MSP - Application (only) to Register for Specialty Courses

Michigan.gov Home	MSP Home \| On-line Services \| FAQ \| MSP Site Map \| Contact MSP


>	State 911 Committee

>	Criminal Justice Information Center

>	Emergency Management & Homeland Security Division

	Contact Information

	Hazardous Materials

	Citizen Awareness and Preparedness

	Homeland Security Grants

	Mitigation

	Planning

	EMHSD Training and Exercise


>	Special Operations Division

>	Forensic Science

>	Michigan Commission on Law Enforcement Standards

>	Office of Highway Safety Planning

>	Fire Investigation & Training

>	Traffic Safety Division

>	Training Division

>	West Region Special Investigation Divison

Printer Friendly Text Only Version

Text Version

Share this link:

Application (only) to Register for Specialty Courses

APPLICATION INSTRUCTIONS

1. Do NOT complete this application in the Printer Friendly version - we will not receive your application form.

2. Complete this application.

3. Print a copy of the application, using your browser printer, before submitting your application for your records.

4. Submit your application using the "Submit" button at the bottom of the page.

COURSE NAME:

STUDENT INFORMATION:
First Name:
M.I.:
Last Name:
Job Title:
Last 4 digits of Social Security Number:
Organization:
County of Organization:
Organization Mailing Address:
City:
State: Zip:
Country:
County of Residence:
Business Phone:
Ext:
Business Fax (Required):
Home Phone:
Mobile Phone:
Email Address (Required):
Discipline:
If Other, please list:

Check if applicable:
Private Industry

If Governmental:
Local
State
Federal

Who is registering this student?
Self
Other: (name, title, and phone number)

Organization Contact (name and phone number for mailing purposes/questions):

I have read and agree to all enrollment terms and conditions. (Required Field)

Please print all pages before you submit your application.
Acceptance letters will be mailed approximately three weeks before the course.

ALL INCOMPLETE APPLICATIONS WILL BE DENIED


	Related Content
•	Introduction to Computer-Aided Management of Emergency Operations (CAMEO) Suite
•	Community Emergency Response Team (CERT) Train the Trainer
•	SARA Title III Tier Two Workshop
•	Conferences
•	Terrorist Threat Guidelines: Law Enforcement Planning and Response to Changing Threat Levels