FLAMES CLASS 39 COURSE APPLICATION PACKAGE

GEORGIA F.L.A.M.E.S, Inc.

FIREFIGHTERS LABORING AND MASTERING ESSENTIAL SKILLS

COURSE APPLICATION PACKAGE

Thank you for applying to attend the Firefighters Laboring and Mastering Essential Skills Course class 39 to be held on October 16,17, and 28 of 2026 in Chatsworth, Georgia.

This program is very demanding both mentally and physically and applicants must be aware of the level of difficulty prior to attempting the course. Rest and recuperation periods WILL BE LIMITED, this course will test your endurance physically as well as your determination mentally. Completion of the course will require an absolute commitment from participants; it is not a typical fire service training course. The course will demand maximum effort from all participants.

The course contains evolutions that must be completed for graduation; candidates must be proficient in basic skills including S.C.B.A use and air conservation to successfully complete these evolutions. While the great majority of the course involves basic firefighting skills, candidates should have a working knowledge of rapid intervention and self-rescue.
Roster is always at the discretion of the FLAMES Course Chief.

ALL APPLICATIONS MUST BE RECEIVED before June 14, 2026. All applicants will be notified in writing via email by Aug 1, 2026, regarding the disposition of the application. Those selected to attend will receive all necessary information to proceed at that time.

Please provide the following information:
Name

First NameLast Name
Department:
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Age:
Years of Service:
Rank:
Current Assignment:
Have you applied previously without being accepted?
Which Class?
Have you attempted this course previously?
Which Class?
Please explain briefly, and honestly, why you want to attend this course.
What would successful completion of the course mean to you?
What would failure to complete mean to you?
What was the last training course you attended outside of your agency?
Have you completed any type of self-rescue or rapid intervention training course? If so describe:
How much time do you spend in an average week in gear, training?
On a scale of 1 to 10, with 1 being novice and 10 being expert, rate your own proficiency in the following:
Physical fitness

1

2

3

4

5

6

7

8

9

10

1 is Novice, 10 is Expert
Use of SCBA

1

2

3

4

5

6

7

8

9

10

1 is Novice, 10 is Expert
Search procedures

1

2

3

4

5

6

7

8

9

10

1 is Novice, 10 is Expert
Ventilation

1

2

3

4

5

6

7

8

9

10

1 is Novice, 10 is Expert
RIT Operations

1

2

3

4

5

6

7

8

9

10

1 is Novice, 10 is Expert
Hose Operations

1

2

3

4

5

6

7

8

9

10

1 is Novice, 10 is Expert
Forcible Entry

1

2

3

4

5

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7

8

9

10

1 is Novice, 10 is Expert
Ladders

1

2

3

4

5

6

7

8

9

10

1 is Novice, 10 is Expert
Define courage in the most complete way you can in your own words.
What is the hardest thing you have ever done, physically?
What is your most regrettable professional failure and why did you fail?
What is your most notable professional success and why did you succeed?
Who is your role model?
Please explain why:
Who is your role model?
What are the most essential tangible skills (less than ten) a fireman should possess?
Are you competent at anything else outside of firefighting? If so, please describe.
Have you served in the military? If so in what branch, where, and for how long?
If you are selected, how will you prepare for the course?
If you are NOT selected for this course, how will you respond?
Have you discussed your application for this course with your department leadership?
Do you have the permission and or support of your department leadershipto attend this course if selected?
If you are selected for this course, will you be covered by your employer's Workmen's Compensation insurance?
Do you fully understand the level of physical and mental taxation involved in attempting this course?
List at least one person of reference that can verify that you are preparedfor the demand, both physically and mentally, that then FLAMES course willrequire of you. Please give name and contact information.
Please include a picture of yourself with this application.

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STATEMENT OF PHYSICAL FITNESS AND MEDICAL HISTORY

As a minimum requirement, this voluntary statement of Physical Fitness and Medical History Form must be completed prior to participation in the FLAMES Program. Due to course intensity, extensive physical exertion and limited recuperation periods, applicants must certify a reasonable level of physical fitness and answer general questions designed to help determine if the student has any condition which would make it too hazardous to participate in any of these activities.
I. CERTIFICATION OF PHYSICAL FITNESS:

I certify that I am physically fit and able to participate in a physically demanding firefighting based training course. I possess a full range of motion and sensory perception and I am able to perform drills or exercises that may contain any or all of the following activities at very rigorous levels:
Check all that apply
Please list any special conditions or previousinjuries that would prohibit or limit full participation in activities thatinvolve any of the above.
Please describe your physical fitness program or routine.
If you do not currently participate in physical fitness program please explain why.
II. MEDICAL HISTORY FORM

This MEDICAL HISTORY FORM must be completed in order for the application to considered. These questions are designed to help determine if the applicant has any condition, which would make it too hazardous to participate in the FLAMES course.

During the past 12 months:

Rows	Yes	No
1. Have you been hospitalized during the previous year?
2. Have you sought medical attention for an injury in the previous year?
3. Have you had an illness lasting more than a week in the previous year
4. Do you take prescription medications regularly?
5. Do you know of any reason why there should be limits to your participation in any rigorous firefighter training activity?
6. Have you ever suffered from a heat related illness or injury
7. Have you ever had a convulsion
8. Are you presently under a doctor's care?
9. Are you missing any paired organ (i.e., kidney, etc.)?
10. Have you ever been treated for or diagnosed with a cardiac related medical condition?
11. Are you allergic to any medications (OTC or otherwise)?
12. Have you received a tetanus booster within the last 10 years?

Any “Yes” answers to questions numbered 1 through 10 will require completion of a PHYSICAL EXAMINATION and RELEASE STATEMENT from your Physician or clinic and must accompany this application. If your Physician has questions regarding the type and intensity of activities involved they can contact the FLAMES Chief by email for more information at georgiaflamesinc@gmail.com

Please take this serious, participation in this course requires rigorous physical exertion and does involve risk. Concealing an injury or illness will only create an undue risk to your health and well-being.
IN SIGNING THIS AGREEMENT, I ACKNOWLEDGE AND REPRESENT THAT

I am at least eighteen (18) years of age and fully competent; and I execute this Agreement for full, adequate and complete consideration fully intending to be bound by same. I ALSO HEREBY CERTIFY that I have personal health insurance that provides coverage for costs of treatment should I become sick or injured during the course.
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