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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