submit Form" to enroll.

Agency Information

Agency Name

Training Officer

Department Head

Authorizing Official

Address

City, State, Zip

Phone

Officer 1

Ranks and Names

Status

Date Requested

Session Requested

Proof of COVID vaccination

One file only.
1 MB limit.
Allowed types: gif, jpg, jpeg, png.
5 MB limit per form.

Officer 2

Ranks and Names

Status

Date Requested

Session Requested

Proof of COVID vaccination

One file only.
1 MB limit.
Allowed types: gif, jpg, jpeg, png.
5 MB limit per form.

Officer 3

Ranks and Names

Status

Date Requested

Session Requested

Proof of COVID vaccination

One file only.
1 MB limit.
Allowed types: gif, jpg, jpeg, png.
5 MB limit per form.

Officer 4

Ranks and Names

Status

Date Requested

Session Requested

Proof of COVID vaccination

One file only.
1 MB limit.
Allowed types: gif, jpg, jpeg, png.
5 MB limit per form.

Officer 5

Ranks and Names

Status

Date Requested

Session Requested

Proof of COVID vaccination

One file only.
1 MB limit.
Allowed types: gif, jpg, jpeg, png.
5 MB limit per form.