U.S. Department of Justice Accessing Grants to Strengthen Tribal Justice System Capacity Workshop

• Class #94425

Personal Information

• * First Name:
• * Last Name:
• * Job Title:
• * Email Address:
• * Confirm Email Address:
• * Phone:
• * Birthdate (mm/dd/yyyy)

Business Information

• * Tribe / Agency
• * Address 1:
• Address 2:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:

• *

  Has your tribe been awarded previous CTAS funding?

  • Yes
  • No
• *

  If travel assistance is not provided, will you still be able to attend this workshop?

  • Yes
  • No
• *

  Due to reporting purposes, FVTC is required to enter attendance information of sworn officers in the state of Wisconsin into ACADIS. Are you a SWORN officer in the state of Wisconsin that requires your information be entered into ACADIS?

  • Yes
  • No
• * Please fill out the following state required information. We are required to ask this information of you by the state of Wisconsin. Disability: --Choose-- No disability Disability-Primary not Identified
• *

  A roster may be generated and shared with participants. Under the provisions of the Privacy Act, participants must indicate whether they wish to be included on the shared roster. I give my permission for my contact information to appear on the shared roster.

  • Yes
  • No