Montgomery County Fire Academy

Similar documents
Rockingham Regional Fire School

winter 2009-Spring 2010 Alabama

2018 Tri-County Fire School

Lake Cumberland Area Firefighters Association

STANDARD OPERATING GUIDELINES

APPLICATION FOR TEMPORARY FIREFIGHTER (2018) St. John s Regional Fire Department

LANCASTER COUNTY PUBLIC SAFETY TRAINING CENTER

York County Fire School 2018 Course Catalog

2016 Tri-County Fire School Our 51 st Year Serving The Training Needs Of Tri-County Area Firefighters.

Woodstock Volunteer Fire Association

An Agreement between SOUTH CAROLINA TECHNICAL COLLEGE SYSTEM and SOUTH CAROLINA FIRE ACADEMY

Firefighter/EMT (6 Full Time Positions)

2018 Volunteer Week at Florida State Fire College April 25-29, Course Descriptions

ALABAMA FIRE COLLEGE AND PERSONNEL STANDARDS COMMISSION ADMINISTRATIVE CODE CHAPTER 360-X-1 GENERAL REGULATIONS AND ADMINISTRATIVE PROCEDURES

LIST OF EFFECTIVE PAGES. Cover Sheet 0 LEP 0 Table of Contents 0 4 thru 9 0. AG-009 Rev. 0 Page 2 of 19

Division of State Fire Marshal Rhode Island Fire Academy 4 Green Lane, Exeter, RI Tel: (401) Certification Examination Application

Pre-requisites. Intro & PPE. Instructor I. Intro & PPE. Instructor I. Instructor II. Intro & PPE. Intro & PPE. Intro & PPE

Application Form TYPE OF EMPLOYMENT DESIRED: PERSONAL INFORMATION EMERGENCY CONTACT INFORMATION EMPLOYMENT INFORMATION CURRENT EMPLOYER:

RENSSELAER COUNTY FIRE TRAINING SCHEDULE / 2017

Stillwater Fire District Stillwater, New York

Training Firefighter Safety

Volunteer Firefighter Recruit Requirements and Application Procedures

Employment Application Fulshear Simonton Fire Department

Cahokia Volunteer Fire Department. Application for Membership

Big Sandy Fire Protection District/Simla Volunteer Fire Department Junior Firefighter Program Guidelines

ALL CLASSES ARE 12 HOURS IN LENGTH

FIREFIGHTER PART TIME (Fire Rescue) *** Temporary/Part-time No benefits *** **This position may require a physical ability/agility test**

FIREFIGHTER - EMERGENCY MEDICAL TECHNICIAN (Fire Rescue)

CIVIL SERVICE COMMISSION CITY OF TYLER, TEXAS. Announces an Examination for FIRE RECRUIT

FIRE RECRUIT CIVIL SERVICE COMMISSION CITY OF TYLER, TEXAS MINIMUM QUALIFICATIONS

Resident Site and Regional Information

NORTHERN CALIFORNIA EMS, INC. 930 Executive Way, Suite 150, Redding, CA Phone: (530) Fax: (530)

Manlius Fire Department

WEST HAVEN FIRE DEPARTMENT 366 Elm Street, P.O. Box 207 West Haven, Connecticut (203) Fax (203)

Marion Fire Cadet Program

September 9 & 10, 2017 CAMBRIDGE SPRINGS, PA CRAWFORD-VENANGO COUNTY FIREMEN S ASSOCIATION

Old Bridge First Aid & Rescue Squad, Inc

RENSSELAER COUNTY FIRE TRAINING SCHEDULE / 2018

EDISON POLICE ACCEPTING APPLICATIONS FOR AUXILIARY POLICE OFFICERS

CITY OF COCOA. Pay Grade: E35 Human Resources Division. Revised: 12/2010 We are your HR! Salary Revised: 02/2008

RENSSELAER COUNTY FIRE TRAINING SCHEDULE / 2018

Prerequisites for the Fire Academy

Firefighter Academy Spring 2017 Application

National Certification Program Study Guide

RENSSELAER COUNTY FIRE TRAINING SCHEDULE / 2017

Volunteer Fire Department 2358 Bradway Road North Pole, Alaska (907) Steven H. Crouch-Fire Chief. 24 Hour Firefighter

