Fillable Testing Facility Application (Louisiana State University)

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Testing Facility Application (Louisiana State University)

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Louisiana State University
Carrol L. Herring Fire & Emergency Training Institute
Certification Division
Date Processed
6868 Nicholson Drive ● Baton Rouge, LA 70820
225-334-6282 (o) 225-334-6065 (f)
Processed By
Written Certification Exam Site Request Form
Certificate Code
All written test site request must be made 30-days in advance of the actual examination date. (All items
indicated with an * are required)
* FDID
(if applicable)
* Training Agency/Organization
* Mailing Address
* City
* Zip Code
* Physical Location
* Training Facility Phone Number
* Other Number (i.e., cell phone)
Training Facility Fax Number
* Chief/Administrator/Requesters Name
* Title
* Email Address
* Answer the questions below:
1. Is this your first written exam request for this facility? ☐ Yes ☐ No (If no, skip to Question #7)
2. Is the testing environment HVAC (climate) controlled? ☐ Yes ☐ No
3. How many candidates can the facility seat?
4. Are there any security cameras located at this facility? ☐ Yes ☐ No
5. How many separate rooms are available for testing at this site?
6. Are there restroom facilities in close proximity to the testing area? ☐ Yes ☐ No
7. Will there be events scheduled in other parts of the facility that may be distracting to test takers?
☐ Yes ☐ No
8. Do you want this testing facility request open to candidates outside of your organization?
☐ Yes ☐ No (If no, please provide reason and justification and if yes, the test date and time will be
published on the LSU FETI Certification online calendar)
Request date(s) and time(s) of the exam: (provide three options with the 1
st
being the preferred choice)
Date
Start Time
End Time
* Option 1
* Option 2
* Option 3
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Testing Facility Application (Louisiana State University)

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Completed 18 July 2020

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