PRELIMINARY APPLICATION FOR BASIC FIRE ACADEMY

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PRELIMINARY APPLICATION FOR BASIC FIRE ACADEMY Please indicate your first and second choice of the fire academy class you are interested in attending. Need a copy or your EMT/PARA certification with application. Please PRINT! Class Number: (First Choice) Class Number: (Second Choice) NAME: ADDRESS: CITY, STATE, ZIP TELEPHONE: DATE OF BIRTH: (Home) (Cell) IRSC STUDENT ID # : EMAIL ADDRESS PLEASE CHECK YOUR STATUS: Full-time employee of a Fire or Public Safety Agency State of Florida certified Paramedic (copy of card) State of Florida certified EMT (copy of card) Completion of EMT Training Program (copy of certificate) College degree Support documentation must be provided with this application. (Office Use Only) DATE APPLICATION RECEIVED 3209 Virginia Avenue Fort Pierce, Florida 34981-5596 Ph: 1-866-866-4722 www.irsc.edu Fort Pierce Okeechobee Port St. Lucie Stuart Vero Beach

ORIENTATION IS MANDATORY If you DO NOT receive a letter from this office one week (5 working days) prior to the Orientation date of the Fire Recruit Academy you wish to attend, please notify this office. Michael Dashosh, Director Or Mary Black, Secretary Fire Science Department 772-462-7951 For further information, contact the Fire Science Department Indian River State College Fire Science Department 3209 Virginia Avenue Fort Pierce, FL 34981-5596 Toll-free 1-866-888-2677 or (772) 462-7944 Fax at 772-462-7955 BASIC FIRE RECRUIT ACADEMY Application Procedures Information Sheet I. Minimum qualifications for becoming State of Florida certified as a paid combat firefighter:

1. 18 years of age or older 2. High school graduate or equivalent 3. No record or conviction of a felony or misdemeanor related to firefighting 4. Pass a thorough medical examination 5. Ability to participate in vigorous physical activities without restrictions 6. Possess a valid Florida Driver s License or capable of obtaining one 7. Non use of tobacco products for one year prior to employment II. Application Procedures: 1. Complete and return a preliminary application provided by the Fire Science Department. 2. Provide verification of your EMT or Paramedic training to the Fire Science Department. 3 Attend the orientation meeting. 4 Pass the physical agility test. You will be notified by mail of the date of the mandatory orientation meeting and the physical agility testing date. Students will be considered for admission based on the date their completed preliminary application is submitted. Preference will be given to IRSC graduates with degree and/or certification. Support documentation must be provided. Those having college degree must show documentation or have on record. 1. Full-time employee of a Fire or Public Safety Agency 2. State of Florida certified Paramedic 3. State of Florida certified EMT 4. Completion of EMT Training Program GENERAL INFORMATION 1. 450 hours in length 2. Day class: Monday through Friday from 8:00 am to 5:00 pm (approximately 13 weeks) 3. Periodically the Basic Fire Recruit Academy is offered on a part-time basis, during the evenings and weekends. Evening class: Mondays,Tuesdays, Wednesdays and Thursdays from 6:00 10:00 pm; and every other Saturdays 8:00 am 5:00 pm (approximately 28 weeks). INDIAN RIVER STATE COLLEGE FIRE RECRUIT ACADEMY CLASS SCHEDULE Choose 1 st and 2 nd choice from the following Academy dates. (Dates are subject to change Revised 4/21/2010) Summer 2010 Dates: June 28, 2010 through December 16, 2010 Class # 127 (Monday, Tuesday, Wednesday, Thursday, 6:00-10:00 p.m.

