Crime Free Multi-Housing Program Registration

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For attending this Crime Free Multi-Housing training you will receive a Certificate of Completion that will be issued to you personally, not the company you work for; therefore, we need your pertinent personal information.

Tennessen Warning, Minn.Stat.13.04, Subd. 2
The information requested on this form is for registration purposes. Its intended use is to assist the Police Department personnel in knowing who is enrolled in the training. You are not legally obligated to supply the data; however, failure to do so could result in this department’s inability to issue you a Certificate of Completion for the training. Persons authorized to access information include Police Department personnel. The following information is shared with a representative with the Minnesota Crime Prevention Association who maintains the master database of Crime Free Multi-Housing Program training attendees for the state of Minnesota, including:

  • Your first and last name
  • The date of the class
  • The city where you attended the training
Please correct the field(s) marked in red below:

1
Name:
2
Company Name: (if applicable)
3
Your Address:
4

Your City:

 *
5

Your State:

 *
6

Your Zip:

 *
7
Phone:
8
Email Address:
9
Addresses of Properties you own or manage:
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