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CERT Training/Drill/Exercise Submission Form

CERT Training/Drill/Exercise Submission Form

Name of person submitting training/drill/exercise:


Email Address:
 

CERT hosting training/drill/exercise:


Course Number:
*If course number unavailable or unknown, please enter N/A


Course/Drill/Exercise Name:


Course/Drill/Exercise Date(s):
*If date(s) are unavailable or unknown, please enter N/A


Does this course have multiple modules?
*If course has multiple modules, please submit individual forms for each module

To prevent misuse of this form, please enter the code shown.