Fire and Rescue Application

Fire and Rescue Services Application

**The physical strength and endurance demands associated with training and on-the-job use and operations of current firefighting equipment include lifting, carrying, and pulling of objects; climbing; crawling; running, and hoisting. Physical agility requires upper body strength, aerobic conditioning, and flexibility. Students will be exposed to dark rooms, confined spaces, and extreme heat and cold.
Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
BTECH Student ID
High School Graduation Date

MonthDayYear
Date
The "Submit" button, which is located on the last page of this application (checklist page), will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

Fire and Rescue Services Application
Complete Emergency Medical Technician program (verified with a copy of EMS certification through the national registry). Expired EMS Certification (within 4 years of expiration) will meet the prerequisite requirement
Upload EMS certification cards received through the National Registry

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The "Submit" button, which is located on the last page of this application (checklist page), will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

Fire and Rescue Services Application
Pass doctor's physical within 6 months of class start - Click to download the Firefighter Candidate Physical Form Provided
Upload Doctors Physical

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The "Submit" button, which is located on the last page of this application (checklist page), will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

Fire and Rescue Services Application
Provide Evidence of Health Insurance
Upload Current Health Insurance Cards (Include Front and Back)

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Provide Evidence of valid Driver's License
Valid Driver's License - State
DL#
Upload a Copy of Driver's License (Front and Back)

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Provide Evidence of CPR Certification
Hold a current AHA BLS CPR certification - Click here to view our CPR course
Upload AHA BLS CPR certification(Front and Back)

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The "Submit" button, which is located on the last page of this application (checklist page), will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.

Complete the following checklist below before submitting your application. It is your responsibility to ensure that all items are completed. Please note that any missing information will render your file incomplete, and you will not be considered a possible candidate for this program.

High school diploma or recognized equivalent18 years of age at the time of certificationCompleted Emergency Medical Technician program and receive EMS certification through the national registry - Expired (within 4 years) EMS certification will meet prerequisite requirementsPass Doctor's Physical within 6 months of class startFitness Requirement. 1.5 mile run in less than 15 minutes, 25 pushups in one minute, and 25 sit-ups in one minute (this is assessed on the last day of Introduction to Firefighting)Provide evidence of health insuranceValid Driver's LicenseHold a current AHA BLS CPR certificationSignature
To complete the signing process, please type your full name in the signature box and click 'submit'.
The "Submit" button, which is located on the last page of this application (checklist page), will save your application and send you a link that will allow you to edit and update your application until all parts of the application are complete.
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Fire and Rescue Services Application