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WOLCOTT STATE
FIRE TRAINING
SCHOOL
presents
Spring 2012 Firefighter
2
This training class will meet the
NFPA 1001 Standard for Firefighter
Professional Qualifications for Firefighter 2, 2008 edition. This class
will run on Monday and Wednesday 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 used for this program. This
manual is included within the tuition. Students will need to provide their own
Full protective clothing and SCBA with spare cylinder.
Starting date: Monday April 9th,
2012
April 9,11,16,18,21,23,25,30 May 2,5,9,14,16,20,23,30 June
3rd
June 11th (Written Certification
Exam)
Location: Wolcott State
Fire Training School,
Boundline Road, Wolcott, CT 06716
Class Cost $ 450.00 Includes all manuals, and certification
testing fees.
Application Closing Date: April 2nd,
2012
For further information, please
contact school Director Steve Veneziano, at
wsfsdirector@aol.com, or 203-592-0624 or visit us on the web at www.wolcottfireschool.com
____________________________________________________
TRAINING
APPLICATION
WOLCOTT
STATE FIRE TRAINING SCHOOL
PO
Box 6233
Wolcott,
CT 06716
203-879-1559 or 203-592-0624
Fax 860-945-3532
Name
___________________ _ SS# __________________ Phone____________
Street
__ _________
Town ___________ Zip _____
Date of Birth _______
Fire Dept. ____ __________________
Course _FIREFIGHTER 2_ Start Date __April 9th, 2012
Fee _$ 450.00_ _____
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 _____ ______ __ __________________
Chief’s Signature ____________ ________ Date ____________
Student’s Signature ___________________
Date _____________ _
Billing
address______________________________________________________
PO#_____________________
Attach a copy of all prerequisite certificates ( if
necessary) List an emergency contact person:
Name _____
Phone ______
Students Email address _______________________________________________
NO
application will be approved without Payment or a Purchase Order Reference#
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