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* 1. Head of Agency (Chief, Director, etc.)

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* 2. Police Department/Agency

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* 3. Address

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* 4. Name of Person Reporting

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* 5. Title of Person Reporting

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* 6. Email Address of Person Reporting

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* 7. Phone Number of Person Reporting

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* 8. County or Municipal Agency?

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* 9. How many officers are in your County/Municipal Agency?

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* 10. Certify the number of officer trained in 2018 - Cultural Diversity for Law Enforcement (3 credits)

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* 11. How many officers were NOT trained (2018 - Cultural Diversity for Law Enforcement)?

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* 12. How do you plan to train the officers that are not in compliance?

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* 13. When do you plan to train the officers that are not in compliance?

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* 14. Do you have any officers that you anticipate will NEVER be trained in 2018 - Cultural Diversity for Law Enforcement

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