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University of New Haven logo

Leadership Course in Policing Innovations Inquiry Form

University of New Haven Center for Advanced Policing logo
Rank/Title Required.
First Name Required.
Last Name Required.
Current Assignment Required.
Agency Required.
Please enter address for program correspondence.
Address Line 1 Required.
Address Line 2
City Required.
State Required.
Zip Code Required.
Daytime Phone Required.   Extension Required.
Cell Phone
Email Required.
Highest Level of Education Achieved Required.
Graduation Year for Highest Level of Education Achieved Required.
Years in Law Enforcement Required.
Years Experience at Lt or above Required.
Did you attend the academy? Required.
If selected, I plan to (select one):

Please make a selection.
In one or two short paragraphs, please highlight why you would like the opportunity to participate in this program A value is required.