Security Training Registration Form

1
Name* This field is required.
First Name
Middle Initial
Last Name
2
Phone Number* This field is required.
Please enter a valid phone number.
3
Email* This field is required.
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
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Receiving the email may take a few minutes, thank you for your patience!
4
Are you at least 18 years of age?* This field is required.If you have answered no please exit registration. You do not meet the states minimum age requirement and are not eligible to attend this course.
YESNO
5
Date of Birth* This field is required.
Date
Year
Month
Day
6
Please upload a clear picture of the front of your valid Unexpired Photo ID* This field is required.Pictures that are blurry, unreadable and does not show all four corners of the ID card will not be accepted.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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7
Please upload a clear picture of the back of your valid Unexpired Photo ID* This field is required.Pictures that are blurry, unreadable and does not show all four corners of the ID card will not be accepted.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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8
Please upload a clear picture of a selfie holding your valid Unexpired Photo ID (ONLINE STUDENTS)Pictures that are blurry, unreadable and does not show all four corners of the ID card will not be accepted.
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Select files to upload
Max. file size: 10.6MB
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9
Which course would you like to attend?
Please Select
Please Select
Jan 5–9
Jan 12–16
Jan 26–30
Feb 2–6
Feb 9–13
Feb 23–27
Mar 2–6
Mar 9–13
Mar 16–20
Mar 23–27
Mar 30–Apr 3
Apr 6–10
Apr 13–17
Apr 20–24
Apr 27–May 1
May 4–8
May 11–15
May 18–22
Jun 1–5
Jun 8–12
Jun 22–26
Jun 29–Jul 3
Jul 6–10
Jul 13–17
Jul 20–24
Jul 27–31
Aug 3–7
Aug 10–14
Aug 17–21
Aug 24–28
Aug 31–Sep 4
Sep 14–18
Sep 21–25
Sep 28–Oct 2
Oct 5–9
Oct 19–23
Oct 26–30
Nov 2–6
Nov 16–20
Nov 30–Dec 4
Dec 7–11
Dec 14–18
10
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
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Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
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Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
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El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
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Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
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Hong Kong
Hungary
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India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
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Lithuania
Luxembourg
Macau
Macedonia
Madagascar
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Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
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Mauritius
Mayotte
Mexico
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
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Senegal
Serbia
Seychelles
Sierra Leone
Singapore
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Slovenia
Solomon Islands
Somalia
Somaliland
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South Ossetia
South Sudan
Spain
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eSwatini
Sweden
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Syria
Taiwan
Tajikistan
Tanzania
Thailand
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Tonga
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Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
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Uruguay
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Vanuatu
Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
11
Please check to acknowledge that you have had the opportunity to read and that you fully understand the items made available to you on the website prior to registration and that you will fully adhere to all requirements.* This field is required.
Privacy Policy
Terms and conditions
Registration and attendance requirements
Student Agreement
Identification Requirements
Refund Policy
Rejection, Dismissal, Expulsion Notice
12
You agree to the representation of your signature to esign this registration by typing your full name and date (MM/DD/YY) below you:* This field is required.
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