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Fire Officer III Registration Form
Fire Officer III Course Pricing:
MEMBER/NON-MEMBER $550.00 -cost covers Jones and Bartlett Chief Officer, Principles and Practices, Second Edition
48-hour class: February 11-12; March 11-12; April 8-9; 2017
8:00 a.m. - 5:00 p.m.
Western Reserve Joint Fire District
7619 Youngstown-Pittsburgh Road
Poland, OH 44541
This satisfies the requirements of NFPA 1021 Standard for Fire Officer Professional Qualifications
First Name
Last Name
Current Position or Rank
Department
Address
City
State
Zip
Department Phone
Department Fax
Email
Home Address
City
State
Zip
Personal Phone
Select Program Site
choose one
February 11-12; March 11-12; April 8-9,2017
Select Program Pricing
choose one
Member/ Non-Member $550.00
Please answer the following:
Is this program needed for promotion?
choose one
Yes
No
Are you a career or volunteer firefighter?
choose one
Career
Volunteer
Is taking Fire Officer I a department requirement?
choose one
Yes
No
Do you have 5 years experience?
choose one
Yes
No
CANCELLATION POLICY: Cancellations received prior to seven (7) days before the event will receive a full refund less a $10.00 administrative fee. Cancelled registrations received within one week of the date of the activity and no-shows are non-refundable.
- denotes required fields
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