Public Safety Classes |

CLASS LIST:

Traffic Incident Management (TIMS)
Basic Fire
Building Construction
Forcible Entry
Fire Life Safety Preparedness
Pump Introduction
Right Seat Ready
Emergency Medical Responder
EMT Boot Camp

Traffic Incident Management (TIMS)

2/28/2020 - 2/28/2020
F - 6:00 pm - 10:00 pm

Select TIMS

Basic Fire

2/28/2020 - 3/1/2020
F - 7:00 pm - 10:00 pm
SA - 8:00 am - 5:00 pm
SU - 9:00 am - 1:00 pm

Select Basic Fire

Building Construction

2/29/2020 - 3/1/2020
F - 7:00 pm - 10:00 pm
SA - 8:00 am - 5:00 pm
SU - 9:00 am - 1:00 pm

Select Building Construction

Forcible Entry

2/29/2020 - 3/1/2020
SA - 8:00 am - 5:00 pm
SU - 9:00 am - 1:00 pm

Select Forcible Entry

Fire Life Safety Preparedness

2/29/2020 - 3/1/2020
SA - 8:00 am - 5:00 pm
SU - 9:00 am - 1:00 pm

Select Fire Life Safety Preparedness

Pump Introduction

2/28/2020 - 3/1/2020
F - 7:00 pm - 10:00 pm
SA - 8:00 am - 5:00 pm
SU - 8:00 am - 1:00 pm

Select Pump Introduction

Right Seat Ready

2/28/2020 - 3/1/2020
F - 7:00 pm - 10:00 pm
SA - 8:00 am - 5:00 pm
SU - 8:00 am - 1:00 pm

Select Right Seat Ready

Emergency Medical Responder

This is a hybrid class with 33 hrs of online didactic and 39 hrs seated.
Dates 3/16 – 5/10
The seated portion will be on Sat 830-5p & Sun 830-3p for 3 weekends

Select EMR

EMT Boot Camp

This is hybrid class with 172 hrs seated, 24 hrs online & 32 hrs of clinicals.
Dates 6/23 – 8/6
Seated portion will be Tue, Wed, Thur 830-5p with a Saturday 830-5pm

Select EMT Boot Camp

SSN OR STUDENT ID NUMBER:*

FULL NAME:*

First Middle Last

ADDRESS:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

EMAIL ADDRESS:*

HOME PHONE:*

BIRTH DATE:*

ARE YOU HISPANIC/LATINO?*

NO (NHS)
YES (HIS)

RACE (Check one):

White
Black/African American
Native American/Alaska Native
Asian
Hawaiian/Pacific Islander

SEX (Check one):

Male
Female

EMPLOYMENT STATUS (Check one):*

Retired
Unemployed-Not Seeking
Unemployed-Seeking
Full time
Part-Time--Number of Hours Per Week

NO. OF HOURS:

EDUCATION LEVEL (Check only one):*

Completed High School
One-Year Vocational Diploma
Master's Degree
Adult High School Diploma
Associate Degree
GED Diploma
Bachelor's Degree
OR -Highest Grade Completed

GRADE:

CITIZENSHIP (Check one):*

U.S Citizen
Permanent Resident Alien
Non-Immigrant Alien
Other

DEPARTMENT OF AFFILIATION:

Department Type

Firefighter
1st Responder
LEO
Corrections Officer
EMR
EMT
AEMT
Paramedic

STUDENT SIGNATURE:

DATE OF SUBMISSION:*

Certification of Accuracy*

By this check, I certify that the information I have given is true and complete to the best of my knowledge. I further understand that falsification or failure to supply the correct information may be considered grounds for rejection or dismissal. Further, I understand that by submitting this information via electronic transmission that I acknowledge the above statement of certification in lieu of a signature.
Please check:

Yes

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