Fillable Call Volunteer Firefighter Training Program Fillable Application 0

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Call Volunteer Firefighter Training Program Fillable Application 0

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U.S.A. forms for Commonwealth of Massachusetts

BROWSE COMMONWEALTH OF MASSACHUSETTS (MA) FORMS

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Must be submitted to complete the application process
CALL/VOLUNTEER FIREFIGHTER TRAINING PROGRAM APPLICATION
Training Location:
Start Date:
Student Name:
MFA Student ID:
Department:
Email Address:
MASSACHUSETTS TRAINING COUNCIL PROTECTIVE CLOTHING COMPLIANCE FORM
In accordance with the Massachusetts Fire Training Council policy for Live Fire Training Exercises and Evolutions, this
section must be completed for each person who registers for any Academy program which includes live fire training.
I hereby attest that the ensemble (ensemble includes helmet, protective hood, coat, trousers, gloves and boots)
to be used by:
provided by:
this department
the student
(print student’s name)
will at all times throughout the participation of the live fire training, be less than ten (10) years old. In addition, I further attest
that this ensemble also complies with the following standards:
NFPA 1971: Standard on Protective Ensemble for Structural Firefighting and Proximity Fire Fighting
OSHA 29 CFR 1910.156(e) (2) (iii)
Chief of Department Signature:
Date:
Student Signature:
Date:
MASSACHUSETTS TRAINING COUNCIL STATEMENT OF COMPLIANCE
I have read the Rules and Regulations. I further understand that my failure to abide by the rules and
regulations as set forth can result in my dismissal from the program.
I certify that I am 18 years of age or older.
I certify that I have a High School Diploma or GED in order to be eligible for entry into the program.
Chief of Department Signature:
Date:
Student Signature:
Date:
Department of Fire Services
Massachusetts Firefighting Academy
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Call Volunteer Firefighter Training Program Fillable Application 0

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Completed 17 March 2020

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