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September 12 & 13 DUI Instructor I
Centre County Government - Willowbank Building
Emergency Operations Center Conference Room
420 Holmes Street
Bellefonte, PA 16823
9:00 a.m. - 4:00 p.m.
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County in which you will be teaching AHSS:
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DUI Coordinator's Name who gave approval for you to attend:
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First Name
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Last Name
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Business
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Address
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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
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I verify that I have observed a complete (12 1/2 -15 hours) Safe Driving School Course taught by a Certified DUI Instructor.
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Date of Course Observed:
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Location of Course Observed:
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Certified Instructor's Name who facilitated Course:
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Please List level of Education completed and field of study (please note: A Bachelor's Degree is required to become a Certified DUI Instructor in PA)
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I verify that I have the approval of the County DUI Coordinator to attend this training
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Yes, approval is granted by my DUI Coordinator
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