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June 1 DUI PAW
Montgomery County Probation
408 Cherry Street
Norristown, PA 19404
9:00 a.m. - 4:00 p.m.
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First Name
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Last Name
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Business
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Address 1
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Address 2
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City
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State
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PA
Other:
Zip Code
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Email
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Phone Number
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Materials Required to Attend this Workshop: (check below that you have completed the necessary paperwork and send it to the DUI Association at least 10 days prior to the workshop):
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Copy of the Course Syllabus and Lesson Plan/Outline
Student Scores from Pre/Post test
Required
Participant attended the DUI Instructor I on:
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The participant taught at least one entire Safe Driving School Course using the approved curriculum:
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Yes
No
I verify that I have the DUI Coordinator's approval to attend this DUI PAW Certification Workshop:
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No
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