Training Course Proposal Request Use this form to propose hosting a training course at your facility. Co-Host Agency Information Agency NameREQ Please write the complete agency name. Contact Title Contact First NameREQ Contact Last NameREQ Contact EmailREQ Cell PhoneREQ Mailing AddressREQ Please type your mailing address. CityREQ StateREQ SELECT A STATEABALAKAZARASBCCACOCTDCDEFMFLGAGUHIIDILINIAKSKYLAMBMEMDMAMIMNMSMOMTNBNENLNTNSNUNVNHNJNMNYNCNDOHONOKORPAPEPRQCRISCSDSKTNTXUTVTVIVAWAWVWIWYYT ZipREQ REQUESTED TRAINING COURSE Requested Training CourseREQ Advanced Crisis Negotiations (3 Days)Advanced Response Police Officer (5 Days)Ballistic Shield (2 Days)Basic Crisis Negotiations (5 Days)Basic SWAT (5 Days)High-Risk Warrant Service (3 Days)Less Lethal | FSDD | Chemical Agent Instructor Certification (5 Days)Managing Critical Incidents (1 Day)Manual and Shotgun Breaching (2 Days)Police Response to Active Shooter Instructor Certification (4 Days)Public Order Basic Command Certification (5 Days)Rescue Task Force Instructor Certification (3 Days)Resolution of Barricaded Suspect (3 Days)Scenario Based Tactical Operations (4 Days)School and Workplace Violence: Preparation and Response (2 Days)Shotgun Breaching Techniques (1 Day)Single Officer Assailant Response (SOAR) (3 Days)Supervising Patrol Critical Incidents (2 Days)Sniper I (5 Days)SWAT Command Decision-Making and Leadership I (5 Days)SWAT Team Leader Development (5 Days)Tactical Emergency Medical Support (TEMS) (4 Days)Tactical Mission Planning and Briefing (2 Days)Tactical Scouting (1 Day)Tactical Team Workshop (3 Days)Tactical Team Workshop (4 Days)Tactical Team Workshop (5 Days)Technology in Tactical Operations (2 Days)Training Management and Risk Mitigation for SWAT (3 Days) If you selected a Tactical Team Workshop please select the types of training for the workshop Select all the types that apply Classroom Leadership Live Fire Low Light Operations (White Light or NVG) Scenario Based Armored Rescue Vehicle Sniper Operations Hostage Rescue Operations Barricade Resolution High Risk Warrant Service Preferred Instructor Name (If any) Will your agency / administrator require NTOA to sign a contact or provide verification of insurance?REQ YES NO PROPOSED DATES & COURSE TYPE 1st Choice Start DateREQ 2nd Choice Start DateREQ 3rd Choice Start DateREQ Type of CourseREQ Open Course: Any sworn law enforcement officer can attend and each is responsible for payment. This type of course is advertised on our website and other LE training sites. Two complimentary slots are given to the co-host agency. Closed Course: Your agency pays for the entire cost of ALL registered officers. This type of course is not advertised. Purchase order # and invoicing instructions required. Open CourseClosed CourseHow many students will your agency be sending to this course?REQ TRAINING SITE ADDRESS Instructor access needed 1 hour prior to start of training. Training Site NameREQ The actual name of the location where training will be held Training Site AddressREQ For the first day of class. City State SELECT A STATEABALAKAZARASBCCACOCTDCDEFMFLGAGUHIIDILINIAKSKYLAMBMEMDMAMIMNMSMOMTNBNENLNTNSNUNVNHNJNMNYNCNDOHONOKORPAPEPRQCRISCSDSKTNTXUTVTVIVAWAWVWIWYYT Zip Country Nearest AirportREQ Contact person who will be present during the course? First NameREQ Last NameREQ Recommended Hotel Hotel NameREQ Hotel AddressREQ CityREQ StateREQ SELECT A STATEABALAKAZARASBCCACOCTDCDEFMFLGAGUHIIDILINIAKSKYLAMBMEMDMAMIMNMSMOMTNBNENLNTNSNUNVNHNJNMNYNCNDOHONOKORPAPEPRQCRISCSDSKTNTXUTVTVIVAWAWVWIWYYT ZipREQ Hotel PhoneREQ Training Logistics Classroom / Audio / Visual (Please select what your facility will have access to) Adequate space with tables and chairs White board w/markers Multimedia or LCD Projector & screen 2 additional break-out rooms (Negotiations Course) 3 or 4 vacant locations with multiple rooms and floors (Movement Courses) 1 commercial building w/ multiple rooms (Movement Courses) Post-it notes (Wall 2'x3') How many people can you fit in your classroom comfortably?REQ Practical Track Equipment (Please select what equipment you can provide for practical track courses) 9mm training handguns (support) 9mm marking rounds (250) Helmets - vests - groin protection (support) 2 – 3 Role players for last day Ballistic shield Ram & halligan tools Chemical agent house Mirrors for searching Bull horn Throw phone Firearms Courses 15 shooting positions Bermed with back stops 25-300 yd ranges required Targets - tape - spray paint Other Range Equipment Are you able to assist with advertising YES NO