For attending this R-Home training you will receive a Certificate of Completion that will be issued to you personally, not the company you work for; therefore, we need your pertinent personal information.
The information requested on this form is for registration purposes. Its intended use is to assist the Police Department personnel in knowing who is enrolled in the training. You are not legally obligated to supply the data; however, failure to do so could result in this department’s inability to issue you a Certificate of Completion for the training. Persons authorized to access information include Police Department personnel. The following information is shared with a representative with the Minnesota Crime Prevention Association who maintains the master database of R-Home Program training attendees for the state of Minnesota, including:
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