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Citizens Fire Academy Application
Name:
First
Last
Home Address:
Street
City
State
Zip
E-Mail:

Phone:
Home:
Cell:
Date of Birth:
(mm/dd/yyyy)
Driver's License Number:

What is your t-shirt size?

Occupation or Profession:

Employer:

How long have you been a Brazos Valley resident?

Please let us know why you would like to attend Citizens Fire Academy.

What are your hobbies and special interests?

Have you ever been arrested for, convicted of or cited for an offense other than a traffic citation?
If yes, please explain:

Please provide three references:
Name:
Phone Number:
Relationship:
Name:
Phone Number:
Relationship:
Name:
Phone Number:
Relationship:
Can you commit to attending all of the classes? *
CSFD understands that unforeseen circumstances arise and you may have to miss one or two classes. However, please indicate your level of commitment to attending every class so that you may be adequately prepared for the live burn.

How did you hear about Citizens Fire Academy? (e-mail, friend, social media, etc.)

I hereby certify that there are no willful misrepresentations, omissions, or falsifications in the foregoing statements and answers to questions. I understand that any omissions or false statements on my application shall be sufficient cause for rejection for enrollment or dismissal from the College Station Fire Department Citizen’s Fire Academy.

I further understand that the College Station Fire Department will conduct a background check that may include any criminal history.

*
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