Course Registration 2

Name (required) *

Street Address (required) *

City (required) *

States (required) *AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip Code (required) *

E-Mail (required) *

Telephone (required) *

Fire Department Name (required) *

GFSTC Online ID or last 4 of your social security number (required) *

Course (required) *Apparatus Operator/Driver - cost $200Fire Instructor I – cost $200Fire Instructor II – cost $200Fire Inspector I – cost $500Fire Officer I – cost $200Fire Officer II - cost $200Fire Officer III - cost $500Fire Officer IV - cost $500