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Academy Resource Request

Home
Academy Resource Request

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A complete resource request form for amenities and equipment from the Division

Step 1 of 9

11%

Personal Demographics
Name*
First Last
Do you work for the Department of Safety*
Your Division/Bureau*
Address*
Street Address City State ZIP Code
Your best contact phone number*
Your best contact Email*
Please select the resources that you would like to request*
- Classroom/Facility/Dorm Room
- Audio/Visual Equipment
- Vehicle Request
- Fire/EMS Course Prop Reservation

Vehicle Request
Program Name
Reason for travel*
Destination city/town*
Start Date*
Date Format: MM slash DD slash YYYY
End Date*
Date Format: MM slash DD slash YYYY
Start Time*

: HH

MM
End Time*

: HH

MM
Vehicle Information
Please select from the following:*
- Utility 1 - International
- Utility 2 - Ford F250
- Utility 3 - GMC 2500
- Utility 4 - Ford F450
- Utility 5 - Freightliner
- S602 - Impala
- S607 Transit
- S608 - Silverado
- S619 - Dodge Caravan
- S620 - Dodge Caravan
- Black Landscape Trailer
- Red Landscape Trailer
- Orange Flatbed (5th wheel)
- Red Flatbed (5th wheel)

Facility Reservation
Start date that classroom or dormroom is needed*
Date Format: MM slash DD slash YYYY
End date that classroom or dormroom is needed*
Date Format: MM slash DD slash YYYY
Start time of event*

: HH

MM
End time of event*

: HH

MM
Are you requesting a CLASSROOM for an activity or a DORM room to stay in?*
- Classroom or auditorium
- Dormitory room
NO REQUESTS WILL BE APPROVED MORE THAN 60 DAYS PRIOR TO THE DATE OF THE ACTIVITY.
Requesting Organization*
Number of attendees*
Address of requesting organization*
Street Address City State ZIP Code
Contact person*
First Last
Position or title of contact person*
Activity description (how does this relate to the emergency medical or fire service, MUST be completed for consideration*

Facility reservation continued
Are you charging for this activity?
- YES
- NO
Are you requesting to use a caterer at our facility?
- YES
- NO
Please contact CONTIGIANI"S CATERING SERVICE at 603-524-4518 for your food service needs.
Classroom set up:
- POD style
- Box style
- U Shaped style
- Classroom style
Select from the following
Auditorium
Auditorium
Single classroom
Double classroom
Double classroom
Please select the classrooms you would like as part of the double classroom option:
- Classroom 1
- Classroom 2
- Classroom 4
- Classroom 5
- Classroom 6
- Classroom 7
- ARFF Classroom
- North Country Training Facility Classroom
Do you need a conference call line?
- Yes
- No
This is for the Division of FST&EMS only, if you need the conference phone please include an AV request
Will your event be held after business hours (before 8:00am or after 4:30pm or weekends)?
- Select one
- YES
- NO
Please indicate the number of hours that your event will last in order to have facility staff on site and available (after normal business hours)
Total
$0.00

Dormitory Room Reservation
Emergency Contact Person*
First Last
Emergency contact person phone*
How many nights will you be staying?
Dormitory payment form
Copy and paste the URL link below into your web browser in order to download the dormitory payment form. Complete the form then attach it using the upload link below in order to send it with your online submission.
Upload your payment page form here to send with your submission
Accepted file types: jpg, gif, png, pdf, doc, docx.
Total
$0.00

Audio Visual Request
Start Date
Date Format: MM slash DD slash YYYY
End Date
Date Format: MM slash DD slash YYYY
Time

: HH

MM
I will need the following AV equipment:
- Computer and Projector in Classroom
- Conference Phone
- Portable Projector Screen
- Portable AV Kit for a Field Program
- Video Camera
- Digital Still Camera
It is recommended that you bring your presentation with you on a flash drive and use the provided podium computer. Your laptop or other device may not work properly with the academy system and you may not be able to display your presentation directly from your laptop depending on its age or style/type.
The conference phone will be delivered to the classroom and it is your responsibility to set the phone up and connect it to the network. The ED TECH group is not versed or responsible for conference phone connections.
You will be required to pick up the portable AV kit from the ED TECH office at the Fire Academy. A team member will open and review the kit contents with you to ensure that it is working properly. You will be responsible for the kit condition and its contents while it is in your possession. If something becomes broken you will be asked to place an out of service tag on the kit.
All persons who are requesting the use of our video cameras MUST be versed in their use. You will be responsible for filming your presentation or project as ED TECH personal are not included with the camera request to film. You will be responsible for the camera kit and its contents and condition while it is in your possession.
I will need access to the Academy's wireless network.
- YES
- NO
In order to access the wireless network you will need a one day access code pass and enter that information into the login screen when you open your internet browser on the day of your event. This pass can be obtained from the front reception desk when you arrive.

