Fire Academy Application

Please fill out the fields below to apply for the Mt. SAC Fire Academy. For any questions, please contact : Tracy Chen | TChen@mtsac.edu or Michelle Navarro | MNavarro62@mtsac.edu

Name*

Student ID*

Address*

City*

Zip Code*

Cell Phone Number*

Date of Birth*

Mt. SAC Email*

Personal Email*

Are you a Veteran?*

Yes

Completed Courses

ATTENTION CANDIDATE: If course(s) are completed at a different college you MUST submit an unofficial transcript. You may attach a copy at the bottom of this application.

Please select the course(s) you have completed at Mt. SAC.

Select

Please select the course(s) that are currently in progress at Mt. SAC.

Select

Please select the course(s) you have completed at a different college.

Select

Please select the course(s) that are currently in progress at a different college.

If no courses are in progress at a different college, select "none"

Select

Please list the college(s) where you completed the above courses.

Comments

Attachments

Please attach any documents you would like to include for your consideration into the Mt. SAC Fire Academy. Students who have completed courses at a different college MUST attach an unofficial transcript. PHYSICIAN CLEARANCE: IS REQUIRED SHOULD A CANDIDATE BECOME INJURED BEFORETHE PHYSICAL AGILITY TEST. IT IS THE CANDIDATE’S RESPONSIBILITY TO SUBMIT PROOFOF CLEARANCE TO THE FIRE TECHNOLOGY OFFICE.

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