AC HIDTA Training History RegistrationNote: This information will all be used to pre-fill training registration forms to expedite training registration.
APPLICANT * requiredEnter name as it will appear on certificate of completion. Do not use all caps.First Name *Last Name *Position/Title/Rank *
AGENCY / ORGANIZATIONAgency/Organization Name: *Indicate your agency type *FederalStateLocalMilitaryOther (Not Law Enforcement)AGENCY ADDRESSAddress 1:*Address 2:City: *State:* Zip code:
CONTACT INFORMATION(for registration purposes only) * requiredBest Contact Phone #: *Mobile Phone: (optional)LOGIN INFORMATIONEmail address: *Login Password Alternate Email Address (Optional to receive notifications and reminders)
SUPERVISOR INFORMATIONFor Employment Status VerificationName of Approving Supervisor: *requiredPhone Work: Supervisor Email Address:HIDTA TASKFORCE MEMBERYes NoIDENTIFYING INFORMATIONSworn GA Law Enforcement Officers (for GA POST credit)Okey # * Comments Credentials are always required at registration