Registration Form

Location: Wayne Sullivane Conference Room
Portland Police Bureau
1111 SW 2nd Avenue
Portland, OR 97224

Date: Tuesday, March 27, 2018
Time: 8:30 AM to 4:30 PM

For more information on this training email info@niwap.org or call 202-274-4457

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* 1. Prefix

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* 2. Name

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* 3. Job Title

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* 4. Organization

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* 5. Organization Type

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* 6. Address

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* 7. Address (line 2)

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* 8. City

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* 10. Zip code

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* 11. Email

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* 12. Phone

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* 13. OVW Grant Funding

My organization receives the following types of OVW funding:

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* 14. Accessibility

We value access and safety and strive to make our meetings accessible and welcoming to all participants. Please check the boxes to indicate the accommodation needed to fully participate in the training.

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