Law Enforcement Command Institute of the Southwest

March 6-10 and 13-17 Public Safety Training Academy Tucson, Arizona

Institute Application

APPLICATION DEADLINE IS FEBRUARY 3, 2006

Please PRINT legibly or type all information

Agency Information:
Agency:
Mailing Address:
City:		State:		ZIP:
Contact Name:		Title:
Daytime phone:	()	Fax:	()	Email:

Name of Authorizing Official (If different from Contact Name):

Applicant Attendee(s) Information:
This Institute Session is limited to those with command responsibility.
Name:		Title/Rank:
Name:		Title/Rank:
Name:		Title/Rank:
Institute Enrollment, Registration Fee and Payment
The enrollment for this Institute Session is limited. While we will try to accommodate all applicants this may not be possible. You will be advised of number of applicants that we will be able to accommodate from your agency and will provide you with an invoice. You may select a payment option at that time. You will have the option of payment by check or agency credit card. The registration fee for the two-week Command Institute is $2,000.00. This covers all materials, lunch on each day of the Institute, as well as morning and afternoon breaks. Mail or FAX this Application to:

Captain Richard Harper, Co-Director, Law Enforcement Command Institute Tucson Police Department Tucson Public Safety Academy 10001 S. Wilmot Rd. Tucson, AZ 85706

Phone: (520) 791-5211 x 1106 Fax: 520-791-4261 Email: richard.harper@tucsonaz.gov