LETTERHEAD - Emergency Management Institute



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

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