South Texas HIDTA Training

FOR OFFICIAL LAW ENFORCEMENT USE ONLY

All registration information will remain strictly confidential

Training and Receive Training Alerts

REGISTRANT INFORMATION *required
First Name: *

Last Name: *

Position/Title/Rank: *

AGENCY / ORGANIZATION
Agency/Organization Name: *

Agency Type *
Federal State Local
MilitaryOther
If Other, please specify below

Address: *

City: *

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Zip code: *

Are You a HIDTA Taskforce Member?
Yes No *
If yes, what Initiative?

CONTACT INFORMATION
Phone Work: (include area code) *

Cell Phone: (include area code)
Optional: For Urgent Notifications

Email Address:
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government email address: *

Please re-type your email address *

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SUPERVISOR INFORMATION
For Law Enforcement Status Verification
Full Name*

Phone Work* (###-###-####)

E-mail* (Provide agency email address)