Regional Pilot Training Registration Form

We are pleased to be offering one of many Managing Bias trainings to the field. All law enforcement personnel (sworn/non-sworn) are encouraged to attend. This 8-hour training is designed for both line officers and command-level staff. There are only 25 spots available, so register now!

Pilot Training Registration Form

Personal Information

Name

First

Last

Department Email:

Age (in years):

Department City:

Department State:

Cell phone:

What is your race or ethnicity? (Please select all groups that apply. You may report more than one group.)

American Indian or Alaska Native

Asian

Black or African American

Hispanic, Latino, or Spanish Origin

Middle Eastern or Northern African

Native Hawaiian or other Pacific Islander

White

Some other race or ethnicity

I’d prefer not to answer

What is your gender identity?

Business Information

Law Enforcement Agency:

Job title:

Are you sworn law enforcement, or are you a civilian/non-sworn employee?

What is your rank within the department?

Have you participated in a training course where you learned about implicit bias in the last year?

If you are human, leave this field blank.

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