2021 Dr. David Avolt
In-Service Training Conference
Online Registration
* First Name:
* Last Name:
Title:
Coroner
Deputy Coroner
Other
County:
Contact Phone:
IE: xxx-xxx-xxxx
Address:
City:
State:
Zip:
Email:
Request Your Roommate:
Spouse or Family Attending:
Registration Type:
Title:
Select Title
Registration Type:
Please select title first
Conference Days:
Please select registration first
* Coroner/Deputy Coroner - The CTB will pay the registration fee for any Coroner and Deputy Coroner that is a Certified Medicolegal Death Investigator or is in the process of certification within the prescribed time frame as dictated by IC 36-2-14-22. That time period is six months for newly elected coroners and one year from the deputy coroner’s hire date.
Other - Law Enforcement, Physicians, Prosecutors, Nursing, EMS Personnel, Out of State
Activities
Panel Question 1:
Panel Question 2:
Panel Question 3:
Lunch
The ISCA will provide lunch daily. Indicate which days you would like to receive a boxed lunch.
PLEASE DO NOT MARK IF YOU DO NOT PLAN ON EATING. WE ARE REQUIRED TO PREPAY FOR THESE LUNCHES
.
Thursday
Friday
Saturday
By clicking submit, I agree to attend at least (16) hours of the scheduled training conference to be held June 10-12, 2021.
Failure to attend the established minimum hours will cause your hotel bill to be your responsibility and not that of the Coroner’s Training Board. Exceptions to this sixteen (16) hour requirement are illness, injury or work related emergencies which must be approved by the Executive Administrative Assistant of the Coroners Training Board or a designee.
ISCA
www.indcoroners.org
3501 East 1000 South
Lafayette, IN 47909
Barker.incoroner@gmail.com