National Emergency Training Center
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LETTERHEAD
Date
National Emergency Training Center U.S. Department of Homeland Security Distance Learning Section (Attn: K. Churchill) 16825 S. Seton Avenue Emmitsburg, MD 21727-8998
Subject: Training Request for Non-U.S. Citizen
Request the following named individual, who is not an U.S. citizen, be given permission to take NIMS courses.
Name: Last, First, MI Country of origin: Email address: U.S. contact phone number: Type of organization requesting training for individual: Manner of course (i.e., classroom or on-line): Sponsor organization mailing address: Sponsor e-mail address: Affiliation with requesting organization: Organizational Point of Contact:
Justification for request: [Explain why your organization is asking that this person receive certificates.]
Please notify the organizational point of contact named above of permission decision.
SIGNATURE BLOCK