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| Your Name: | ____________________________________________________________________ |
| Agency Name: | _____________________________________________________________________ |
| Street Address: | ____________________________________________________________________ |
| City: | ____________________________________________________________________ | State: | ____________________________________________________________________ |
Zip: | ____________________________________________________________________ |
Phone: | ____________________________________________________________________ |
Fax: | ____________________________________________________________________ |
Please send info on (check all that apply): [__] Corrections and Transportation Officer Command-Spanish [__] Emergency Medical - Spanish [__] Emergency Telecommunicator-Spanish Program [__] Introductory Spanish for Law Enforcement [__] Latin American Culture for Supervisory Personnel [__] Officer Survival and Communication Spanish [__] Spanish Immersion for Law Enforcement [__] Spanish Instructor Training Program [__] Hosting a Program  |