Education Entry Field
YOUR E-mail Address:
Date of Class/Program
standard date entry (MM/DD/YY)
Team Name
name of team
# of Instructors
number of this teams's members acting as instructors at this class
Agency Educated
name of requesting agency or main agency being educated; not code #
Agency Type
two-digit code from "Agency List" relating to type of agency requesting the program
Other Agencies
two-digit code from "Agency List" relating to the type of agency being educated; list all that apply
Number in Class
number of persons from all agencies educated at this session
Did CI Prompt Class?
Yes
No
If "Yes", enter brief description of incident:
Comments:
