FIRE SAFETY INSPECTOR
PREREQUISITE: Firefighter Certification
Haz Mat Awareness Certification
FEE:$650.00 includes textbooks
COURSE INFO:
CRN # 42574
DATES: Monday 1/12, Thursday 1/15, Tuesday 1/20,
Wednesday, 1/21, Friday 1/23, Monday 1/26,
Tuesday 1/27, Wednesday 1/28, Friday 1/30,
Monday, 2/2
STATE EXAM: Wrap up and Review
February 2, 2015
(time and location to be announced)
LOCATION: Willoughby Fire Department
37000 Euclid Avenue
Willoughby, OH 44094
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TIME:9:00 a.m. to 5:30 p.m.
CLASS SIZE:24 Maximum
INSTRUCTOR: David Telban
REGISTRATION: Call Gwen Kovach @ 216-987-5429 orMarcey Virant @ 216-987-5060
to ensure an orderly registration process.
The completion of this course will lead to State certification of the officer/firefighter as a fire
inspector with the authority to write up violations of the Ohio Fire and Building Codes
and to enforce corrections and appear in court to enforce these corrections if necessary.
The student will learn how to use the codebooks, how to conduct himself/ herself in dealing
with the property owners and occupants and recognition of hazards and violations.
The College will provide all current codebooks, handouts and other materials.
/ Advanced Fire Training Registration FormI will be attending:Fall Spring Summer ______
Please Print and
Complete All Items / New Student / Returning Student / Last Attended:
Month Year
Personal Information / Employment Information
Dept
SS# (last 4 digits required): / Position
Name / Address
LastFirstMIMaiden / NumberStreet
Address
NumberStreetApt. No. / CityStateZipCounty
Phone
CityStateZipCountyCityStateZip County / Area CodeNumberStateZipCounty
Phone / FAX
Area Code Number / Area Code Number Extension
Sex / Male Female / Mail or FAX In Registration
Ethnic Code / Black
White (non-hispanic) / American Indian or Alaskan
Asian, Pacific Islander, Indian Subcontinent /
Payment Type
Bill Company / P.O # ______Hispanic / Other ______/ Check Enclosed / Money Order
Date of Birth
(required) / ______/ Master Charge
Visa / Exp. Date ______
Exp. Date ______
U.S. Citizen / Yes No / Discover
V Code ______
Approval of 2.4% non-refundable
Processing fee ______ / Exp. Date ______
Registration Information: / Account Number / ______
Please make checks payable to CuyahogaCommunity College. / Name on Card / ______
To register over the phone, please call (216) 987-5429 or
216-987-5060. Fax registrations to (216) 987-5468 / Signature
Mail registrations to CuyahogaCommunity College; 11000 Pleasant Valley Rd.; WPSTC Room 124; Parma, OH 44130. .
NOTE: If your dept. is paying, you must fax or include a copy of the purchase order..
Course Reference Number / Course Title / D / B
4 / 2 / 5 / 7 / 4 / Fire Safety Inspector / 1/12/15 / $650
Wedd-reg.dot 9/21/00