CSFFA Training Funding Request Form
Department Information
Full Legal Organization Name
*
Organization Website
Physical Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Is the Mailing Address the same as the Physical Address
*
Yes
No
Mailing Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Type of Department
*
Volunteer
Combination
Paid
Organization Chief
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Chief's E-Mail Address
*
example@example.com
Person Submitting Application
*
First Name
Last Name
Title
*
Phone Number
*
Please enter a valid phone number.
Submitter's E-Mail Address
*
example@example.com
Is your Department a member of the CSFFA?
*
Yes
No
Unknown
Please choose your Department
Please Select
719 FOOLS
Akron Volunteer Fire Department
Allenspark Fire Protection District
Arvada FPD
Aurora Fire Department
Big Sandy FPD
Black Forest Fire Rescue
Brush Volunteer Fire Department
Byers Fire Protection District
Carbondale Fire Protection District
Clear Creek Fire Authority
Cortez Fire Protection District
Costilla County Fire Prot Dist
Craig Fire Rescue
Creede Fire Department
De Beque Fire Prot Dist
Deer Trail Fire Protection District
Dolores Fire Protection District
Eaton Fire Department
Eckley Volunteer Fire Department
Elk Creek Fire Protection District
Evergreen Fire - Rescue
Falcon Fire Protection District
Fire on the Plains
Flagler Rural Fire Protection District
Fleming Volunteer Fire Department
Foothills Fire Protection District
Fort Lupton Fire Protection District
Fort Morgan Volunteer Fire Department
Genesee Fire Rescue
Golden Fire Department
Grand Valley Fire Protection District
Hillrose/Snyder Fire Department
Holyoke Volunteer Fire Department
Huerfano County FPD
Indian Hills Fire Protection District
Jackson 105 Fire Department
Jefferson-Como FPD
La Veta FPD
Leadville Lake County Fire Rescue
Louisville Fire Department
Mancos Fire Protection District
Manitou Springs Fire Department
Merino Volunteer Fire Department
Mesa County Fire Authority
Northeast Lincoln Fire Prot District
Norwood Fire Protection District
Ordway Volunteer Fire Department
Otis Volunteer Fire Department
Paonia Volunteer Fire Department District #2
Pleasant View Fire Department
Poudre Fire Authority
Pueblo West Fire Department
Red Feather Lakes FPD
Ridgeway Volunteer Fire Department
Rio Grande County Sheriff's Department
Roaring Fork Fire Rescue Authority
Rocky Ford Fire Department
Sable Altura Fire Department
Salida Fire Department
San Luis Valley Hazardous Material Team
Security Fire Department
Southwest Washington County Fire Department
Sterling Fire Department
Strasburg FPD
Stratmoor Hills Vol Fire Department
Telluride Fire Protection District
Timberline Fire Protection District
True Grit Training LLC
Wages Volunteer Fire Department
Wellington Fire Prot District
West Park Fire Department
Wet Mountain Fire Protection District
Yuma Volunteer Fire Department
If your department is not listed please contact admin@csffa.org.
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Funding Information
Member
Type of Grant Requesting
*
Local Grant ($1000 or less)
Regional Grant ($2500 or less)
Statewide Grant ($5000 or less)
Amount Requesting?
*
Has your organization applied for funds from the CSFFF before?
*
Yes
No
Amount received?
When received?
-
Month
-
Day
Year
Date
Did you fulfill the requirements of the previous award
Yes
No
Please explain.
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Training Information
Member
NO TRAINING FUNDING WILL BE APPROVED IF IN CONFLICT WITH CSFFA FIRE COLLEGE!
Training Dates From
*
-
Month
-
Day
Year
Date
Training Dates To
-
Month
-
Day
Year
Date
Location of Training
*
Description of Training
*
Instructors Leading Training
*
Will the instructors be charging the host agency to instruct?
*
Yes
No
Amount being charged.
The training is lead by a certified instructor.
Yes
No
Unknown
Will participants be able to receive CEU's or Certifications.
Yes
No
Unknown
Anticipated number of Attendees?
*
Anticipated Departments attending Training?
*
Does the training have a cost associated to attend?
*
Yes
No
Amount to attend?
*
Will CSFFA members receive a reduced or gratis rate to attend?
*
Yes
No
Budget Narrative, Registration Information, & reason for request
*
Brief summary on how funds will be used and any registration information. Please include any links or information that can be used on CSFFA or CSFFF website, or social media.
Upload any paperwork or flyer for the training.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Will Vendors be present at the training
*
Yes
No
Were multiple vendors solicited and given an opportunity to attend the training?
Yes
No
Why were multiple vendors not given the opportunity to attend?
Vendors Attending
Do you agree to provide receipts for items purchased, invoices from instructors, class rosters, pictures/videos of training, and after action reports for the training within 30 days from the ending of training?
*
Yes
No
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Funding Information
Non Member
Type of Grant Requesting
*
Local Grant ($500 or less)
Regional Grant ($1250 or less)
Statewide Grant ($2500 or less)
Amount Requesting?
*
Has your organization applied for funds from the CSFFF before?
*
Yes
No
Amount received?
When received?
-
Month
-
Day
Year
Date
Did you fulfill the requirements of the previous award
Yes
No
Please explain.
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Training Information
Non Member
NO TRAINING FUNDING WILL BE APPROVED IF IN CONFLICT WITH CSFFA FIRE COLLEGE!
Training Dates From
*
-
Month
-
Day
Year
Date
Training Dates To
-
Month
-
Day
Year
Date
Location of Training
*
Description of Training
*
Instructors Leading Training
*
Will the instructors be charging the host agency to instruct?
*
Yes
No
Amount being charged.
Anticipated number of Attendees?
*
Anticipated Departments attending Training?
*
Does the training have a cost associated to attend?
*
Yes
No
Amount to attend?
*
Will CSFFA members receive a reduced or gratis rate to attend?
*
Yes
No
Budget Narrative, Registration Information, & reason for request
*
Brief summary on how funds will be used and any registration information. Please include any links or information that can be used on CSFFA or CSFFF website, or social media.
Upload any paperwork or flyer for the training.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Will Vendors be present at the training
*
Yes
No
Were multiple vendors solicited and given an opportunity to attend the training?
Yes
No
Vendors Attending
Do you agree to provide receipts for items purchased, invoices from instructors, class rosters, pictures/videos of training, and after action reports for the training within 30 days from the ending of training?
*
Yes
No
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Disclaimers
Failure to comply with the requirements of this grant can result in the CSFFA requesting full, or partial reimbursement of the grant funding issued as well as automatic ineligibility of future awards for a minimum of 2 years from initial award date.
*
Agree
Disagree
By submitting this application the organization I am representing agrees to allow CSFFA and CSFFF to use all pictures and videos submitted, hang banners, and any other form of advertising for promotion of the CSFFA or CSFFF.
*
Submit
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