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Last Name
First Name
MI
Preferred Name(for name tag/tent)
Officer/Deputy Corporal Detective Sergeant Lieutenant Captain Major Deputy Chief/Chief Deputy Assistant Chief Chief Sheriff Tele-Communicator Telecommunications Manager Retired Other Rank if other:
Title
PID#
Date Of Birth
() - Participant Phone
Participant Email
Years of Service
Date you took office
Gender: Female Male
I will be Needing hotel accommodations Commuting
Please inform us of any food allergies:
Responsibility: Chief Executive Officer Commander / CEO Mid. Management Operations Level First Line Supervisor
Education: Less than AA or 60 hours AA or over 60 hours Bachelor's degree Master's degree Terminal degree
Ethnicity: Black Indian Hispanic Asian White / Anglo
Supervisor's Full Name
Supervisor's Email
() - Supervisor's Phone
Agency / Department
() - Agency Phone
Admin Email
Mailing Address
City
AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY State
Zip
Anderson Andrews Angelina Aransas Archer Armstrong Atascosa Austin Bailey Bandera Bastrop Baylor Bee Bell Bexar Blanco Borden Bosque Bowie Brazoria Brazos Brewster Briscoe Brooks Brown Burleson Burnet Caldwell Calhoun Callahan Cameron Camp Carson Cass Castro Chambers Cherokee Childress Clay Cochran Coke Coleman Collin Collingsworth Colorado Comal Comanche Concho Cooke Coryell Cottle Crane Crockett Crosby Culberson Dallam Dallas Dawson Deaf Smith Delta Denton DeWitt Dickens Dimmit Donley Duval Eastland Ector Edwards El Paso Ellis Erath Falls Fannin Fayette Fisher Floyd Foard Fort Bend Franklin Freestone Frio Gaines Galveston Garza Gillespie Glasscock Goliad Gonzales Gray Grayson Gregg Grimes Guadalupe Hale Hall Hamilton Hansford Hardeman Hardin Harris Harrison Hartley Haskell Hays Hemphill Henderson Hidalgo Hill Hockley Hood Hopkins Houston Howard Hudspeth Hunt Hutchinson Irion Jack Jackson Jasper Jeff Davis Jefferson Jim Hogg Jim Wells Johnson Jones Karnes Kaufman Kendall Kenedy Kent Kerr Kimble King Kinney Kleberg Knox La Salle Lamar Lamb Lampasas Lavaca Lee Leon Liberty Limestone Lipscomb Live Oak Llano Loving Lubbock Lynn Madison Marion Martin Mason Matagorda Maverick McCulloch McLennan McMullen Medina Menard Midland Milam Mills Mitchell Montague Montgomery Moore Morris Motley Nacogdoches Navarro Newton Nolan Nueces Ochiltree Oldham Orange Palo Pinto Panola Parker Parmer Pecos Polk Potter Presidio Rains Randall Reagan Real Red River Reeves Refugio Roberts Robertson Rockwall Runnels Rusk Sabine San Augustine San Jacinto San Patricio San Saba Schleicher Scurry Shackelford Shelby Sherman Smith Somervell Starr Stephens Sterling Stonewall Sutton Swisher Tarrant Taylor Terrell Terry Throckmorton Titus Tom Green Travis Trinity Tyler Upshur Upton Uvalde Val Verde Van Zandt Victoria Walker Waller Ward Washington Webb Wharton Wheeler Wichita Wilbarger Willacy Williamson Wilson Winkler Wise Wood Yoakum Young Zapata Zavala Other County
Precinct
#FT Officers in Department
Course is provided to Constables statewide at no cost. Thanks to a partner-led initiative made possible with help from the Texas Police Chief Association. LEMIT was granted legislative funding allowing us to remove registration fees and hotel accommodation cost to the participant. Lunch will be provided Monday through Thursday. *If you are not a current or elected/appointed Constable, you will pay a fee of $295 and cover all hotel and travel expenses. **Any program make up hours will not be covered by LEMIT and will be at the participant's expense. The following expenses will NOT be covered by LEMIT
I will be paying by:
Online by Credit Card or Electronic Check Paper Check/Purchase Order (Check/PO # )
You will be contacted with payment information once the minimum number of attendees has been reached.
If your plans change and you need to cancel, please contact us immediately to avoid cancellation or “no show” fees. The department in which you registered under will be billed a $325 fee for failure to cancel 14 days prior to the course start date. It is the responsibility of the participant to cancel reservations made with the host hotel. *** Please refer to your email confirmation for more detailed information regarding the changes for this training cycle.
I have read and agree to the above policies.