Effective Leadership through Belief Intelligence
Monday, July 19 - Tuesday, July 20, 2021
10:00 am - 4:00 pm
Location: Charleston Readiness Center (4th floor)
Directions: 68 Hagood Avenue, Charleston, SC 29403

Great New Training for Law Enforcement/School Resource officers and Educators  

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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:

If you agency does not appear on the above list
select - Other - above  and  fill in the
Full Agency Name below:

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 # (include area code) *

Cell Phone: (include area code)

E-mail: *
  SUPERVISOR INFORMATION
For Law Enforcement Status Verification
Name of Approving Supervisor:  *required

Phone Work: (include area code)

E-mail:


HIDTA TASKFORCE MEMBER
Yes No

IDENTIFYING INFORMATION
Sworn GA Law Enforcement Officers (for GA POST credit)
Okey #*
 (enter N/A if you are not a Georgia Officer)

Sworn Law Enforcement Officer
Crime / Intelligence Analyst 
Other
(please provide details)


 

 Credentials Required at Registration