"TCLEOSE certification" and employed with law enforcement agency is required for this course.
(Yes or No) (By selecting yes it confirms you meet the requirements)

1. Name          
2.
Agency Name

3.
Address

4. Contact telephone
5. Course title
Date(Please submit which date)
6. Must list E-mail address to receive confirmation

7. Please print this page before submitting: (This confirms registration and equipment list needed for class)

Course: TCLEOSE Basic Instructor (reported as 1014 with TCLEOSE)
This course provides entry-level instructor development training.
Tuition: $80
Start/End Date: Jan 25-29 or April 26-30 or July 26-30 or Oct 25-29, 2010 (40-hrs)
Start Time: 8:30 AM
Room#: TBA
Dress: Clothing suitable for classroom lecture
Material to Bring:
     Pen and paper
     TCLEOSE PID# (is required for credit)