Fillable Advanced-training-authorization-form-15a-efsc TRAINING AUTHORIZATION FORM

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Advanced-training-authorization-form-15a-efsc TRAINING AUTHORIZATION FORM

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TRAINING AUTHORIZATION
ADVANCED/CAREER
DEVELOPMENT
COURSES
--------------TO BE SUBMITTED BY THE EMPLOYING AGENCY--------------
Today's Date:
OFFICER INFORMATION
Officer Name:
Last Name First Name MI
B#
:
Check One: Law Enforcement Officer Correctional or Probation Officer
COURSE ENROLLMENT INFORMATION
Training School Name: EASTERN FLORIDA STATE COLLEGE - Public Safety Institute
Course Title:
Dates of Course:
Course Credit: (Check One) Salary Incentive Mandatory Retraining
AGENCY INFORMATION
Agency Name: _
Printed Name of Person Authorizing Phone
Authorized Agency Signature Date
E-mail address:
RESERVED FOR TRAINING SCHOOL
Course #:
Course Dates:
Authorizing Signature:
This form may printed and remitted via FAX to: Eastern Florida State
College, Attention: EFSCAdvTraining, 321-433-5772 or Email
advtraining@titans.easternflorida.edu
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Advanced-training-authorization-form-15a-efsc TRAINING AUTHORIZATION FORM

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Completed 3 November 2019

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