Fillable Oxnard College Fire Technology/Academy Request for CPAT Registration (Oxnard College)

Fill Online, Printable, Fillable, Blank Oxnard College Fire Technology/Academy Request for CPAT Registration (Oxnard College) Form

Use Fill to complete blank online OXNARD COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Oxnard College Fire Technology/Academy Request for CPAT Registration (Oxnard College)

On average this form takes 7 minutes to complete

The Oxnard College Fire Technology/Academy Request for CPAT Registration (Oxnard College) form is 1 page long and contains:

  • 1 signature
  • 0 check-boxes
  • 22 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Oxnard College

BROWSE OXNARD COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Full Nam
e:
Date:
Last
First
M.I.
Address:
Street Address
Apartment/Unit #
CA
City
State
ZIP Code
Phone:
Drivers License #:
Date of Birth:
Desired Test Date:
SEE REVERSE SIDE FOR SCHEDULE
Orientation Dates (included in $150 fee)
1) 2)
Pre-Test Dates ($25 each)
1) 2)
Registration Fees
FEES:
• $150.00 for Test and two Orientations
(no discount applicable if retesting)
• $25.00 for each timed Pre-Test
• $25.00 fee will be charged for
rescheduling requests
.
ALL FEES ARE NON-REFUNDABLE
Fees must be paid in order for your registration to be
accepted. Payment may be made by check, cashier’s check
or money order made payable to “OC CPAT”.
(We do not accept cash or credit cards). Personal checks
will not be accepted within one week of the CPAT.
Registrations received one week prior to the test date must
be paid by cashier’s check or money order.
Unsigned CPAT Registrations Will Not Be Accepted
Miscellaneous Information
Slots are filled on a “first come, first served” basis. Your application will be formally accepted once payment is received and
we will send a confirmation via phone call or e-mail. NO REFUNDS WILL BE OFFERED, but every effort will be made to
schedule you into another test date. Events must be completed within 12 months of the original payment date or all fees
may be forfeited.
Statement of Understanding and Candidate Signature
I fully and completely understand all of the information on both sides of this form and wish to register for the CPAT
test hosted by Oxnard College.
Candidate signature
Date
FOR STAFF USE ONLY – DO NOT WRITE BELOW THIS SPACE
Date application received for processing:__________________ Date applicant notified:____________________
Currency/Amt.$ ______________ Staff Initial _________ Comments _________________________________
Oxnard College Fire Technology/Academy Request for CPAT Registration
Please complete the form below and mail it along with the appropriate registration fee to:
MAILING ADDRESS: Our Testing Site is Off Campus at:
Oxnard College Fire Technology
104 Durley Avenue
Camarillo, CA 93010
104 Durley Ave.
Camarillo, CA 93010
(Camarillo Airport)
For more information, please send an email to: ocfiretech@vcccd.edu or call
(805) 678-5260 CPAT Coordinator is Dan Spykerman Fax (805) 484-1651
click to sign
signature
click to edit
About the CPAT
Our
m
ission f
or t
he Ventura County Fire Chiefs Association is to provide physically qualified firefighter candidates, utilizing the correct
application of all components of the International Association of Fire Fighters (IAFF) and the International Association of Fire Chiefs
(IAFC) Candidate Physical Ability Test (CPAT). We are certified and monitored by the California Joint Apprenticeship Committee (C-
JAC). C-JAC issues certificates of completion to all candidates that successfully complete our CPAT. The test consists of eight
separate job related tasks that are performed in a continuous sequence. The candidate has 10 minutes and 20 seconds to complete
all eight tasks.
2019 Upcoming Orientation and Test Dates
ORIENTATION & PRE-TEST
Saturdays (0900 HRS - APPROX. 1300 HRS)
ORIENTATION & PRE-TEST
Fridays (0900 HRS - APPROX. 1300 HRS)
TEST DATES
Saturdays (0830 HRS - APPROX. 1400 HRS)
January 19, 2019 January 25, 2019 January 26, 2019
April 6, 2019 April 12 2019
April 13, 2019
June 15, 2019
October 19, 2019
June 21, 2019
October 25, 2019
June 22, 2019
October 26, 2019
January 18, 2020
January 24, 2020
January 25,
2020
NOTE: Dates may be added or cancelled as necessary, depending on demand. A CPAT test may be cancelled due to weather
