CAL FIRE/ Riverside County Fire Department on first day, on other days

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1 CAL FIRE/ Riverside County Fire Department Swiftwater Awareness Dates: Days Times: Prerequisites: Cost for Class: Cost for Dorm room: April 13, 2015 Monday on first day, on other days N/A $25.00 for class only $34.00/night (Separate check needed) CAL FIRE/Riverside County Fire Department employees must complete and fill out a TR-7. Riverside County Fire Department Reserves must fill out a 48.14V form. All forms must be approved by your Battalion Chiefs. Location: Registration: Instructor: Ben Clark Training Center Bundy Ave Riverside CA Staff CLASSROOM: H (rooms may be subject to change) Registration will NOT be taken by PHONE. You may registration forms and mail payment in advance or mail all in advance. Only checks or money orders made payable to RIVERSIDE COUNTY FIRE DEPARTMENT will be accepted. Please do NOT send cash. Payment is required a minimum of 7 days PRIOR to the class start date and is the only way to secure a place in the class. If the class is full, your check will be shredded or returned to you. Questions may be directed to the class coordinator. Class Coordinator: Andrew Howell rru.trainingclassregistration@fire.ca.gov Required Forms: Dress Code: Approved RRU TR7 OR Flyer and Fees. Appropriate dress for class is required. It is the student's responsibility to maintain a clean, neat and professional appearance. Some courses may require the wearing of uniforms or special attire. Course coordinators and/or course announcements may specify either a style or type of dress for a specific course. Acceptable dress includes: Issued Department Uniform. For Males: Casual business slacks and a shirt with a collar. For Female: Casual business slacks or business dress and shirt/blouse with collar. Unacceptable dress includes: T-Shirts Flip Flops Cutoffs Shorts Hats Tank or Halter tops Any shirt/blouse without a collar including t-shirts, tank tops, or halter tops. Clothing which is inappropriately worn, stained, soiled or unpressed. Clothing or decoration which expresses a political opinion, or expresses an attitude or opinion contrary to the public safety codes of ethics. Students may not wear a hat inside any facility except as specifically required by the course they are attending. FILL OUT AND RETURN 2ND PAGE ONLY

2 CAL FIRE/ Riverside County Fire Department Swiftwater Awareness Dates: Cost: April 13, 2015 $25.00 for class only You will be notified by when you are placed on the class roster. Name (legible) Agency Address Contact Phone Number Mail all fees, and mail or all required forms to: Riverside County Fire Bundy Ave. Riverside, CA ATTN: Class Coordinator All applicable fees must be paid prior to the beginning of the class or the individual will NOT be registered for the class. For a full refund, the Training Section MUST receive a written notification via that you cant make class at least 24hrs BEFORE the class begins. NO REFUNDS WILL BE MADE BASED UPON TELEPHONE OR VERBAL REQUESTS. OFFICE USE ONLY Payment Type/Number Dorm Room #

3 Necessary Equipment for Classes RIC Lunch (All but first day) SCBA with Mask and extra cylinder Full Structure Protective Equipment Full Wildland Protection Equipment HT and Spare Battery for HT Webbing Wire Cutter (Large) Flashlight Knee Pads Extra Gloves Tee Shirts Extra Flashlight Extra Hood Extra turnout Swift Water: Lunch (Tuesday through Friday) Appropriate footwear (heavy soled water booties-mesh upper tennis shoes) NO SANDALS Appropriate Swimwear Duct tape Insect Repellent Sun Glasses Flashlight (Submersible to 5 Meters) Shade Cover Chairs Towels LARRO: Lunch (Last day) Full Wildland Protective Equipment Sun Glass TRENCH:

4 Lunch (All days) Helmet Eye protection Wildland PPE Sun Glass BOAT OPERATIONS Lunch (Last two days) Appropriate footwear (heavy soled water booties-mesh upper tennis shoes) NO SANDALS Appropriate Swimwear Sun glasses RESCUE SYSTEMS 1 Helmet Wildland PPE Eye protection Dust mask Elbow Pads Knee Pads BASIC VEHICLE EXTRICATION Lunch (Last day) Work Gioves Wildland PPE Boots Structure PPE Eye protection CONFINED SPACE RESCUE TECHNICIAN Lunch (Tuesday through Friday)

5 Duct tape Flashlight or Head Lamp Scott SCBA Mask Coveralls or Wildland PPE Low profile helmet Older Boots Knee Pads Elbow Pads

6 Riverside County Fire Department Bundy Avenue, Riverside, CA Dorm Registration Due to Riverside County Policy WE CAN NOT ACCEPT CASH Please make your check or money order payable to "Riverside County Fire Dept." Dorm room rate is $34.00 Per night per person payable on the first day of class form to: For question call Check out time for rooms is 1200 Noon 1. All personal items are to be removed by 1200 noon on your check out day. 2. Upon checking out, the dorm room refrigerator is to be cleaned out. 3. An official Riverside County receipt will be sent after payment has been processed. 4. All dorm room requests must be received and processed by Friday 1200 noon the week prior to the start of your class. 5. If your arrival will be after-hours (after 5pm & weekends) you need to notify the Training Bureau Receptionist. Your key-card will be left for pickup in the first floor lobby office. 6. Room requests received after 3pm will not guarantee room reservation. If you do not receive confirmation back, the dorm room request has not been reserved. Name: Phone Number Cell: Depart. Name: Address: Alt. Phone Number: Contact Person: Unit Headquarters address: Course attending: Dorm Arrival Date: Offered by: Dorm Departure Date: Signature Date For Riverside County Fire Department use only Total due: Room Number: Registered by: Number of Nights: Date: Key Returned revision 12/10/2014

7 Riverside County Fire Department/CAL FIRE Ben Clark Training Center Dorm Room Agreement Failure to follow the below listed rules will result in removal from the dorm room. If you are removed from the room, refunds for unused days can take up to six weeks. 1. NO SMOKING in the building or within 25ft of the building Per County ORDINANCE NO NO ALCHOHOLIC BEVERAGES OR RECREATIONAL DRUGS Per County Board Policy H-21 on Ben Clark Training Center property. 3. NO GUEST After 8:00pm and NO overnight guest. 4. Rooms will be rented on a daily basis, there is a two day grace period to make a payment at which time you will be electronically locked out of your room until payment is received. 5. Furniture in the rooms shall not to be rearranged and no outside furniture allowed. 6. Rooms will be inspected by CAL FIRE training staff periodically (Academy students only) 7. Academy students are held to a higher standard, your room will be inspected unannounced. 8. Make sure you take your card key with you at all times; doors will lock automatically upon closing. 9. Beds must be made Military Style with the bedding provided. 10. Cooking equipment of any kind is not allowed in rooms, unless provided by facility. 11. No maid service, please police your room daily, rooms are cleaned before and after occupancy only. 12. Turn off all utilities when not in your room. 13. When checking out of the room, trash is to be emptied, dirty linen placed in the linen room, personal items are to be removed and remove all items from the refrigerator. 14. Check out time is 12:00 noon unless other arrangements have been made. 15. Please leave key card in the drop box located on the wall next to the entrance doors on the first floor. 16. Room privileges can be revoked at any time for noncompliance of any part of this agreement. By signing below (or electronically typing name) I acknowledge and understand the rules of renting a room from Riverside County Fire Department/CAL FIRE. Signature Date