Registration: Basic Peer Support Training | The Counseling Team International

Select Course Date*
- August 26-28, 2019 - Pinole Police Department
- October 2-4, 2019 - Anaheim Police Department
- October 7-9, 2019 - Ontario Fire Department & Rancho Cucamonga Fire Distric
Name*
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Email Address*
Telephone Number*
Cell Phone Number*
Department/Agency*
Title*
Do you need California POST Credit? If Yes, enter your POST ID number. If no, write "No"
Taking class for EMSA?*
- Yes
- No
Taking class for STC?*
- Yes
- No
Address*
Street Address Address Line 2 City State Zip Code
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