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WOLCOTT STATE FIRE TRAINING SCHOOL presents Spring 2012 Firefighter I and Hazardous Materials Operational Certification Training Program
This training class will meet the NFPA 1001 Standard for Firefighter Professional Qualifications for Firefighter I, 2008 edition, as well as State of CT certification in Hazardous Materials Operational NFPA 472, 2008 edition. This class will run on Tuesdays and Thursday nights from 6:30pm-10:30 pm, and various Saturdays and Sundays from 8am -16:30pm. Jones & Bartlett Fundamentals of Firefighter skills 2nd Edition will be provided for each student. Students will need their own Full protective clothing and SCBA with spare cylinder. Respirator Fit Testing for Scott and Survivor SCBA’s will be conducted during the class. Start Date: Tuesday March 20th, 2012 March 20,22,24,27,29,31 April 3,5,10,14,17,19,21,22,24,26,28 May 1,3,5,8,10,12, 15,17,19,22,24,31 Location: Wolcott State Fire Training School, Boundline Road, Wolcott, CT 06716 Class Cost $ 600.00 Includes all manuals, and certification fees. Class size is limited and filled on a first come first served basis. Application Closing Date: March 13th, 2012. For further information, please contact school director, Steve Veneziano, wsfsdirector@aol.com or 203-592-0624
WOLCOTT STATE FIRE TRAINING SCHOOL PO Box 6233 Wolcott, CT 06716 Name ______________________________________________ SS#_____________________ Phone ______________ Street ______________________________ Town___________________ Zip ____________ Date of Birth _________________ Course _FIREFIGHTER 1/ HM AWOPS_ Start Date __MARCH 20th, 2012 Fee _$ 600.00_ _____
As Chief of the ___________________________ Fire Department I hereby authorize the above applicant to participate in the above course and, therefore, understand that the above mentioned member will be covered by my department’s insurance while participating in such training and that the Wolcott State Fire School, its officers, agents or employees shall not be liable for any injuries sustained during such training. This candidate is considered by my department’s physician to be emotionally and physically fit to perform fire-fighting evolutions without special considerations. Chief’s Name ________________________________ Student’s Signature____________________________ Billing address______________________________________ PO#_____________________ Attach a copy of all prerequisite certificates( if necessary) List an emergency contact person: Name __________________________________________ Students Email address _______________________ NO application will be approved without Payment or a Purchase Order Reference# Name__________________________________________________
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