Jail Evacuation Course Application/Enrollment Agreement

Student Information

In order to process your Enrollment Agreement,
make certain to click the submit button at the bottom of this page.
Legal Name Last First Middle
Home Phone # Work Phone # ext
Social Security # Date of Birth : (mm/dd/yyyy)
Address 1
Address 2
  City State Zip
How did you discover the NSA Center for Court Security?

Course Registration Information

Instructions: Should you elect to take two or more courses simultaneously, you will be expected to complete each within the tenweeks allotted.

Successful completion of a NSA jail operations course (CJC 2050, CJC 2051 & CJC 2052) is worth a NSA certificate of completion and one CSU college credit hour. These certificate courses require a minimum score of 70/C to earn the certificate.

Course # Course Name Credit Hours Tuition
Jail Evacuation 1
Tuition Due

Payment Method

Select one of the following payment methods:
Payment is for Library Fee only. Tuition will be billed to the Employer.
Approved company or government tuition voucher or purchase order must accompany this agreement. Employer must pay for each course at time of invoicing and not wait for course completion.
Credit Card Information
Card Type:
Card No. Exp. Date /
Name on Card