Arizona Wildfire Academy - Prescott Arizona

6/28/08 NOTE: All course information and registration forms are for 2008. We are working to update these with 2009 information.

ONLINE REGISTRATION: Fill our the form below with all requested information. Upon submission of your registration, your request will be processed. We will contact you at the number you provided to obtain payment information. If you have any questions, please contact us.

PRINT AND MAIL REGISTRATION: If you would rather mail your registration form with payment, you can open and print our registration form. You can then mail or fax it to us with payment information.

* = Required Information

NOMINEE INFORMATION:

* Nominee Full Name

Working Job Title

* Nominee Address

Nominee Address 2

* City

* State/Province

* Zip/Postal Code

* Nominee Phone

Your best daytime contact number

Nominee FAX

* E-mail

NOMINEE AGENCY INFORMATION:

Nominee's Agency

Nominee's Supervisor

District Office

Agency Address

Agency Address 2

City

State/Province

Zip/Postal Code

Agency Phone

Agency FAX

PAYMENT AND COORESPONDENCE :

* Payment

Choose who we should contact for payment information:

* Correspondence

Choose to where we should send course materials and correspondence:

REQUESTED COURSE NAME:
Choose the course(s) you are applying for. You may choose more than one course if they do not overlap. See course schedule for dates and time.

D-110 - Dispatch Recorder	I-300 - Intermediate ICS
L-180 - Human Factors on the Fireline	L-280 A - Followership to Leadership
L-280 B - Followership to Leadership	L-380 - Fireline Leadership (Prescott Fire Center)
S-130/190 - Basic Firefighting & Fire Behavior	S-131 - Advanced Firefighter Training
S-200 - Initial Attack Incident Commander	S-203 - Intro to Incident Information
S-211 - Portable Pumps	S-212 A - Wildfire Power Saws
S-212B - Wildfire Power Saws	S-215 - Fire Operations in the Urban Interface
S-230 - Single Resource Boss (Crew)	S-231 - Engine Boss (Single Resource)
S-234 - Ignition Operations	S-248 - Status Check-In Recorder
S-260 - Interagency Incident Business Mgmt.	S-261- Applied Interagency Incident Bus. Mgmt.
S-270 - Basic Air Operations	S-290 A - Intermediate Wildland Fire Behavior
S-290B - Intermediate Wildland Fire Behavior	S-330 - Task Force / Strike Team Leader
S-336 - Fire Suppression Tactics	S-346 - Situation Unit Leader
S-359 - Medical Unit Leader	S-360 - Finance / Administration Unit Leader
S-390 - Intro to Fire Behavior Calculations	M & C - Maps and Compass
STEX (B) - Tactical Decision Games / Sand Table Exercises - TtT
Wildfire Risk Assessment - Wildfire Risk & Hazard Severity Assessment
Wildfire Foam - Class A Foam Use & Tactics in the Wildland

EXPERIENCE INFORMATION:

* Prerequisites:

List courses and completion dates of courses that you have taken pertinent to the course you are applying for: (See course description for prerequisites)

Example: For S-230 Crew Boss
S-131 - March, 1999
S-290 - May, 2000

* Position Qualifications:

List your past position qualifications or completed task books pertinent to the course you are applying for: (See course description for prerequisites)

Example: For S-230 Crew Boss
FFT1 (Squad Boss) - March, 2001

* Remarks:

Use the box below to explain the importance of taking this course.

SUBMISSION:

REQUIRED: By checking the box to the left, I swear all information above is true. I swear that I am physically, mentally, and legally able and authorized to take the requested courses.

REQUIRED: By checking the box to the left, I am affirming that I have read and understand the following refund policy. Refund / Cancellation Policy: No refunds will be given to “no shows.” Substitutions are possible with qualified students from the same agency. Refunds given with 30 days’ notice, to give those on the waiting list time to fill in. It is the responsibility of the STUDENT to meet the prerequisites and complete any pre-work prior to the start of the class, or the deadline set by the instructor.

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