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STUDENT INFORMATION * requiredFirst Name *Last Name *Position/Title/Rank *Phone Work: (include area code) *Cell Phone: (include area code)E-mail: *Retype Your E-mail Address: *HIDTA TASKFORCE MEMBERAre you a taskforce member? Yes NoIDENTIFYING INFORMATIONLast 4 digits of social security # orP.O.S.T. ID # ( or N/A) *
Sworn Law Enforcement OfficerCrime / Intelligence Analyst Other (please provide details)
AGENCY / ORGANIZATIONAgency/Organization Name: Indicate your agency type * Federal State Local Military OtherAgency City: *
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