2024 Instructor Conference Course Proposal Form

When your registration form is received you will be added to an email list that will update you with classes and schedules for the week's events.

Presenter's Name Presenter's Name First Last
Will you be bringing anyone from your agency? If so, who?
Mailing Address Mailing Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Email
Phone Phone - ### - ### ####
What is your t-shirt size?
Brief Instructor Biography:
Course Information
Topic Area

Topic Area Defensive Tactics Medical 1st Responder Firearms Vehicle Operations Other
Target Audience

Target Audience Law Enforcement Corrections Correctional Probation Firefighting EMS/Paramedic Other Other
Brief Overview of Session (This information is required to place online as a description for your session when attendees are registering. It will also be placed in the seminar booklet):
Maximum Number of Students

This does not guarantee that this number of students will be present
How Long is the Session?
Is the Presenter willing to do more than One Session?

Is the Presenter willing to do more than One Session? Yes No
Will this Session be a Train the Trainer Certification Program?

Will this Session be a Train the Trainer Certification Program? Yes No
Each of our classrooms are equipped with a computer, projector, and audio. If any additional resources are required please include them below.
What Facilities will be required for this Session?
Will the students need to bring any ammunition, protective gear, etc.? If so, please specify.
What is the Cost of this Program, if any
Do you prefer presenting on a specific day?
Do you prefer the morning or afternoon?
If there is any additional information you would like us to know please include it here
Will you require lodging on site? If so how many rooms and for what nights?
After Submitting Your Form:

After clicking "Save Form" you will be directed to the online registration options. If you have not paid for your conference registration and would like to do so online, please use the following page. You can also pay in person with a credit card when you attend the conference.

2024 Instructor Conference Course Proposal Form

2024 Instructor Conference Course Proposal Form

Course Information

Each of our classrooms are equipped with a computer, projector, and audio. If any additional resources are required please include them below.

After Submitting Your Form: