New Course! - North East Multi-Regional Training, Inc.
New Course! - North East Multi-Regional Training, Inc.
New Course! - North East Multi-Regional Training, Inc.
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NORTH EAST MULTI-REGIONAL TRAINING<br />
355 Smoke Tree Plaza<br />
<strong>North</strong> Aurora, Illinois 60542<br />
Tel: (630) 896-8860<br />
Registration: Ext. 112<br />
Fax: (630) 896-4422<br />
Consent for Participation in<br />
4 Hour/40 Hour Mandatory Firearms <strong>Training</strong><br />
(please circle that which applies)<br />
Please fax the completed consent form and a copy of FORM E to NEMRT with the course pre-registration<br />
form. If you have any questions concerning this waiver, please call Ms. Melinda Ray, Registrar, at (630)<br />
896-8860, ext. 112, or contact her via e-mail to Melinda@nemrt.com.<br />
Participant's Name:<br />
Date of Appointment:<br />
Employment Status (choose one):<br />
Full-Time<br />
Part-Time<br />
Auxiliary<br />
-Has a copy of this officer's Form E Card been included with this waiver?<br />
-Has the original Form E Card been forwarded to the Illinois Law Enforcement <strong>Training</strong> Standards Board?<br />
I agree that my agency and the personnel I am sending to this 4 Hour or 40 Hour Mandatory Firearms<br />
<strong>Training</strong> Program will abide by the regulations and procedures set forth by the Illinois Law Enforcement<br />
<strong>Training</strong> Standards Board and <strong>North</strong> <strong>East</strong> <strong>Multi</strong>-<strong>Regional</strong> <strong>Training</strong>.<br />
I also agree that the personnel I am sending to this 4 Hour or 40 Hour Mandatory Firearms <strong>Training</strong><br />
Program will be participating as part of their official assigned duties.<br />
<strong>Course</strong> Dates:<br />
Assigning Agency:<br />
Signature of Chief:<br />
Please Note: This information must be completed and returned to NEMRT offices prior to the first day of class.<br />
Winter 2011-12 In-Service <strong>Course</strong> Catalog 121