factors. Candidates assigned to a test that is cancelled will be notified as far in advance as possible and will automatically be
assigned to the rescheduled test date. REFUNDS WILL NOT BE GIVEN.
How and When to apply:
An application is provided for you on the reverse side. You may complete this form and submit it by mail, fax, or personal delivery.
Applicants must be 18 years of age and must show photo identification (i.e. drivers license, a government, school, or military ID, or a
passport, or visa). Candidates without a photo ID will not be allowed to take the CPAT. Apply Early. Applications are accepted in the
order they are received. Applications are not accepted until the fee has been paid. Select your test date, orientation, and Pre-Test(s),
fill out the application and submit it along with your fee to reserve a slot.
PRE-TEST PREPARATION PROGRAM
The International standards of the Candidate Physical Ability Test pre-test program requires that Oxnard College CPAT ensure that all
candidates have the opportunity to attend at least two (2) orientation sessions within 8 weeks of taking the CPAT. Additionally, the
pre-test program offers each candidate the opportunity to perform two (2) timed practice runs within 30 days prior to the CPAT. When
scheduled early, each test has ample time for the pre-test program.
Orientations – included when you pay for your test
• All candidates have the opportunity to attend at least two (2) orientation sessions within the 8 weeks of taking the CPAT.
• During the orientation, you will receive an overview and the opportunity to attempt each of the eight (8) events and determine
where you may need strengthening.
• You will be given a set of exercises to help physically prepare for the CPAT.
• If you elect not to participate in the available orientation sessions, you will be required to sign a waiver acknowledging
that the orientation was offered
.
Pre-tests (Practice Sessions) - $25 per session
• All candidates are offered the opportunity to practice the CPAT events at least twice before taking the CPAT. Practice sessions
include:
Timed practice runs to evaluate your level of preparedness.
Supervised practice on the CPAT course with a proctor designed to meet your needs.
Techniques, evaluation and conditioning advice from our CPAT proctors
TEST
• You will be notified by email of the confirmation of your orientation, practice and test schedule.
• Please report 30 minutes before your scheduled event.
Miscellaneous:
Certificates of completion will be issued to each successful candidate by C-JAC. There is no established time for how long the
certification is valid. Contact the Department(s) you are interested in to identify their certification requirements. Nationwide the cut off
dates range from 120 days up to one year.
An Orientation/Test preparation Guide will be given to each candidate at the orientation. If you do not attend the orientation, the Guide
is available at the CPAT office. Attending the orientation and using the guide may improve your chances of being successful on the test.
Dress code is strictly enforced. Per CPAT regulations, the dress code consists of long pants, footwear with no open heel or toe,
and no loose or restrictive jewelry. Candidates must be in proper CPAT attire immediately before testing; lack of proper dress
code results in an automatic “FAIL” from the candidate’s assigned Lead Proctor.
ATTENTION CPAT CANDIDATES
• In order to issue you a CPAT card you must create a profile at the Firefighter
Candidate Testing Center Web site: www.FCTConline.org
• You must do this before the test (when you apply), so you will be in the system
by the test date.
• After entering the information you must go to your email account and complete
the registration.
• Because you are testing at the Oxnard College Fire Academy location you do NOT
select a test date or location.
NOTE: If your profile is not completed and in the system before the test we will NOT be
able to issue you a CPAT card. SO DO IT NOW!!!
Call if you have any questions,
Dan Spykerman
805-678-5260 – office
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Oxnard College Fire TechnologyAcademy Request for CPAT Registration (Oxnard College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 5 September 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document