Registration

Complete Name and Address:

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* 1. Complete Name and Address:

Are you a US Citizen? (If no, please e-mail OEM.Training@dhses.ny.gov for further instructions.)

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* 2. Are you a US Citizen? (If no, please e-mail OEM.Training@dhses.ny.gov for further instructions.)

Rank/Position/Title

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* 3. Rank/Position/Title

*Sector

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* 4. *Sector

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