Advanced Peer Support
Tuesday, December 1 - Thursday, December 3, 2020
8:00am - 5:00pm
Location: To Be Announced
Directions: Norcross, GA

Great FREE Training from ACHIDTA and the RCTA

Note; park and enter at the rear of the building

Questions can be directed to Training Coordinator Buck Smith @ 470-261-0410 or bsmith@achidta.org

 

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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 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