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JUVENILE
JUSTICE
TRAINERS
ASSOCIATION
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APPLICATION
FOR JJTA CONSULTANT POOL
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| NAME: |
________________________________ |
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TITLE: |
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| ADDRESS: |
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PHONE: |
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FAX: |
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E-MAIL: |
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| YEARS IN CURRENT
POSITION: |
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| YEARS OF
EXPERIENCE IN TRAINING/STAFF DEVELOPMENT: |
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| YEARS IN JJTA:
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______________________________________________ |
| CURRENT JJTA MEMBER:
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YES |
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NO |
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