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Surviving Armed Encounters - Physically, Legally, and Mentally - Tampa, FL

Please provide the following information about yourself.

* 1.

Date of the course you are registering for:

* 2.

Please list your rank/title:

* 3.

Employing Agency:

* 4.

Agency mailing address:

* 5.

Agency telephone #:

6.

Cell phone (optional)

7.

Comments:
 

If you have any questions or comments about this survey, please contact Vonceil Smith at smith.vonceil@spcollege.edu or call (727) 344-8021

St. Petersburg College is committed to equal access/equal opportunity in its programs, activities, and employment. For additional information visit www.spcollege.edu/eaeo/. St. Petersburg College is an Equal Opportunity Employer.