Part-time One Saturday, 7:30 a.m. 5:00 p.m., per month) Tuesday, May 4, 2010, 6:00 p.m., Fire Academy Saturday, June 12, 2010, 8:00 a.m., Fire Academy Fall 2010 Dates: September 13, 2010 through December 10, 2010 Class # 128 (Monday through Friday, 7:30 am -5:00 p.m. Tuesday, July 27, 2010, 10:00 a.m., Fire Academy Tuesday, August 17, 2010, 8:00 a.m., Fire Academy Spring 2011 Dates: January 24, 2011 through April 22, 2011 Class # 129 (Monday through Friday, 7:30 am -5:00 p.m. Tuesday, December 7, 2010, 10:00 a.m., Fire Academy Friday, January 14, 2011, 8:00 a.m., Fire Academy Summer 2011 Dates: May 9, 2011 through August 18, 2011 Class # 130 (Monday through Thursday, 7:00 am -5:00 p.m. Tuesday, April 5, 2011, 10:00 a.m., Fire Academy Tuesday, April 26, 2011, 8:00 a.m., Fire Academy Summer 2011 Dates: June 20, 2011 through December 13, 2011 Class # 131 (Monday, Tuesday, Wednesday, Thursday, 6:00-10:00 p.m. Part-time One Saturday, 7:30 a.m. 5:00 p.m., per month) Tuesday, May 3, 2011, 6:00 PM., Fire Academy Saturday, June 4, 2011, 8:00 a.m., Fire Academy Fall 2011 Dates: September 12, 2011 through December 9, 2011 Class # 132 (Monday through Friday, 7:30 am -5:00 p.m. Tuesday, August 2, 2011, 10:00 a.m., Fire Academy Tuesday, August 23, 2011, 8:00 a.m., Fire Academy Note: Application cut-off date for each Class will be 6 weeks prior to the date of Orientation.

Indian River State College Fire Science Department *Estimated Cost for the IRSC Basic Fire Recruit Academy Tuition and Lab Fees In-State Out-of-State FFP V010 Fire Academy I (160 hr) $468.00 $1867.50 Lab Fee I 100.00 100.00 FFP 1102 Physical Conditioning (1 cr) 84.76 315.70 $652.76 $2283.20 FFP V020 Fire Academy II (290 hr) $468.00 $1867.50 Lab Fee II 200.00 200.00 FFP 1102 Physical Conditioning (1 cr) 84.76 315.70 TOTAL $752.76 $2383.20 ADDITIONAL FEES: 1. Department of Financial Services (Bureau of Fire Standards application) $30.00 2. IRSC fingerprint fee $53.25 3. IRSC Physical Agility Test Fee (Account Number 11270100-177010-72-40900) $15.00 4. IRSC Bookstore Purchases: IFSTA Recruit Materials 166.67 White three-hole loose-leaf notebook 4.00 Fire Science State Curriculum 7.73 DOT Emergency Response Guidebook 4.20 Division of Forestry book 11.00 $193.60 5. Uniforms Full set of uniforms includes 2 shirts, 2 pants, 2 tees, 1 lg sleeve tee 2 shorts, 1 belt, 1 tie, 1 cap, setup on 3 tees (Total not including tax or letters for name.) $134.02 6. Equipment if purchased 7/16 Rope Length 12 to 15 23.50 Firefighter Gloves 41.00 Firefighter Helmet 178.00 Nomex Hood 28.00 Black Diamond Knee Boot 89.00 Bunker Gear (coat, pants, suspenders) 320.00 FIT Testing 50.00 SCBA Face piece 300.00 $1029.50 APPROXIMATE TOTAL $2479.89 *Fees subject to change. Fees do not include cost of a required medical/physical examination. $5740.77

Financial Aid Notice to Fire Academy Applicants Please be aware the Fire Academy (Fire Fighting Basic Recruit) is NOT eligible for Federal Financial Aid (Pell Grant, FSEOG, Subsidized Stafford Loan, Un-Subsidized Stafford Loan, and Parent Loan for Undergraduate Students PLUS). Even though you may be receiving Federal Financial Aid during any previous term of attendance, once you enter the Fire Academy, your Federal Financial Aid will be stopped. You are encouraged to seek other funding for this program if needed, such as the W.I.A. program. Information on this program is available at any Florida One-Stop Center. Also students who qualify for Florida Bright Futures may receive funding through that program. 04/10