REGISTER ON-LINE FOR AN CA POST CERTIFIED COURSE USING THIS FORM
INDIVIDUAL STUDENT
Subject
STEP 1
    Enter YOUR email address below
This email field is REQUIRED . . . please provide the email address that will receive the confirmation of this registration.
ALL field marked in RED *** are mandatory
** Your Email address
  
STEP 2
   Select the Course- ONLY one course registration per form PLEASE
SDRTC COURSE INFORMATION; CA POST CERTIFIED COURSES
- POST Domestic Violence
- POST Institute of Criminal Investigations		 - POST Sexual Assault
- Other POST courses
***
 
STEP 3
   Enter Course Start Date
   Month-Day-Year Example 08-22-2005   Month-Day-Year  Example 08-22-2005
*** Course Start Date
** Course End Date
       
STEP 4
   Individual student registration-  ENTER STUDENT INFORMATION
    ***First Name and Middle Initial ***Last Name
***Student
 
***Agency
     SPELL OUT PLEASE- NO ABBREVIATIONS- THANK YOU!
Rank or position
    
***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 5
   Enter AGENCY CONTACT INFORMATION (when appropriate)
Agency   SPELL OUT PLEASE- NO ABBREVIATIONS- THANK YOU!
 
Agency contact person
  FIRST name, MI, LAST name Rank or position
 
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
course information from SDRTC via email
  
Student
enrollment
comments
  
 
STEP 6
   Submit registration. 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