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Training Tracking Form
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Date of Training
*
PATC Training Coordinator (First and Last Name)
*
PATC Instructor (First and Last Name)
*
Number of Instructors
*
Which MDERS PATC Training kit Number (#) did you use? Number located on the ends of the bag. Choose all that apply.
*
Kit 1
Kit #2
Kit #3
Kit #4
Kit #5
Kit #6
Kit #7
Kit #8
Kit #9
Kit #10
Kit #11
Kit #12
Kit #13
Kit #14
Kit #15
Kit #16
Kit #17
Kit #18
Kit #19
Kit #20
Kit #21
Kit #22
Kit #23
Kit #24
Kit #25
Kit #26
Kit #27
Kit #28
Kit #29
Kit #30
Kit #31
Kit #32
Kit #33
Kit #34
Kit #35
Kit #36
Kit #37
Kit #38
Kit #39
Kit #40
Kit #41
Kit #42
Kit #43
Kit #44
Kit #45
Kit #46
Kit #47
Kit #48
Kit #49
Kit #50
Where did the training take place?
*
Montgomery County
Prince George's County
Other Maryland County/City
Virginia
District of Columbia
Other
What was the number of adult trainees?
*
What was the number of juveniles (18 & younger) trainees?
*
Instructor Comments/Feedback
*
Please provide any comments/feedback you may have so we can enhance the training in the future.
Website
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