Fire Academy Application

Your Name:

First NameLast Name

NSHE ID (Student ID Number):

Date of Birth:

You must be at least 18 years old to apply.

Email:

example@mail.tmcc.edu

Phone Number:

Please enter a valid phone number.Format: 000-000-0000.

Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do you live in Nevada?

Do you intend on seeking employment in Nevada upon completion of your program?

Previous Education

Have you taken "FT 102: Entry Level Firefighter" course or equivalent?

Upload Higher Education Unofficial Transcripts for FT 102 (or Equivalent):

Upload Higher Education Unofficial Transcripts for FT 102 (or Equivalent) Status:

Upload Letter of Intent:

Provide a letter of intent explaining why you are applying for the Fire Academy.

Upload Letter of Intent Status:

Work Experience

Do you have any previous experience in the following?

Type of Structural or Municipal Firefighting experience?

Type of Wildland experience?

Work Experience Duration:

Work Experience Agency Name(s):

Emergency Contact

Name:

First NameLast Name

Relationship:

Phone Number:

Please enter a valid phone number.Format: 000-000-0000.

Certification and Acknowledgment

By pressing submit, I certify that all of the information provided above is true, correct and complete. Additionally, I understand that this degree/certificate leads to professional licensure in Nevada. Licensing requirements vary by state and territory, and relocating may impact my eligibility for licensure. If I do not reside in Nevada and/or do not plan to seek employment in Nevada, my application will be reviewed to determine eligibility for licensure in my state before acceptance into the program.

Please verify that you are human:

Sender Name: