L.E.A.D. Instructor Certification One Week Course

Name: L.E.A.D. Instructor Certification One Week Course
Start: 2018-04-02T08:00:00-04:00
End: 2018-04-06T16:00:00-04:00
Location: Middlesex County Fire Academy

About the Training

L.E.A.D. Instructor Certification

All participants will receive a grade specific program kit.

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Training Information

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Number of Attendees (1 Day In Person)
Our agency/organization is new to L.E.A.D. and we have never had an officer trained in any of your programs*

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Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
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Attendee #1’s Information
Attendee #1’s Rank/Title*
Attendee #1’s Name*
First Middle Last
Attendee #1’s Cell Phone*
Email*
Attendee #1's Curriculum Grade Teaching*
Attendee #1’s Name of Prior Program
Attendee #1’s Year of Other Program Training
Attendee #1 has previously been trained by L.E.A.D.*
Attendee #2’s Information
Attendee #2’s Rank/Title*
Attendee #2’s Name*
First Middle Last
Attendee #2’s Cell Phone*
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Attendee #2's Curriculum Grade Teaching*
Attendee #2’s Name of Prior Program
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Attendee #2 has previously been trained by L.E.A.D.*
Attendee #3’s Information
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Attendee #3’s Name*
First Middle Last
Attendee 3 Cell Phone*
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Attendee #3's Curriculum Grade Teaching*
Attendee #3’s Name of Prior Program
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Attendee #3 has previously been trained by L.E.A.D.*
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Attendee #4’s Name*
First Middle Last
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Attendee #4’s Email*
Attendee #4's Curriculum Grade Teaching*
Attendee #4’s Name of Prior Program
Attendee #4’s Year of Other Program Training
Attendee #4 has previously been trained by L.E.A.D.*
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Attendee #5’s Rank/Title*
Attendee #5’s Name*
First Middle Last
Attendee #5’s Cell Phone*
Attendee #5’s Email*
Attendee #5's Curriculum Grade Teaching*
Attendee #5’s Name of Prior Program
Attendee #5’s Year of Other Program Training
Attendee #5 has previously been trained by L.E.A.D.*
Attendee #6’s Information
Attendee #6’s Rank/Title*
Attendee #6’s Name*
First Middle Last
Attendee #6’s Cell Phone*
Attendee #6’s Email*
Attendee #6's Curriculum Grade Teaching*
Attendee #6’s Name of Prior Program
Attendee #6’s Year of Prior Program Training
Attendee #6 has previously been trained by L.E.A.D.*
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Attendee #7’s Rank/Title*
Attendee #7’s Name*
First Middle Last
Attendee #7’s Cell Phone*
Attendee #7’s Email*
Attendee #1's Curriculum Grade Teaching*
Attendee #7’s Name of Prior Program
Attendee #7’s Year of Other Program Training
Attendee #8 has previously been trained by L.E.A.D.*
Attendee #8’s Information
Attendee #8’s Rank/Title*
Attendee #8’s Name*
First Middle Last
Attendee #8’s Cell Phone*
Attendee #8’s Email*
Attendee #8's Curriculum Grade Teaching*
Attendee #8’s Name of Prior Program
Attendee #8’s Year of Other Program Training
Attendee #8 has previously been trained by L.E.A.D.*
Attendee #9’s Information
Attendee #9’s Rank/Title*
Attendee #9’s Name*
First Middle Last
Attendee #9’s Cell Phone*
Attendee #9's Curriculum Grade Teaching*
Attendee #9’s Email*
Attendee #9’s Name of Prior Program
Attendee #9’s Year of Other Program Training
Attendee #9 has previously been trained by L.E.A.D.*
Attendee #10’s Information
Attendee #10’s Rank/Title*
Attendee #10’s Name*
First Middle Last
Attendee #10’s Cell Phone*
Attendee #10’s Email*
Attendee #10's Curriculum Grade Teaching*
Attendee #10’s Name of Prior Program
Attendee #10’s Year of Other Program Training
Attendee #10 has previously been trained by L.E.A.D.*

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Comments
Acknowledgements
Cancellation Policy*
L.E.A.D. Training Cancellation Policy

To ensure the responsible use of time, staffing, and materials, L.E.A.D. enforces the following cancellation policy for all scheduled trainings.

Cancellations

Cancellations must be submitted in writing at least 5 business days prior to the scheduled training date to receive a full refund.
Cancellations received after this deadline will not be eligible for a refund.
Participants who do not cancel in advance and do not attend the training (“no-shows”) will be charged the full registration fee.
Substitutions

Substitutions are allowed up to 24 business hours before the training begins.
All substitution requests must be submitted in writing and include the full name, title, agency/school, and contact information of the replacement participant.
Emergency Exceptions

In the event of an emergency that prevents attendance, an executive-level staff member from the participant’s agency or school may submit a written request for a credit or reimbursement.
Acknowledgment

By registering for a L.E.A.D. training, participants acknowledge that they have read, understood, and agree to comply with this cancellation policy.
I agree to the cancellation policy.
Certification of Accuracy*
I certify the information entered is correct

L.E.A.D. Instructor Certification One Week Course

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Attendee #10’s Information

Payment Information

Acknowledgements