REGISTER ON-LINE FOR AN SDRTC PUBLIC AGENCY COURSE USING THIS FORM
INDIVIDUAL STUDENT
Subject
STEP 1
    Select the Course- ONLY one course registration per form PLEASE
PUBLIC AGENCY COURSES (non-law enforcement)
- Interpersonal skills
- Professional Development		 - Supervisor and Management
- Technical and professional
     
STEP 2
   Select Course Dates
   Month-Day-Year Example 08-22-2005       Month-Day-Year Example 08-22-2005   
***Course Start Date ***Course End Date
Class or course number when available
 Example "Class 10"
STEP 3
    Individual student registration-  ENTER student information
Student ***First Name and Middle Initial ***Last Name
   
    Rank or position  
     
*** Email address
   This email field is REQUIRED . . . this it is
where the confirmation will be sent
***Full address, City, State and Zip Code
 
***Office
Telephone
 
Area Code, Prefix and number (no parenthesis please) Example 858.550.0040
 EXT
Office
Fax
  
Area Code, Prefix and number (no parenthesis please)
   
Second Email
(optional)
 
STEP 4
     Enter agency contact information (when appropriate)
Agency    SPELL OUT PLEASE- NO ABBREVIATIONS- THANK YOU!
  FIRST name, MI, LAST name Rank or position
Agency contact person
Agency contact full address, City, State and Zip Code
 
Contact
telephone
Area Code, Prefix and number (no parenthesis please)
  EXT
Contact
fax
Area Code, Prefix and number (no parenthesis please)
Contact
email
How did you hear about us?
Click this box if you would like to
receive emails on SDRTC training
  
Student
enrollment
comments
  
STEP 5
   Submit form. You will receive an email confirmation from SDRTC within 3-4 working days.
Questions or problems with your online registration? Call us at 858-550-0040.
 
 

THANK YOU screen indicates your registration has been sent
 
IMPORTANT CREDIT CARD INFORMATION

PLEASE NOTE . . . ONLY AGENCY CREDIT CARDS ARE ACCEPTED FOR PAYMENT
NO PERSONAL CREDIT CARDS PLEASE

If your agency is paying by credit card please fill out the above form and click "SEND"
Then please call Janet at SDRTC, (858) 550-0040 ext 16 and provide her the details to
include credit card number, expiration date, and the name on the card.

 
Thank you for choosing SDRTC for your training