W FIRE INVESTIGATION: FIRST RESPONDERS

Enrollment Procedures Checklist Automotive Technology

National Responder Preparedness Center 4678 Kentucky 181 North Greenville KY NRPC (6772) Fax

The South Carolina Fire Academy s Commitment to You Our Customer

10 th Annual Smoky Mountain Weekend

Emergency Services Training Center

Scarborough Fire Department Scarborough, Maine Standard Operating Procedures

16 Firefighter Life Safety Initiatives

FIREFIGHTER/AEMT BIRMINGHAM FIRE DEPARTMENT

South Carolina Fire Academy

Volunteer Member Program

NOTICE TO APPLICANTS

Course offerings for the 2010 Fire School include:

In association with: Putnam County Fireman s Association

CFARS TC EMT COURSE Fall 2018 EMT CLASS

Within this application package you will find the following forms and information:

Mountain View Fire Protection District Job Description

Grant Program Coordinator/Training Coordinator

Port Republic Volunteer Fire Company 116 Blakes Ln. Port Republic, NJ 08241

Mercer County Fire Department Junior Firefighter Program 200 Morris Drive Harrodsburg, KY Phone (859) Standard Operating Procedures

REGIONAL SCHOOL SPRING 2015

LEAGUE CITY VOLUNTEER FIRE DEPARTMENT 555 W. Walker League City, TX Phone

World Trade Center Health Program FDNY Responder Eligibility Application

Fort Washington, PA Dresher, PA Membership Applicant Process Description

Grand Chute Fire Department

Volunteer Fire Department Member Application

COURSE LOCATION DATE INSTRUCTOR PREREQUISITES

BEN CLARK TRAINING CENTER RIVERSIDE COUNTY SHERIFF S DEPARTMENT DAVIS AVENUE SUITE A, RIVERSIDE, CA

REGIONAL SCHOOL SPRING 2018

National Responder Preparedness Center 4678 Kentucky 181 North Greenville KY NRPC (6772) Fax

2017 Technical Rescue Conference

PRELIMINARY APPLICATION FOR BASIC FIRE ACADEMY

Volunteer Service Application

Firefighter 1 Course Registration Package

Volunteer Response Advocate/Intern Application Form

45TH ANNUAL FIRE & EMS TRAINING SCHOOL SEPTEMBER 29-30, 2018

Jefferson County Personal Accountability System Instructor s Guide

NYS Weekend C/o Fire Academy FSA 600 College Ave. Montour Falls, NY 14865

University of Maryland Maryland Fire and Rescue Institute. Report To. Maryland State Firemen s Association Executive Committee

HORRY COUNTY FIRE RESCUE DEPARTMENT PROUD * PREPARED * PROFESSIONAL STANDARD OPERATING GUIDELINE. SOG 607 Live Fire Training in Acquired Structures

Firefighter Paramedic

MT. WASHINGTON FIRE PROTECTION DISTRICT 772 NORTH BARDSTOWN ROAD MT. WASHINGTON, KY

ALBANY COUNTY FIRE TRAINING SCHEDULE

The South Carolina Fire Academy s Commitment to You Our Customer

DoD M, December 1995

FIREFIGHTER-PARAMEDIC (Fire Rescue)

ELLICOTT CITY VOLUNTEER FIREMEN S ASSOCIATION, INC.

