AC HIDTA Training History Registration
Note: This information will all be used to pre-fill training registration forms to expedite training registration.

APPLICANT * required
Enter name as it will appear on certificate of completion. Do not use all caps.
First Name *

Last Name *

Position/Title/Rank *

AGENCY / ORGANIZATION
Agency/Organization Name: *


Indicate your agency type *
Federal
State
Local
Military
Other (Not Law Enforcement)

AGENCY ADDRESS
Address 1:*

Address 2:

City: *

State:* 

Zip code:

CONTACT INFORMATION
(for registration purposes only) * required
Best Contact Phone #: *

Mobile Phone: (optional)


LOGIN INFORMATION
Email address: *

Login Password 

Alternate Email Address (Optional to receive notifications and reminders)

SUPERVISOR INFORMATION
For Employment Status Verification
Name of Approving Supervisor:  *required

Phone Work: 

Supervisor Email Address:


HIDTA TASKFORCE MEMBER
Yes No

IDENTIFYING INFORMATION
Sworn GA Law Enforcement Officers (for GA POST credit)
Okey # *
 

Comments


 Credentials are always required at registration