2007 Training Application - Registration Form

NATIONAL DISTRICT ATTORNEYS ASSOCIATION

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Training Application/Registration

APPLICATION REQUIREMENTS: Please fill out the form below. In order to be considered for entry into your course preference, you must complete the mandatory fields listed below. If required in the course description, you must also obtain course approval from your elected or appointed prosecutor. Forms must be received by the due date if listed in the course description. Notification of acceptance or confirmation will be sent via email within 3-5 days of online submission.

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* mandatory fields

Title of Training*
Date(s) of Training*
First Name*
Middle Name
Last Name*
Preferred Name
Title*
Organization/Jurisdiction*
Mailing Address*
City*
State*
Zip*
Physical Address (if different from above)
City
State
Zip
E-mail*
Office Phone*
Alternate Phone
Fax
How many years of experience do you have as a prosecutor/probation-parole officer?	years
Characterize your jurisdiction.	Rural Suburban Urban
Does your office receive grants related to the subject matter in this course? If yes, please list.
Scholarship Assistance Requested? (if applicable)	YES NO
Are you a member of NDAA?	YES NO
If not a member of NDAA, are you interested in becoming a member?	YES NO
Do you meet the prerequisites listed in the course description (if any)?	YES NO If so, please list below:

Please share with us any topics you would like to see addressed during the conference/course:

NDAA's American Prosecutors Research Institute
99 Canal Center Plaza, Suite 510, Alexandria, VA 22314

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