County Adult Probation and Parole Basic Training Academy Registration

County Adult Probation and Parole Basic Training Academy Registration

Dates attending BTA

Chief/PO Director

Last Name

Chief/PO Phone Number

First Name

Immediate Supervisor

Job Title

Immediate Supervisor Phone Number

County

Emergency Contact Name

E-mail

Emergency Contact Phone Number

Department Name

Emergency Contact E-mail

Date of Hire in Current Position

Do you require an overnight room for the second week of the training?

Cell Phone Number

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