Strategies for Investigation of Sensitive Crimes in Indian Country March 2010

 

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Training Dates (Select Only One)

Training Dates (Select Only One)   March 4 and 5, 2010 in Wisconsin Dells

March 18 and 19, 2010 in Black River Falls

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Registrant Name

Registrant Name   First
Last

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Registrant Title

Registrant Title

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Agency/Organization Name

Agency/Organization Name

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Is your position federally funded?

Is your position federally funded?   Yes No

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Address

Address   Street
City
State
Zip
County

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Phone Number (xxx-xxx-xxxx)

Phone Number (xxx-xxx-xxxx)

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Email

Email

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Applying for Scholarship?

Applying for Scholarship?   Yes--Please select choices below No

Lodging Request

Lodging Request   Lodging Wisconsin Dells, March 3 Lodging Wisconsin Dells, March 4

Lodging Black River Falls, March 17 Lodging Black River Falls March 18

Mileage Reimbursement to and from Training

Mileage Reimbursement to and from Training   Yes No

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I prefer a vegetarian option for lunch

I prefer a vegetarian option for lunch   Yes No