GENESEE COUNTYASSOCIATION OF FIRE CHIEF’S
2017-18 Firefighter Training Class
Registration Form
Driver Training(DT)(Two (2) classroom sessions only.) Class Fee: $25 in-county, $45 out-county
Mundy Twp Station 2, 1800-2200 hrs. Monday, October 9 and Wednesday, October 11
Swartz Creek Area Station 1, 0900-1300 hrs Tuesday, October 10 and Friday, October 13
Clandestine Lab (ClanLab) Class Fee: $25 in county, $40 out-county
Mundy Twp Station 2, 1800-2200 hrs.Wednesday, November 15
Swartz Creek Area Station 1, 0900-1300 hrs Friday, November 17
NIMS ICS and resource management (Old NIMS for the Fire Service) (NIMS ICS)(All classes start at 0800) Class Fee: $85 in-county, $100 out-county
Mundy Twp Station 2, Sat. December 9, and Sun., December 10. When registering in SMOKE, utilize the class under Course ending in 0011.
Hazardous Materials Operations (HazMat) (All classes start at 0800) Class Fee: $125 in-county, $150 out-county (The OFFT no longer offers HazMat Awareness)
Mundy Twp Station 2, Sat., March 3, Sun., March 4 and Sat., March 10. When registering in SMOKE, utilize the class under Course ending in 0011.
Everyone Goes Home (EGH)(Class Fee: $25 in county, $40 out-county
Mundy Twp Station 2, 1800-2200 hrs. Monday, March 19
Swartz Creek Area Station 1, 0900-1300 hrs Tuesday, March 20
All class fees listed above include textbooks (HazMat requires the usage of the IFSTA 6th Edition, not provided)
Paid for by Student
All fees must be paid for in advance if student is making payment.
Please DO NOT send class fees with registration. An invoice will be sent to each department.
Registration - PLEASE PRINT LEGIBLY!
Name:______Department: ______
SMOKE Personal ID # ______NFIRS: ______
Home Address: ______
City, zip: ______Home telephone no: ______
Date of Birth: ______Email:______
Emergency Contact Person: ______Phone: ______
All class registration forms must be approved and signed by the Fire Chief.
* THIS INFORMATION IS CONFIDENTIAL AND IS PROTECTED BY THE FEDERAL PRIVACY ACT.
______
Fire Chief Signature Contact Phone Number
NOTE: The Office of Fire Fighting (OFFT) System Maintenance of Knowledge and Education (SMOKE) requires ALL students to be registered by the Fire Chief and in turn have the student register for ALL OFFT classes using SMOKE.his form serves to verify, by the Fire Chief’s signature, that tuition will be paid by either the student or the sponsoring fire department.
Mail or fax completed registration forms to: Brent Cole, Swartz Creek Area Fire Department, 8100-B Civic Dr., Swartz Creek, MI 48473 Telephone: 810-635-2300 Fax 810-635-7461 email:
D:\COLE\OFFT\Training Committee\Course Registrations\2018\17-18DT-HazMat-ClanLab-NIMS.DOC