Rape Aggression Defense Class Application

Northern Kentucky University Police
Rape Aggression Defense Class Application
Name:
Address:
Home Phone:

Email:
Work Phone:

Drivers License # and State:
Date of Birth:

Occupation:

1.  Reason for wanting to attend the Rape Aggression Defense Class:


2.  Who do you know that is in law enforcement:


3. How did you hear about the Rape Aggression Defense Class?

 

4. Which session would you like to attend?

I hereby submit this application to the Northern Kentucky University Police Department to attend the R.A.D. Class:

Yes     No               
 

Once you have completed the application submit by clicking on the submit button.  For further information, contact Captain David Tobergte at 859-572-1917.