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Last Name
First Name
MI
Preferred Name(for name tag/tent)
Officer/Deputy Corporal Detective Sergeant Lieutenant Captain Major Deputy Chief/Chief Deputy Assistant Chief Chief Sheriff Tele-Communicator Telecommunications Manager Retired Other Rank if other:
Title
PID#
Date Of Birth
() - Participant Phone
Participant Email
Date you took office
Gender: Female Male
Please inform us of any food allergies:
Responsibility: Chief Executive Officer Commander / CEO Mid. Management Operations Level First Line Supervisor
Education: Less than AA or 60 hours AA or over 60 hours Bachelor's degree Master's degree Terminal degree
Ethnicity: Black Indian Hispanic Asian White / Anglo
Supervisor's Full Name
Supervisor's Email
() - Supervisor's Phone
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() - Agency Phone
Agency Email
Mailing Address
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#FT Officers in Department
Course is provided to Constables statewide at no cost. Thanks to a partner-led initiative made possible with help from the Texas Police Chief Association. LEMIT was granted legislative funding allowing us to remove registration fees and hotel accommodation cost to the participant. Lunch will be provided Monday through Thursday. *If you are not a current or elected/appointed Constable, you will pay a fee of $295 and cover all hotel and travel expenses. **Any program make up hours will not be covered by LEMIT and will be at the participant's expense. The following expenses will NOT be covered by LEMIT
I will be paying by:
Online by Credit Card or Electronic Check Paper Check/Purchase Order (Check/PO # )
Please make checks payable to SAM HOUSTON STATE UNIVERSITY and mail to:
LEMIT Attn: Kandy Woodall Sam Houston State University Box 2417 Huntsville, Texas 77341-2417
If your plans change and you need to cancel, please contact us immediately to avoid cancellation or “no show” fees. The department in which you registered under will be billed a $325 fee for failure to cancel 14 days prior to the course start date. It is the responsibility of the participant to cancel reservations made with the host hotel. *** Please refer to your email confirmation for more detailed information regarding the changes for this training cycle.
I have read and agree to the above policies.