Oleoresin Capsicum Instructor Recertification School

Wednesday, June 19, 2019

8:00 AM - 5:00 PM

Location: Camp Dodge

Directions: 7105 NW 70th Ave Bldg S29 -126, Johnston, IA 50131

The instructor will receive updates in skill techniques and principles necessary to understand how and when to use OC in a safe and tactical manner.

Required clothing and equipment will consist a department polo/ training shirt, BDU style training pants, ballistic vest, boots or athletic shoes, duty belt, training weapon if available, current department issue OC, handcuffs, groin and mouth protection. No shorts or sweats please.

This will provide a valid certification for three years, expiring 12/31/2022.

Cost: $150

STUDENT CONTACT INFORMATION
* required
First Name:*

Last Name:*

Position/Title/Rank:*

Sworn Law Enforcement Officer

Phone : (e.g. ###-###-#### - ext)*

Cell Phone: (include area code)

Fax Number: (include area code)

E-mail:*

Verify E-mail:*

IDENTIFYING INFORMATION
DL# *

AGENCY / ORGANIZATION NAME

Agency City:*

Agency State:*
(ie: IA)

Agency Zip code:*

AGENCY / ORGANIZATION TYPE
Municipal County State Federal
Other (please provide details)

SUPERVISOR INFORMATION
(For Law Enforcement Status Verification)
Full Name

Phone Work: (e.g. ###-###-#### - ext)

Supervisor E-mail:* (will receive confirmation email)

Make the Appropriate Selection Below

Lodging	Meals
Lodging is not available at the Academy until further notice.	I will be eating Lunches only

Credentials Required at Registration