July 8 & 9 CRN Evaluator I

Catholic Social Services
E. Northampton Street
Wilkes Barre, PA

9:00 a.m. - 4:00 p.m.

County in which you will be conducting CRN Evaluations: *
Your answer
Name of DUI Coordinator who granted your approval to complete CRN process: *
Your answer
First Name *
Your answer
Last Name *
Your answer
Business *
Your answer
Address *
Your answer
Address 2
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Email *
Your answer
Phone *
Your answer
I have observed at least one (1) CRN Interview conducted by a certified Evaluator *
Have you given DUI evaluations in the past? *
If yes, did you administer the CRN Evaluation? *
Name of Employer if not in the DUI Program
Your answer
I verify that I do have my County DUI Coordinator's approval to attend this training: *
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