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De-Escalation Practitioner Instructor Course on March 20th through March 22nd, 2024, in Lake St. Louis, MO

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First Name: Last Name:
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Email (Agency email preferred):
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Date of the course you are registering for:
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Please check the category below that applies to your current position:
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Please check the rank/title below that applies to your current position:
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Agency name (if applicable):
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Agency Mailing Address:
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Phone number: enter as xxx xxx-xxxx
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A Letter of Recommendation from my agency is required in order to attend this training and for my registration to be considered complete. This letter must be submitted no later than 7 days prior to the start date of the training. Please submit to alfonso.robert@spcollege.edu.
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Supervisor's Contact Information:
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Supervisor's Agency Email:
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Supervisor's Phone Number:
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Shirt Size (provided with training)
 

If you have comments about this survey or questions regarding how to complete this survey, please contact Marguerite Leonard at Leonard.Marguerite@SPCollege.edu or call 727-344-8068.

The Board of Trustees of St. Petersburg College affirms its equal opportunity policy in accordance with the provisions of the Florida Educational Equity Act and all other relevant state and federal laws, rules and regulations. The college will not discriminate on the basis of race, color, ethnicity, religion, sex, age, national origin, marital status, pregnancy, sexual orientation, gender identity, genetic information, or against any qualified individual with disabilities in its employment practices or in the admission and treatment of students. Recognizing that sexual harassment constitutes discrimination on the basis of sex and violates this Rule, the college will not tolerate such conduct. Should you experience such behavior, please contact the Equal Access Equal Opportunity Director/Title IX Coordinator at 727-341-3261; by mail at P.O. Box 13489, St. Petersburg, FL 33733-3489; or by email at eaeo_director@spcollege.edu or spctitleix@spcollege.edu.