Cognitive Written Test Identify the needed support resources Chapter 7, pages RK: equipment organization and tracking methods

All Classes Are Free Of Charge

SPRING 2017 FIREFIGHTER I PROGRAM APPLICATION PACKET

REEDSBURG AREA AMBULANCE SERVICE EMPLOYMENT APPLICATION

Fire Department Safety Officer: Incident Safety Officer

Danville Fire Department. Application Packet. Full-Time Paramedic / Firefighter

Mission Statement Flint Township Fire Department is dedicated to promoting safety, saving lives, and fighting fires. We accomplish this by being

Transcription:

Montgomery County Fire Academy Fall 2014 Course Schedule County of Montgomery Commissioners Joshua Shapiro Leslie S. Richards Bruce L. Castor, Jr. Chair Vice Chair Commissioner Montgomery County Fire Academy Public Safety Training Campus 1175 Conshohocken Road Conshohocken, PA 19428 610-278-3500 Office 610-278-3499 Fax

Montgomery County Fire Academy (MCFA) Public Safety Training Campus 610-278-3500 Phone System After the greeting press 4 to enter the extension menu. Enter the extension and then press pound(#). Director of Fire Academy Thomas J Garrity 610-278-3500 x6606 tgarrity@montcopa.org Registrar Cynthia Myers 610-278-3500 x6607 cmyers@montcopa.org Registration, billing, transcripts, general fire academy questions Administrative Assistant Karen Zero kzero@montcopa.org Scheduling and administration 610-278-3500 x6625 Coordinators Herb Adams, Certification 610-278-3500 x6608 hadams@montcopa.org Prerequisites for certification, schedule retest of certification test, information about certification, officer and management courses Edward O Hanlon, Fire and Industrial 610-278-3500 x6609 eohanlon@montcopa.org Entry level fire training, general fire courses, fire safety, fire extinguisher, and industrial fire training Christopher Feder, Rescue 610-278-3500 x6610 cfeder@montcopa.org Rescue programs and emergency vehicle driver training Martin Joyce, Hazardous Material 610-278-3500 x6611 mjoyce@montcopa.org Hazardous material courses, fire police courses and live-fire training Office hours: 8:30 a.m. to 4:15 p.m. M F Coordinators are present at various other times during the evening and on weekends. Telephone messages are only retrieved during regular business hours. Transcript (Student records) Requests are to be in writing. Forms are found at the Fire Academy web site on the Fire Academy home page. The Montgomery County Fire Academy is closed on the following dates in the fall of 2014: September 1, October 13, November 11, November 27, December 25 2

Registering for Training at the Montgomery County Fire Academy Individuals wishing to attend a MCFA training program must complete and submit a Student Registration Form. At this time the Student Registration Form is submitted as a hard copy or as a scanned copy attached to an e-mail. When an electronic version of the Student Registration form is available, the student may submit an electronic registration form. If the training is a Certification Course, a Certificate Course or any training that includes hands-on training, the student must obtain the signature approval of his/her fire company, ambulance company, rescue company or employer who approves the student for training and attests to the requirements of age and Workmen s Compensation insurance. If pre-requisite training is required in order to register for training, the MCFA may require the student to provide proof of the pre-requisite training prior to registration. Students must register at least 10 calendar days prior to the scheduled start date of training. Registrations received less than 10 days before the start date of training are accepted at the discretion of the Training Coordinator. Students will be accepted on the timeliness of their application, i.e. the first to apply is the first to be accepted. MCFA may limit the number of students in any class based upon the constraints of the training. MCFA reserves the right to reserve seats in any class for Montgomery County firefighters or public safety organizations whose employees require this training. MCFA may deny training to anyone who is being prosecuted for or convicted of arson or a related crime, who is on probation for a criminal offense or who has been convicted of a felony. MCFA may waive the requirement for Fire Chief/Employer approval. Payment. Checks should be made payable to the Montgomery County Treasurer. In order for the MCFA to bill a student s fire company, ambulance company, rescue company or employer the student must have the approval of their chief, training officer or employer, either as a signature on the Company Authorization line of the application form or with an e-mail from the chief, training officer, employer or the individual with this authority. Reimbursement Students who wish to withdraw from a training program must notify the registrar Cynthia Myers (cmyers@montcopa.org) either by phone, by e-mail, with a fax or a letter. Fire Company officers may withdraw members using the same procedure. The Montgomery County Treasurer will refund fees for cancelled training as long as the MCFA is notified prior to the scheduled start of the training. Courses may be cancelled for inadequate registration. Should the MCFA cancel training for any reason, students will receive full reimbursement. Weather related closing In the event the weather conditions are poor please listen to KYW or check their web site. The closing number is 1339 for day classes. The closing number for classes beginning after 4:30 p.m. is 2339. Off site classes will be canceled as well. 3

