Basic Fire Suppression Application (U.S. Students)

ACADEMY APPLYING FOR:

Are you applying for the ONLINE or the ON-SITE academy?(Required)

Which ONLINE academy are you applying for?(Required)

Which ON-SITE academy are you applying for?(Required)

For application deadlines and more information about the online fire academy, please visit:

Online KC Fire Academy Page

For application deadlines and more information about the on-site fire academy, please visit:

On-Site KC Fire Academy Page

Social Security #:(Required)

Apply here for your TCFP/FIDO number

TCFP/FIDO #:(Required)

Name(Required)

First Middle Last

Email(Required)

Enter Email Confirm Email

Address(Required)

Street Address Address Line 2 City State ZIP Code

If you live in Texas, what county do you live in?(Required)

Phone(Required)

Date of Birth:(Required)

What City, State & Country were you born in?(Required)

City born in: State born in: Country born in:

Emergency Contact

First Last

Emergency Contact Phone

U.S. Citizen?(Required)

Are you Hispanic or Latino? (Are you a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Hispanic culture or origin?)(Required)

Please select the racial category with which you most closely identify:(Required)

Please select which applies:(Required)

Highest level of education:(Required)

Have you served or volunteered with any type of fire department/EMS service?(Required)

If you answered yes, where did you volunteer?

Are you a(n):

Do you need accommodations under Section 504?(Required)

Section 504 Accommodations — Action Required

Students who require Section 504 accommodations must contact Kilgore College’s Accommodations & Disability Services before classes begin to ensure accommodations are in place. It is the student’s responsibility to initiate contact so Section 504 supports can be provided at the start of the term.

Visit Accommodations & Disability Services

How did you learn about the KC Fire Academy?

If you selected "Other" how did you learn about us?

CERTIFICATION:

I certify that the above answers are true, complete, and correct to the best of my knowledge. I further certify that I am, to the best of my knowledge, free from any medical condition which would prohibit me from participating in all activities connected with the Skills Session portion of the Academy.

Full Legal Name:

Today's Date:(Required)

KC Fire Academy TCFP Criminal History Disclaimer

The Texas Commission on Fire Protection's Rules and Regulations govern the criteria for state certification of a firefighter. There are circumstances under which the Texas Commission on Fire Protection (TCFP) may DENY certification to an individual who has been convicted of criminal offenses.

If you have been convicted of any felony offense or any misdemeanor class "B" or above, it is your responsibility to determine whether or not the TCFP will issue you a certification. The most effective way to do this is by submitting to TCFP an Application for Early Review of Certification, which is available at the following URL:

Click here to download the Application for Early Review of Certification (PDF)

Applicants are not obligated by Kilgore College to obtain this early review, but it is STRONGLY RECOMMENDED that it be done if the applicant has any convictions above the level of class "C" misdemeanor.

I, (the Applicant), have read the above statement regarding the Texas Commission on Fire Protection Criminal History Disclaimer and understand the information contained therein.

Full Legal Name:

Your Gender(Required)

Today's Date:(Required)

UPLOAD REQUIRED DOCUMENTS

You may upload the following documents at this time using the fields below, save your application and upload them later, or email them to KCFA@kilgore.edu.

General Medical Physical

Copy of High School Diploma or GED

For those under 22 years old: Proof of Bacterial Meningitis vaccination or an exemption form

Financial Responsibility Agreement

Review and sign the agreement.

IMPORTANT: Your application will not be considered complete until all required documents have been received.

File

Max. file size: 256 MB.

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Max. file size: 256 MB.

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Max. file size: 256 MB.

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Max. file size: 256 MB.

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Basic Fire Suppression Application (U.S. Students)

ACADEMY APPLYING FOR:

Section 504 Accommodations — Action Required

KC Fire Academy TCFP Criminal History Disclaimer

UPLOAD REQUIRED DOCUMENTS

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