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STUDENT INFORMATION * requiredFirst Name *Last Name *Position/Title/Rank *Phone Work: (include area code) *Cell Phone: (include area code)E-mail: *Retype Your E-mail Address: *Alternate / Personal Email Address: HIDTA TASKFORCE MEMBERAre you a taskforce member? Yes NoIDENTIFYING INFORMATIONP.O.S.T. ID # or Last 4 digits of social security # or (or N/A)
Sworn Law Enforcement Officer *Yes NoNon-Sworn Crime / Intelligence Analyst *Yes NoIf other, please provide details below
AGENCY / ORGANIZATIONAgency/Organization Name: Indicate your agency type * Federal State Local Military OtherAddress: *City: *County: *
SUPERVISOR INFORMATIONFor Law Enforcement Status VerificationFull NamePosition/Title/RankPhone Work: (include area code)E-mail:
Credentials Required at Registration