Student Form

STUDENT INFORMATION FORM

Please make sure that you get with your IT department to ensure that the gangenforcement.com address is approved and not blocked or sent to your SPAM folder. We have no control over your agencies internet/e-mail filters.

You should add the following e-mail addresses to your e-mail contacts so our correspondents are not blocked or accidentally re-directed by your agency's e-mail server.

Gang Command | command@gangenforcement.com
CEO/Founder | rusty.keeble@gangenforcement.com

student information

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Title *

Name *

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Last

Course Title *

Name on Your Certificate ( First / MI / Last ) *

Rank/Title *

Discipline *

Agency/Organization *

Unit/Task Force Assigned *

Cell Phone *

Personal E-Mail *

Agency E-Mail *

Mailing Address *

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Country

How did you hear about us? *

Why are you seeking training? How else can we help you? *

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