State Association Course Proposal

CO-HOST AGENCY INFORMATION

Agency Name *

Please write the complete agency name.

Mailing Address *

Please type your mailing address.

Country

City

State

Zip code

Is the shipping address same as the mailing address? *

Yes

Shipping Street Address

Shipping Street Address 2

Shipping City

Shipping State

Shipping Zip

Country

Contact Name *

Cell Phone *

Contact Email *

REQUESTED TRAINING COURSE

Requested Training Course: *

Preferred Instructor Name

Will your agency / administration require NTOA to sign a contract or provide verification of insurance? *

Yes

PROPOSED DATES

1st Choice Start Date *

2nd Choice Start Date *

3rd Choice Start Date *

Type of Course *

Open Course: Any sworn law enforcement officer can attend and each is responsible for payment. This type of course is advertised on our website and other LE training sites. A complimentary slot is given to the co-host agency dependent on the number of paying attendees.

Closed Course: Your agency pays for the entire cost of ALL registered officers. This type of course is not advertised. Purchase order # and invoicing instructions required.

Open Course

Closed Course

If open course how many will be attending from co-host agency? *

If closed course how many students will this be for? *

TRAINING SITE ADDRESS

Instructor access needed 1 hour prior to start of training.

Training Site Address (for the first day of class) *

Country

City

State

Zip code

Phone *

Nearest Airport *

Contact person who will be present during the course? *

Recommended Hotel and Phone Number: *

TRAINING LOGISTICS

Classroom / Audio / Visual (Please select what your facility will have access to)

Adequate space with tables and chairs

White board w/markers

Multimedia or LCD Projector & screen

2 Additional Break-out rooms (Negotiations Course)

3-12 rooms for scenarios (Negotiations Course)

3 or 4 vacant locations with multiple rooms and floors (Movement Courses)

1 commercial building w/ multiple rooms (Movement Courses)

How many people can you fit in your classroom comfortably?

Firearms Courses

15 Shooting Positions

Bermed with back stops

25-300 yd ranges required

Targets, Tape, Spray Paint

Other Range Equipment

Are you able to assist with advertising?

Yes

Training Proposal Request Form