Classes offered for the first time in the Fall 2014 schedule. General Requirements for Technical Rescue Hours: 48 Prerequisites: 18 years of age; Hazardous Materials Operations (current); First Aid and CPR (current for First Responder/Professional Rescuer) MCFA # 1350 Manual: Issued in class Auxiliary equipment: Fire/Rescue helmet with chin strap; eye protection (not a face shield), work clothing/coveralls leather/rope gloves (no vehicle rescue gloves), work shoes/boots Certificate: General Requirements Rescue Technician Certification IFSAC-ProBoard Limit: 24 students This program is designed to enhance the student s ability to perform critical skill sets to meet the intent of NFPA 1006: Standard for Technical Rescuer Professional Qualifications in the field of technical rescue. This course is designed for the experienced rescuer with a strong working knowledge of technical rescue operations in accordance with NFPA 1006 and 1670. Certification Prerequisites: 1. 18 years old 2. current Hazardous Materials Operations 3. CPR/First Aid at the First Responder or higher level Vehicle and Machinery Rescue Technician Level I Hours: 24 Prerequisites: PA Department of Health Basic Vehicle Rescue Technician; General Requirements for Technical Rescuer Certification, Hazardous Materials Operations (current); First Aid (current); CPR (current) MCFA # 1351 Manual: Issued in class Auxiliary equipment: Full turn out gear, eye protection Certificate: Vehicle & Machinery Technician Level I Certification IFSAC-ProBoard Limit: 24 students This course covers vehicle and machinery rescue operations utilizing appropriate equipment, methodologies, and protocols as well as patient and resource management techniques. Participants who successfully complete the course will test for certification at the Vehicle and Machinery Technician Level I. Certification Prerequisites: 1. PA Department of Health Basic Vehicle Rescue Technician 2. General Requirements for Technical Rescuer Certification Level I IFSAC-ProBoard 3. Hazardous Materials Operations current 4. CPR and First Aid current 4

Ropes & Rigging Refresher Hours: 8 Prerequisite: One of the following: Rescue I-General Fire Service Rescue (FRES), Rope/ High Angle Rescue I (RORE), Basic Rigging for Rope Rescue (ROBR), Confined Space Rescue (CSR), PA DOH Basic Rescue Practices (BRP), IFSAC/ProBoard NFPA 1006 General Requirements Certification or comparable operational rope rescue training MCFA # 1361 Manual: Issued in class Certificate: MCFA Auxiliary equipment: Fire/Rescue helmet with chin strap; eye protection (not a face shield), work clothing/coveralls, leather/rope gloves (no vehicle rescue gloves), work shoes/boots Limit: 24 students This program is designed to review basic knots, bends, hitches, rigging and the simple mechanical advantage system. Through classroom sessions and practical application the students will review the basic knots used in firefighting and rescue operations. Students will be presented with the newest and most current information relating to rope rescue and changes to consensus based standards and good industry practices. Hazardous Materials Awareness Certification Hours: Prerequisites: None MCFA # 1606 Manual: None Auxiliary Equipment: notebook, pen/pencil Certificate: Hazardous Material awareness Certification IFSAC-ProBoard Limit: 30 students This course will refresh and reinforce the basic knowledge and skills of a Hazardous Materials Awareness responder while at the same time help students to prepare to test successfully in the Hazardous Materials Awareness Certification. Students will be able to perform more effectively and safely during a hazardous material incident. Hazardous Materials Awareness Refresher training included as part of the class. Student should have experience in using the DOT Emergency Response Guide. Certification Prerequisites: 1. Hazardous Materials Awareness or Refresher dated within one year of test date. 5

