Midwest Counterdrug Training Center

Advanced Undercover Techniques and Survival
Monday, September 13 - Friday, September 17, 2010
8:00 AM - 4:30 PM
LOCATION
Camp Dodge
Directions: 7105 NW 70th Ave Johnston, IA 50131

Lodging and meals provided to students outside a 50-mile radius from the course location.

This course is the follow-up to Undercover Techniques and Survival. It is a pre-requisite that attendee's have successfully completed Undercover Techniques and Survival.
The course consists of undercover practical exercises utilizing role players and highly experienced undercover officers as instructors. Each student will participate in numerous practical exercises as an undercover officer or cover team member. All of the practical exercises will be videotaped and then individually critiqued by an instructor. Due to the intensity of the practical exercises, the course will be limited to 24 students.
Instructor Charlie Fuller is a retired ATF agent of 22 years who holds a Bachelor of Business Administration and a Master of Science in Criminal Justice Degrees. Currently Mr. Fuller is president of Covert Operations Program Specialists, Inc. and the Executive Director of The International Association of Undercover Officers. Charlie also provides consultation and conducts law enforcement training programs for the Department of Defense, Federal, State and Local Law Enforcement Agencies throughout the United States and Canada.

STUDENT CONTACT INFORMATION
 * required
First Name:*

Last Name:*

Position/Title/Rank:*

Sworn Law Enforcement Officer -
Local State Federal Military

Criminal Analyst  - Military Civilian

Fire  EMS Dispatcher
Other (please provide details)


Specify Branch, if Military:
ANG ARNG ARMY DOD USAF
USAR USCG USMC USN
Years of Experience?

Phone Work: (include area code)*

Cell Phone: (include area code)

Fax: (include area code)

E-mail:*


IDENTIFYING INFORMATION
Last 4 digits of social security # * 

  

AGENCY / ORGANIZATION NAME

Agency City:*
Agency State:* 
(ie: CA)		   Agency Zip code:*

SUPERVISOR INFORMATION
(For Law Enforcement Status Verification)
Full Name

Phone Work: (include area code)

E-mail:

TRAINING OFFICER INFORMATION
(If Available)
Full Name

Phone Work: (include area code)

E-mail:

HIDTA TASKFORCE MEMBER
Yes No
If yes, what HIDTA?

LODGING
Will you require lodging?
Yes No
Will you require lodging the night prior to the class?
Yes No

     

 Credentials Required at Registration