Citizen Fire Academy Application

Fire Academy Application Form

Fields marked are required.

Name

Date of Birth

Race

Age

Driver's License #

Residential Address

Occupation

Work Address

Work Number

Home Number

Cell Number

Email Address

Would you like to opt in for the Prevention 365 newsletter?

How did you hear of this academy?

Have you ever been arrested for any offense other than a traffic violation?

If Yes, Please list the date arrested, charges, and describe the circumstances

Describe in your own words why you want to be in the Citizen Fire Academy.

Name

Phone Number

Name

Phone Number