Autism Awareness for the First Responder Hours: Prerequisite: MCFA # 5004 Manual: None Auxiliary equipment: notebook, pen/pencil Certificate: MCFA Limit: 30 students Autism spectrum disorders (ASDs) are a group of developmental disabilities that can cause significant social, communication and behavioral challenges. People with ASDs handle information in their brain differently than other people. Someone on the spectrum is 7 times more likely to need emergency services and it is important that firefighters understand the best way to interact with a child or adult diagnosed with a spectrum disorder. The following courses present an opportunity for company officers as well as firefighters to acquire important strategy and tactics for fighting fire. Basement and Garage Fires Hours: 4 Prerequisite: Interior Fire Fighter* MCFA # 5003 Manual: None Auxiliary equipment: notebook, pen/pencil Certificate: MCFA Limit: 30 students The modern residential basement and garage may be packed with electronic equipment and furnishings. A basement or garage fire can present serious challenges for responding firefighting crews. This course addresses the important issues such as size up, strategy, tactics deployment and safety that fire officers and firefighters must address at both a basement fire and at a garage fire. Open the Roof Hours: 4 Prerequisite: Interior Fire Fighter* MCFA # 5002 Manual: None Auxiliary equipment: notebook, pen/pencil Certificate: MCFA Limit: 30 students Vertical ventilation can be the most challenging task on the fire scene. It can also be the most dangerous! Countless numbers of firefighters have lost their lives during such operations. This course will address staffing, roof composition/construction and equipment needs for ensuring safe and effective vertical ventilation. 6

The Residential Structure Fire Hours: 4 Prerequisite: Interior Fire Fighter* MCFA # 5001 Manual: None Auxiliary equipment: notebook, pen/pencil Certificate: MCFA Limit: 30 students This course is designed to introduce and review for firefighters and company officers the strategy and tactics of fighting a fire in several different types of residential occupancies such as the row house, the town house and the garden apartment building. Wood Frame Construction Awareness Hours: 4 Prerequisite: None MCFA # 1168 Manual: None Auxiliary equipment: Certificate: MCFA Limit: 30 students This course is designed to provide fire fighters with a basic understanding of wood-frame building construction techniques, materials and terminology. This knowledge will allow a company officer to provide a more concise and accurate initial status report and perhaps most importantly this course will provide insight into how fire and smoke can spread in a woodframe residential occupancy and how quickly light-weight, wood-frame construction can fail when subjected to fire conditions. New this semester, the Montgomery County Fire Academy will issue a certificate of completion for Strategy and Tactics Part I to those students who successfully complete the following four courses: Wood Frame Construction Awareness, Tuesday October 7th The Residential Structure Fire, Thursday October 23rd Open the Roof, Saturday October 25th (AM) and Basement and Garage Fires, Saturday October 25th (PM) 7

Courses by Date Montco cost Other cost Course Number $310 $310 1350 Course Name Dates General Requirements for Technical Rescue Certification Preparation* Pilot $165 $210 4003 Exterior Fire Fighter $310 $470 1653 Hazardous Materials Technician September 2, 6, 7, 20, 21, 23; October 5, 11, 15 September 3, 6, 10, 13, 15, 17, 18, 20, 22, 24, 27, 28, 29; October 1, 6 September 3, 6, 10, 13, 17, 20; October 1, 8, 11, 15, 18, 25, 29 $105 $175 1728 Fire Instructor September 6, 13, 20 $70 $150 1638 Hazardous Materials Operations September 7, 14, 21 $20 $25 1639 Hazardous Materials Operations Refresher September 9, 11 $10 $15 1334 Water Rescue for First Responder Awareness September 9 $100 $175 4001 Introduction to the Fire Service September 13, 14, 21 $90 $110 1242 Pump Operations I September 13, 14 $70 $85 1343 BVR Awareness September 13, 14 $10 $15 1401 Fire Safety Orientation September 17 9:00 a.m. Make Up Testing September 18 $40 $50 1570 Fire Police September 20, 21 $40 $45 1606 $105 $160 1731 Fire Officer I Hazardous Materials Awareness Certification Preparation September 21 9:00 a.m. September 23, 27; October 5, 9, 18, 25 $125 $155 1690 Hazardous Material Operations Skills Enhancement September 27, 28 $95 $120 1344 BVR Operations September 27, 28 $30 $40 1157 Air Craft Crash Short September 27, 28 $110 $140 4002 Fire Ground Support September 30; October 2, 7, 14, 19, 21 $10 $15 1325 Confined Space Awareness September 30 $270 $325 1121 FF I Skills Enhancement October 5, 19, 26; November 2, 6, 9 $40 $50 1196 Managing Vehicle Firefighting Operations October 5 $10 $15 1168 Wood Frame Construction Awareness October 7 $70 $150 1638 Hazardous Material Operations October 7, 9, 14, 16, 21, 23 $55 $65 1361 Ropes & Rigging Refresher October 7, 14 $10 $15 1318 Trench Rescue Awareness October 8 $130 $165 1266 Truck Company Operations October 9, 16, 19 $135 $155 1122 FF II Skills Enhancement October 11, 18, 23; November 1 $410 $475 4004 Interior Fire Fighter October 14, 16, 18, 21, 23, 28, 30; November 2, 4, 9 8

