Request for Training Verification

Request for Training Verification


[contact-form to=’’ subject=’Request for Training Verification’] [contact-field label=”Which training are you requesting verification for?”] [contact-field label=’Two Day Basic Training’ type=’checkbox’/][contact-field label=’One Day Booster Training’ type=’checkbox’/][contact-field label=’Half Day Supervisors Training’ type=’checkbox’/][contact-field label=’Half Day Booster Supervisors Training’ type=’checkbox’/][contact-field label=’If you do not know the dates you attended a training and would like us to search our records to give you those dates%26#x002c; please indicate here (please note there is a $25 administrative fee per person you would like us to look up) : ‘ type=’text’/][contact-field label=’Please list the names of the participants below that you would like us to search the date attended:’ type=’textarea’/][contact-field label=’What is the date(s) of the training you attended? If it was a Two Day training%26#x002c; please indicate both dates.’ type=’text’/][contact-field label=’Where did the training take place? Was it at an agency? Where you working at that agency at the time? If so%26#x002c; please write the agency’s name and provide any other information that can be useful for us in locating your records:’ type=’textarea’/][contact-field label=’Did you register for this training as a private individual (on your own) or did your agency register you to attend the training in our office? Please describe:’ type=’textarea’/][contact-field label=’Under what name were you registered for this training? Maiden name? Married name?’ type=’textarea’/][contact-field label=’Which type of document are you requesting? Please mark the appropriate boxes:’ type=’name’/][/contact-form]

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PO BOX 250805
Glendale, CA 91204
Phone: (818) 269-6325


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