REGISTER ON-LINE FOR AN SDRTC STANDARDS and TRAINING for CORRECTIONS COURSE USING THIS FORM INDIVIDUAL STUDENT
All field marked in RED *** are mandatory
Subject
STEP 1
    Select the Course- ONLY one course registration per form PLEASE
CA STANDARDS and TRAINING for CORRECTIONS (STC) COURSE
     MANAGEMENT
TRAINING
     ***
STEP 2
   Enter Course Number and Date
Class or course
number when available
   
STEP 3
   Individual student registration-  ENTER student information
**Student's agency
  
**Student's
Name
  
**First Name, Middle Initial and Last Name (John Q. Public)
Rank or position
Please include
full address,
City, State
and Zip Code
  
**Office
Telephone
 
Please separate the prefix and the number by a dash (NO parenthesis) EXAMPLE 558-550-0040
Area Code, Prefix and number
   EXT
Office
Fax
 
Please separate the prefix and the number by a dash (NO parenthesis) EXAMPLE 558-550-0040
Area Code, Prefix and number
Your email address is REQUIRED . . . please provide the email address that will receive the confirmation of this registration.
** Your Email address
  

Second Email
(OPTIONAL)
AGENCY CONTACT INFORMATION- WHEN APPROPRIATE
STEP 4
   Enter agency contact information (when appropriate)
Agency
   SPELL OUT PLEASE- NO ABBREVIATIONS- THANK YOU!
Contact
name
   FIRST name, MI, LAST name
 Rank or position
 POC full
address,
City, State
Zip Code
  
Contact
telephone
  
Please separate the prefix and the number by a dash (NO parenthesis) EXAMPLE 558-550-0040
Area Code, Prefix and number
   EXT
Contact fax
  
Please separate the prefix and the number by a dash (NO parenthesis) EXAMPLE 558-550-0040
Area Code, Prefix and number
Contact
email
  
How did you hear about us?
Click this box if you
would like to receive
emails from SDRTC
   
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.