Citizen Fire Academy Application

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Please correct the field(s) marked in red below:

1

Last Name

2

First Name

3

Middle Initial

4

Street Address

Sandy Springs, Georgia

5

Zip Code

6

Home Phone Number

7

Cell Phone Number

8

Date of Birth mm/dd/yyyy

9

Email address

10

Emergency Contact:  Name

11

Emergency Contact: Relationship

12

Emergency Contact: Phone Number

13

Please list three (3) references - excluding relatives

Please list three (3) references - excluding relatives
14

Describe briefly why you are interested in attending the Citizen Fire Academy: 

15

Have you ever had any contact with the SandySprings Fire Rescue Department? If so, briefly explain:

By submitting this application, you (the applicant), hereby certify that there are no willful misrepresentations, omissions, or falsifications in the following statement and answers  to questions. You (the applicant) understand that any omission or false statements on the application shall be sufficient cause for rejection for enrollment or dismissal from the Sandy Springs Citizen Fire Academy. You (the applicant) understand that there is no charge of fee needed to attend the program, and if selected for enrollment, will pledge the time commitment to attend all classes. You (the applicant) further understand that the Sandy Springs Fire Rescue Department will be conducting a background investigation that may include, but not be limited, any criminal history, driving record, and/or other personal references.  This class will be filled based on the order in which the completed applications ar received. 

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