1.  Please provide the following contact information:

First Name	*
Last Name	*
Title	*
Department	*
Work Phone	*
FAX
TU E-mail	*

2.   Please choose the date you would like to attend Emergency Preparedness/Active Shooter Training, Administration Building, room 120.  The December 12 class will be held at CK 404B:

February 6, 2012 11 a.m. to noon March 5, 2012 11 a.m. to noon April 2, 2012 11 a.m. to noon May 7, 2012 11 a.m. to noon June 4, 2012 11 a.m. to noon July 2, 2012 11 a.m. to noon August 6, 2012 11 a.m. to noon October 1, 2012 11 a.m. to noon November 5, 2012 11 a.m. to noon December 3, 2012 11 a.m. to noon *

3.  Additional Comments or Questions:

*Required Fields