DRE Application

	DRE Course Description	Online Application Form

	GHSO Training Course Descriptions	Download Blank Application
		TTSRS Home

DRE Application & Registration

Date: TBA

If you have submission issues, please print off your completed application and fax to TTSRS at 1.865.974.3889. TTSRS will email you to confirm your submission.

Enter Agency Information

Agency:	Date of Hire:
	(mm/dd/yyyy)

Duty/Assignment:	Precinct:	Vehicle Number:

Address: Use this address	P.O. Box


City:	Zip:
	-

Agency Phone:	Agency Fax:
-

Office Phone:	Office Email: Use this email
-

Supervisor Rank:	First Name:	Last Name:


Email:


Commanding Officer Rank:	First Name:	Last Name:


Email:

Enter Personal Information

Rank:

First Name:

Middle Initial:

Last Name:

Address: Use this address

City:	Zip:
	-

Cell Phone:

Email: Use this email

Enter Background Information

Date of SFST:	Date of Advanced SFST, ARIDE or ARIDE PLUS:	Number of DWI arrests in last years:
(mm/dd/yyyy)	(mm/dd/yyyy)

Summarize your prior assignments related to, or of interest to, the DEC Program:	characters


Summarize your formal education, work or practical experience, and training that may be related to, or may be of interest to, the DEC Program (EMT, college etc.):	characters


How do you expect DRE training to benefit you and your department?:	characters


Anything else that you think would assist in your selection as a DRE?:	characters

Enter Recommendation Information


List two DRE's that would recommend you for DRE training: (They will be contacted if listed.)

First Name:	Last Name:


First Name:	Last Name:



List a local prosecutor that will recommend you for DRE training: (They will be contacted if listed.)

First Name:	Last Name:

Enroll Into Class


	I have read and understand the course description and requirements for the Drug Recognition Expert Class. A email will be been sent to your supervisor and Richard Holt.

Tennessee Traffic
Safety Resource Service

Phone: 1.800.99BELTS

Help Desk Email: ttsrs@utk.edu