Class Request - Franklin Country Public Safety Training Center

"*" indicates required fields

Fill out this form to submit a class. The class will be reviewed and we will contact you if we will host the class.
This form is used to request specific classes or categories of classes that you would like to see added to our training calendar. This is not used to register for a class. To register for a class, visit Classes.

Name*

First Last

Email*

Enter Email Confirm Email

Phone*

Agency Name*

Class Location*

Where would you like the class to be held?

Class Description*

Please describe the class that you would like the FCPSTC to schedule (specific class name or general description of subject matter).

Class Provider*

Is there a specific class provider that you would recommend for this topic?

Course Title*

Course Hours*

The total number of course hours.

Dates & Times*

Please enter the dates and times of the requested class.

Date

Start Time

End Time

Classroom Location*

Location of classroom instruction.

Street Address Address Line 2 City State ZIP Code

Location of Practical Exercise

Practical Exercise Location

Location of practical instruction (if applicable)

Street Address Address Line 2 City State ZIP Code

Instructor Preference*

Do you have a preferred instructor for this class or would you like first available instructor?

Have you confirmed instructor availability?*

Please confirm if you have discussed your proposed class dates with the instructor and confirmed his/her availability.

Yes

Preferred Instructor Name*

First Last

Instructor Email*

Please enter the email address of your preferred instructor.

Enter Email Confirm Email

Instructor Phone

Please enter the phone number of your preferred instructor.

Approximate number of personnel from your agency who are in need of this class?

Additional Information or Comments

Hosting your own class?

If your class is not hosted by FCPSTC, but you would like to feature it for visibility, please submit to our Courtesy Post Request for review and feature!

Courtesy Post Request