Courses by Date Unless otherwise noted Monday - Thursday classes begin @ 6:45 p.m. Saturday - Sunday classes begin @ 8:15 a.m. Make Up Testing October 15 $40 $50 1571 Advanced Fire Police October 18, 19 $65 $80 1098 Junior Firefighter October 18, 25 $115 $145 1345 BVR Technician October 18, 19; 23 $20 $25 1639 Hazardous Material Operations Refresher October 19 $10 $15 1678 Carbon Monoxide Response October 20 $10 $15 1334 Water Rescue for First Responder Awareness October 21 $10 $15 5004 Autism Awareness for the First Responder October 21 $10 $15 5001 The Residential Structure Fire October 23 $10 $15 5002 Open the Roof October 25 8:15 a.m. $10 $15 5003 Basement & Garage Fires October 25 12:45 p.m. $90 $110 1241 Pump Operations II October 25, 26 $125 $155 1690 Hazardous Material Operations Skills Enhancement October 25, 26 $250 $250 1351 Vehicle & Machinery Rescue Technician October 25, 26; November 1, 15, 22; Level I Certification Preparation* Pilot December 10 $10 $15 1398 VFIS Highway Safety October 29 $105 $125 1732 Fire Officer II October 30; November 1, 9, 15, 22 $135 $185 1691 Hazardous Materials Technician Skills Testing November 1, 2 $65 $80 1069 Emergency Vehicle Driver Training November 1, 2 $10 $15 1334 Water Rescue for First Responder Awareness November 4 $25 $30 11212w Open Challenge Certification Written Test November 6 $150 $175 11212S Open Challenge Certification Skills Test November 9 Make Up Testing November 12 $10 $15 1329 Air Bag Seminar November 13 $60 $75 1567 Incident Safety Officer November 15, 16 $95 $160 1244 Driver Operator Pumper Certification Preparation November 16, 23 $40 $45 1606 Hazardous Materials Awareness Certification Preparation November 16 9:00 a.m. $10 $15 1341 Structural Collapse Operations Level I November 18 $20 $25 1639 Hazardous Materials Operations Refresher November 23 $20 $25 1639 Hazardous Materials Operations Refresher December 1, 3 Make Up Testing December 10 9

