Cicero Fire Academy

2008 Course Registration Form

Complete and Mail this Form To:

5303 W. 25^th St., Cicero, IL 60804

Phone: (708) 652-0174 ext. 109 Fax: (708) 652-2150

COURSE SELECTION	TUITION	COURSE NAME	COURSE DATES
		FIREFIGHTER TRAINING
	$1800	Firefighter II	April 21 - June 6
	$1800	Firefighter II	September 8 - October 24
	$385	Fire Apparatus Engineer	February 18 - 22
	$385	Fire Apparatus Engineer	June 16 - 20
	$385	Fire Apparatus Engineer	November 3 - 7
	$60	NIMS	June 26
	$60	NIMS	November 13
		HAZARDOUS MATERIALS TRAINING
	$375	Hazardous Materials Operation	February 11 - 15
	$375	Hazardous Materials Operation	March 17 - 21
	$375	Hazardous Materials Operation	June 9 – 13
	$375	Hazardous Materials Operation	October 27 - 31
	$550	Hazardous Materials Technician A	February 25 - 29
	$550	Hazardous Materials Technician A	March 31 – April 4
	$550	Hazardous Materials Technician A	December 1 - 5
	$550	Hazardous Materials Technician B	April 14 – 18
	$550	Hazardous Materials Technician B	December 15 – 19
		TECHNICAL RESCUE TRAINING
	$400	Vehicle & Machinery Operations	March 10 – 14
	$400	Vehicle & Machinery Operations	November 17 – 21
	$500	Rope Operations	July 7 – 11
	$500	Rope Operations	September 8 – 12
	$75	Technical Rescue Awareness	June 25
	$75	Technical Rescue Awareness	November 12

Last Name, First Name	Home Address	City, State, Zip Code
Phone Number	Social Security #	Student Email Address
Department Affiliation	Department Address	Department City, State, Zip
Department Phone	Purchase Order Number	Authorization to Attend (If Required)

A purchase order number or payment is required with each registration. Registration confirmation will be sent to member department upon receipt of PO number or payment. No refunds will be given for cancellations within 10 days of the start of class. Any class cancellations will be made 7 calendar days prior to first day of class. To be eligible for State Fire Marshal examination student must register 30 days prior to exam date.

Click HERE for Map and Directions

Cicero Fire Academy Classes and Registration Form. Click HERE to download the above list for easy printing.

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TUITION

COURSE NAME

FIREFIGHTER TRAINING

HAZARDOUS MATERIALS TRAINING

TECHNICAL RESCUE TRAINING