Application for Fire Certification / Search and Rescue Course Completion

*1. Official Application for Fire Certification/Search and Rescue Course Completion: Do you understand that all required fields must be appropriately completed or the application will be denied?
Yes

*2. Name: FIRST - MIDDLE INITIAL - LAST
First Name
Middle Name
Last Name
5. Suffix

*3. PERSONAL Email Address

*4. Date of Birth (MM/DD/YYYY)

*5. PSID # Format: XXXX-XXXX

*6. Course # - Required

*7. Type of Testing

*8. Please select the course name below that you are applying for.