Courses Alphabetically Course Name Dates Advanced Fire Police October 18, 19 Air Bag Seminar November 13 Air Craft Crash Short September 27, 28 Autism Awareness for the First Responder October 21 Basement & Garage Fires October 25 12:45 p.m. BVR Awareness September 13, 14 BVR Operations September 27, 28 BVR Technician October 18, 19; 23 Carbon Monoxide Response October 20 Confined Space Awareness September 30 Driver Operator Pumper Certification Preparation November 16, 23 Emergency Vehicle Driver Training November 1, 2 Exterior Fire Fighter September 3, 6, 10, 13, 15, 17, 18, 20, 22, 24, 27, 28, 29; October 1, 6 FF I Skills Enhancement October 5, 19, 26; November 2, 6, 9 FF II Skills Enhancement October 11, 18, 23; November 1 Fire Ground Support September 30; October 2, 5, 7, 14, 19, 21 Fire Instructor September 6, 13, 20 Fire Officer I September 23, 27; October 5, 9, 18, 25 Fire Officer II October 30; November 1, 9, 15, 22 Fire Police September 20, 21 Fire Safety Orientation September 17 9:00 a.m. General Requirements for Technical Rescue Certification Preparation* Pilot September 2, 6, 7, 20, 21, 23; October 5, 11, 15 Hazardous Materials Awareness Certification Preparation September 21 9:00 a.m. Hazardous Materials Awareness Certification Preparation November 16 9:00 a.m. Hazardous Materials Operations September 7, 14, 21 Hazardous Materials Operations October 7, 9, 14, 16, 21, 23 Hazardous Materials Operations Refresher October 19 Hazardous Materials Operations Refresher September 9, 11 Hazardous Materials Operations Refresher November 23 Hazardous Materials Operations Refresher December 1, 3 Hazardous Materials Operations Skills Enhancement September 27, 28 Hazardous Materials Operations Skills Enhance- October 25, 26 10

Courses Alphabetically Unless otherwise noted Monday - Thursday classes begin @ 6:45 p.m. Saturday - Sunday classes begin @ 8:15 a.m. Hazardous Materials Technician September 3, 6, 10, 13, 17, 20; October 1, 8, 11, 15, 18, 25, 29 Hazardous Materials Technician Skills Testing November 1, 2 Incident Safety Officer November 15, 16 Interior Fire Fighter October 14, 16, 18, 21, 23, 28, 30; November 2, 4, 9 Introduction to the Fire Service September 13, 14, 21 Junior Firefighter October 18, 25 Make Up Testing September 18 Make Up Testing October 15 Make Up Testing November 12 Make Up Testing December 10 Managing Vehicle Firefighting Operations October 5 Open Challenge Certification Skills Test November 9 Open Challenge Certification Written Test November 6 Open the Roof October 25 8:15 a.m. Pump Operations I September 13, 14 Pump Operations II October 25, 26 Ropes & Rigging Refresher October 7, 14 Structural Collapse Operations Level I November 18 The Residential Structure Fire October 23 Trench Rescue Awareness October 8 Truck Company Operations October 9, 16, 19 Vehicle & Machinery Rescue Technician Level I Certification Preparation* Pilot October 25, 26; November 1, 15, 22; December 10 VFIS Highway Safety October 29 Water Rescue for First Responder Awareness September 9 Water Rescue for First Responder Awareness October 21 Water Rescue for First Responder Awareness November 4 Wood Frame Construction Awareness October 7 11

Montgomery County Fire Academy Student Registration Form Mail/Fax to the Montgomery County Fire Academy: ATTN: Registrar Office number: 610-278-3500 Pre-requisites 1175 Conshohocken Rd Fax number: 610-278-3499 MCFA use only Conshohocken, PA 19428 Date of Birth / / Student ID M D Y first three letters last name & last four SSN Full Name: Home Address : Number & street name City: State: Zip Code I certify to the best of my knowledge that the above information is correct. I also meet pre-requites and age requirements for this course. I also understand that any falsification of information may lead to my registration being rejected. Student Signature: *Contact Information: email address *Phone number: Cell Work Home during business hours *Phone number & email are strongly suggested in order to contact student to confirm registration (email confirmation) & advise of any course changes. Please check if new email/phone Course Information: Name of course: Start Date: / / Only one course per form. M D Y MCFA Course # Fee $ Payment Authorization: Student pays Method: check # Money order # Voucher/Purchase Order # (officer initial) Charge company account (officer initial) Make checks payable to: Montgomery County Treasurer Company Authorization: I certify that the above student meets the prerequisites and age requirements to attend this course, has working papers, and is covered by my company Workmen s Compensation policy while attending this training course. Signature Title: Print Name: Email or Contact info: phone Name of Fire Company, Ambulance Squad, etc: Montco # Out of County # County Mailing Address: Street address/po Box City State County: Municipality: 6/2013 12