Fire Prop Reservation
Name of Requesting Agency or Department Affilication*
Name of training site
Training site address where class will be held
Street Address City State ZIP Code
Delivery Contact Information
Contact person for prop delivery
First Last
AFTER HOURS contact phone number

Date of first training session
Date Format: MM slash DD slash YYYY
Start time

: HH

MM
End time

: HH

MM
Is there a 2nd training date and time?
- YES
- NO
Date of second training session
Date Format: MM slash DD slash YYYY
Start time

: HH

MM
End time

: HH

MM
Is there a 3rd training date and time?
- YES
- NO
Date of third training session
Date Format: MM slash DD slash YYYY
Start time

: HH

MM
End time

: HH

MM

Props and Equipment
Please select from the following:
- Air Trailer 1
- Air Trailer 2
- A Building
- B Building
- J Building
- Car and Dumpster Prop
- Confined Space Props
- Extinguisher Prop
- Engine 1
- Engine 2
- HAZMAT Awaerness Operations Trailer
- HAZMAT Tech Trailer
- HAZMAT Decon Trailer
- IAFF Fireground Safety Props (CREF classes only)
- Ladder 1
- Multi force door prop
- North Country Training Facility- A Building
- North Country Training Facility- Drillyard
- North Country Training Facility- White House
- Rescue 1
- SCBA Trailer
- Trench Rescue Props
- Utility 1
- Utility 2
- Utility 4
- Fire Station
- Drill Yard North
- Drill Yard South
- ARFF Drill Yard
- ADULT CPR Manikins (4 pack)
- INFANT CPR Manikins (4 pack)
- American Red Cross AED Trainers
- Defibtech AED Trainers
- Laerdal AED Trainers
- Phillips AED Trainers
- Zoll AED Trainers
Additional Notes (please list numbers of manikins or AED trainers needed

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Search for:

About
- Who We Are
  Meet the Director
  
  Staff & Instructors
  
  History
  
  “First Alarm” Series
  
  Facilities
  Richard M. Flynn Training Facility, Concord
  
  Raymond S. Burton Training Facility, Bethlehem
  
  Northern EMS Field Office, Gorham
  
  Training Props
  
  Apparatus
  
  Training Grounds Coffeehouse
  
  Initiatives
  COVID-19
  
  Automated External Defibrillator Registry
  
  Organization
  Fire Standards & Training Commission
  
  Emergency Medical & Trauma Services Coordinating Board
  
  Medical Control Board
  
  Trauma Medical Review Committee
  
  Bureau of Certification and Support
  
  Bureau of Emergency Medical Services
  
  Bureau of Firefighter Training
News
Courses
- Courses
  Course Catalog
  
  Course Schedule
  
  Online Classroom
  
  Registration
  
  Course Registration
  Register Today
Licensing
Resources
- Student Resources
  Support
  
  Online Classroom
  
  Student Handbook
  
  Fire Certification Reciprocity
  
  How to Become a First Responder
  
  BLS Eligibility to Test Application
  
  First Responder Resources
  A Guide for New Fire Chiefs
  
  COVID-19
  
  EMS Accolades Report
  
  Licensing for Emergency Medical Services
  
  Patient Care Protocols (Version 8.0)
  
  Preplanned EMS Standby Coverage Best Practices
  
  Statewide Employment Opportunities
  
  Department Resources
  Academy Resource Request
  
  Department Information Update
  
  Department Training Request
  
  Instructor & Coordinator Resources
  Academy Resource Request
  
  Curricula
  
  EMS Instructor/Coordinator Resource Manual
  
  EMS Request for Examination
  
  Initial Course Request Form
  
  Instructor Application & Renewal
  
  Instructor Mentoring Program
  
  Instructor Policies
  
  Paramedic Interfacility Transfer Instructor Materials
  
  Practical Exam Evaluator Trainer Education
Events