We customize all of our training to our audience so we need a little bit of information about you and your educational institution to enable us to do this. Every Recruiting Women to Policing Workshop registrant is required to fill out a short on-line questionnaire. Click here for the questionnaire.

Mail this form to: National IWITTS, 1150 Ballena Blvd, Suite 102, Alameda, CA 94501-3682 or fax to (510) 749-0500. Contact IWITTS via e-mail or call (510) 749-0200. Each participant will receive our best practices Recruiting Women to Policing Training Manual (which is in beta-test and is only available through this workshop), our complete Law Enforcement Environmental Assessment Tool Kit (POTK012), Police Equipment and Uniforms: Sized to Fit Women (PODW036) and the Sexual Harassment Bibliography: Integrating Women into Male-Dominated Occupations (PODW035) a $185 value.

Mail this form to: National IWITTS, 1150 Ballena Blvd, Suite 102, Alameda, CA 94501-3682 or fax to (510) 749-0500. Contact IWITTS via e-mail or call (510) 749-0200.

Pricing (please mark those that apply):

_____ $425 Early Bird (registration received by July 11)

_____ $500 Regular Price (registration received between July 12 - September 18)

_____ $575 Late registration (registration received September 19and after)

Departments registering 3 or more participants receive a group discount of $50 off per participant.

Fee includes Recruitment Assessment Tool, Academy Assessment Tool, Preventing Sexual Harassment Annotated Bibliography, Police Equipment and Uniforms Sized to Fit Women(a $245 value).

Method of Payment (All registrants must be prepaid or include a P.O. Number to confirm their registration)

______Check National IWITTS Federal ID # is 522059171

Make check payable to National Institute for Women in Trades, Technology & Science(National IWITTS)

______Purchase Order No.__________________

______Credit Card*

*PLEASE COMPLETE "CREDIT CARD BILLING INFORMATION" SECTION
AT THE BOTTOM OF THE FORM

Participant Information

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Name

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Job Title

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Rank

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Department

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Address

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City/State/Zip

________________________________________________________
E-mail

________________________________________________________
Phone

________________________________________________________
Fax

Billing Information

________________________________________________________
Name

________________________________________________________
Job Title

________________________________________________________
Rank

_________________________________________________________
Department

________________________________________________________
Address

________________________________________________________
City/State/Zip

________________________________________________________
E-mail

________________________________________________________
Phone

________________________________________________________
Fax

Credit Card Billing Information

_____ Mastercard or _____Visa

________________________________________________________
Signature of Cardholder

________________________________________________________
Is this a company card? If yes, please indicate name of company on card

________________________________________________________
Address (your billing address must match the address on your credit card
statement or your credit card may be declined)

________________________________________________________
City/State/Zip

________________________________________________________
Phone

________________________________________________________
Fax

Mail this form to:
National IWITTS, 1150 Ballena Blvd, Suite 102
Alameda, CA 94501-3682
or fax to (510) 749-0500.
Contact IWITTS via e-mail or call (510) 749-0200.