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Home/Law Enforcement In-Service Training/In-Service Training Registration Form

In-Service Training Registration Form

"*" indicates required fields

APPLICANT INFORMATION

Select Certification/Identification Type*

MCOLES#

LCOTS#

MCOLES#*

LCOTS#*

SSN (last 4 digits)*

Name*

First Last

Previous Last Name(s)

Please list any previous last names (maiden, married, etc. — optional)

Home Address*

Street Address City State ZIP Code

Applicant Email Address*

Birthdate*

Gender*

Male

Female

DEPARTMENT INFORMATION

Department*

Department Email Address*

Department Training Authorized By*

TRAINING SESSIONS

Which training session(s) do you wish to register for?*

12 GA Less Lethal Impact Munitions Instructor

Basic Firearms Instructor (KCC Consortium Member)

Basic Firearms Instructor (Non-consortium Member)

Basic Patrol Rifle Instructor (KCC Consortium Member)

Basic Patrol Rifle Instructor (Non-consortium Member)

Close Quarter Handgun (KCC Consortium Member)

Close Quarter Handgun (Non-consortium Member)

EVO Operator Refresher

Firearms Instructor Refresher

Interpersonal Skills – Oct 17 (In-Region Rate)

Interpersonal Skills – Oct 17 (Out-of-Region Rate)

Law Enforcement Red Dot Pistol Operator (KCC Consortium Member)

Law Enforcement Red Dot Pistol Operator (Non-consortium Member)

Patrol Rifle Instructor

Speed Measurement Operator

Vehicle Counter Ambush Tactics (VCAT) (KCC Consortium Member)

Vehicle Counter Ambush Tactics (VCAT) (Non-consortium Member)

YOU SELECTED THE FOLLOWING SESSIONS:

12 GA Less Lethal Impact Munitions Instructor (WFD22412)

Price:

Basic Firearms Instructor (WFD22405)

Price:

Basic Firearms Instructor (WFD22406)

Price:

Basic Patrol Rifle Instructor (WFD22406)

Price:

Basic Patrol Rifle Instructor (WFD22406)

Price:

Close Quarter Handgun (WFD22404, S24)

Price:

Close Quarter Handgun (WFD22404, S24)

Price:

EVO Operator Refresher (WFD25066, F24)

Price:

Select EVO Operator Refresher Date*

November 6, 2024

November 7, 2024

Firearms Instructor Refresher (WFD22415)

Price:

Interpersonal Skills – Oct 17 (WFD25104, F24)

Price:

Interpersonal Skills – Oct 17 (WFD25104, F24)

Price:

Law Enforcement Red Dot Pistol Operator (WFD22419)

Price:

Law Enforcement Red Dot Pistol Operator (WFD22419)

Price:

Patrol Rifle Instructor (WFD22417)

Price:

Speed Measurement Operator (WFD25061, W24 / F24)

Price:

Select Speed Measurement Operator Date*

December 9-11, 2024

May 5-7, 2025

Vehicle Counter Ambush Tactics (WFD22418)

Price:

Vehicle Counter Ambush Tactics (WFD22418)

Price:

Total

PAYMENT

How will you be making payment — mailing a check or contacting Student Financial Services with credit card information?

Payment Method*

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Get a Program Brochure Call Us 989-275-5000 Apply Now!

KIRTLAND GRAYLING
4800 W 4 Mile Road
Grayling, MI 49738
989-275-5000

KIRTLAND GAYLORD
60 Livingston Blvd.
Gaylord, MI 49735
989-705-3600

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