First Responder Disability Awareness Training
First Name *
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Last Name *
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County *
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Department *
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Email
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Phone Number
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Street Address
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City
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Zip Code
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Please select the training for which you are registering. *
How many years of experience do you have as a first responder? *
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How many years of experience do you have as a trainer? *
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Why are you interested in being a Disability Awareness Trainer?
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What experience, if any, do you have in the field of disabilities?
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Please identify all specific departments and/or companies that you will be training. *
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I understand that I must attend each day of the training session, to which I am committed. My attendance is confirmation that my chief/supervisor has committed to the training being conducted at my agency. I also understand that the manual that will be provided to enable me to train personnel in my discipline, is protected by copyright laws and may not be duplicated. *
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