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“First Alarm” Series
Meet the Director
History
“First Alarm” Series
Facilities
Richard M. Flynn Training Facility, Concord
Raymond S. Burton Training Facility, Bethlehem
Training Props
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Richard M. Flynn Training Facility, Concord
Raymond S. Burton Training Facility, Bethlehem
Training Props
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Initiatives
Automated External Defibrillator (AED) Registry
Training Reimbursement: New Recruitment, Retention, and Development Initiative Announced
Education Training Agency
On My Time Firefighter I&II Training Program
Automated External Defibrillator (AED) Registry
Training Reimbursement: New Recruitment, Retention, and Development Initiative Announced
Education Training Agency
On My Time Firefighter I&II Training Program
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Fire Standards & Training Commission
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“On My Time” Firefighter I and II Training Program
Psychomotor Eligibility to Test Application
Certification Reciprocity
Learning Accommodation Request
Online Classroom
Skills University
Support
“On My Time” Firefighter I and II Training Program
Public Resources
Automated External Defibrillator (AED) Registry
EMS Simulation Program
How to Become a First Responder
Statewide Employment Opportunities
Trauma System
Automated External Defibrillator (AED) Registry
EMS Simulation Program
How to Become a First Responder
Statewide Employment Opportunities
Trauma System
First Responder Resources
A Guide for New Fire Chiefs
EMS Accolades Report
Licensing for Emergency Medical Services
Patient Care Protocols
Preplanned EMS Standby Coverage Best Practices
Statewide Employment Opportunities
A Guide for New Fire Chiefs
EMS Accolades Report
Licensing for Emergency Medical Services
Patient Care Protocols
Preplanned EMS Standby Coverage Best Practices
Statewide Employment Opportunities
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Academy Resource Request
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Academy Resource Request
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EMS Instructor Portal
Student Job Performance Report
Academy Resource Request
Curricula
EMS Request for Examination
Initial Course Request Form (CREF)
State Fire Instructor Application & Renewal
Instructor Examination Request
Instructor Mentoring Program
Instructor Policies
Online Course Intake Request
EMS Instructor Portal
Student Job Performance Report
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Academy Resource Request
Home
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Academy Resource Request
"
*
" indicates required fields
Step
1
of
9
11%
Personal Demographics
Name
*
First
Middle
Last
Do you work for the Department of Safety
*
No
Yes
Your Division/Bureau
*
FST&EMS
Emergency Services and Communications
Fire Safety
Bureau of Hearings
Grants Management
HSEM
State Police
DMV
Administration
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
*
MM slash DD slash YYYY
End Date
*
MM slash DD slash YYYY
Start Time
*
Hours
:
Minutes
AM
PM
AM/PM
End Time
*
Hours
:
Minutes
AM
PM
AM/PM
Vehicle Information
Please select from the following:
*
Utility 3 - GMC 2500
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
*
MM slash DD slash YYYY
End date that classroom or dormroom is needed
*
MM slash DD slash YYYY
Start time of event
*
Hours
:
Minutes
AM
PM
AM/PM
End time of event
*
Hours
:
Minutes
AM
PM
AM/PM
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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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
Once confirmed, please arrive early to the Fire Academy to ensure the classroom is setup in the style you prefer. At this time groups are responsible for configuring the classroom and rearranging it at the completion of the utilization.
This field is hidden when viewing the form
Classroom set up:
POD style
Box style
U Shaped style
Classroom style
Select from the following
Auditorium
Auditorium Half day
Auditorium Full day
Auditorium
Auditorium Half day
Auditorium Full day
Single classroom
Classroom 1 half day
Classroom 1 full day
Classroom 2 half day
Classroom 2 full day
Classroom 4 half day
Classroom 4 full day
Classroom 5 half day
Classroom 5 full day
Classroom 6 half day
Classroom 6 full day
Classroom 7 half day
Classroom 7 full day
ARFF Classroom half day
ARFF Classroom full day
North Country Training Facility Classroom half day
North Country Training Facility Classroom full day
North Country Drill Yard Half Day
North Country Drill Yard Full Day
North Country A Building Half Day
North Country A Building Full Day
North Country Whhite House Half Day
North Country White House Full Day
Single classroom
Classroom 1 half day
Classroom 1 full day
Classroom 2 half day
Classroom 2 full day
Classroom 4 half day
Classroom 4 full day
Classroom 5 half day
Classroom 5 full day
Classroom 6 half day
Classroom 6 full day
Classroom 7 half day
Classroom 7 full day
ARFF Classroom half day
ARFF Classroom full day
North Country Training Facility Classroom half day
North Country Training Facility Classroom full day
North Country Drill Yard Half Day
North Country Drill Yard Full Day
North Country A Building Half Day
North Country A Building Full Day
North Country Whhite House Half Day
North Country White House Full Day
Double classroom
Double Classroom Half day
Double Classroom Full day
Double classroom
Double Classroom Half day
Double Classroom Full day
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)
After Hours 1 hour
After Hours 2 hours
After Hours 3 hours
After Hours 4 hours
After Hours 5 hours
After Hours 6 hours
After Hours 7 hours
After Hours 8 hours
Total
Dormitory Room Reservation
Emergency Contact Person
*
First
Last
Emergency contact person phone
*
How many nights will you be staying?
1 night
2 nights
3 nights
4 nights
5 nights
6 nights
7 nights
8 nights
9 nights
10 nights
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.
This field is hidden when viewing the form
Upload your payment page form here to send with your submission
Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 256 MB.
Total
Audio Visual Request
Start Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Time
Hours
:
Minutes
AM
PM
AM/PM
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
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Delivery Contact Information
Contact person for prop delivery
First
Last
AFTER HOURS contact phone number
Date of first training session
MM slash DD slash YYYY
Start time
Hours
:
Minutes
AM
PM
AM/PM
End time
Hours
:
Minutes
AM
PM
AM/PM
Is there a 2nd training date and time?
YES
NO
Date of second training session
MM slash DD slash YYYY
Start time
Hours
:
Minutes
AM
PM
AM/PM
End time
Hours
:
Minutes
AM
PM
AM/PM
Is there a 3rd training date and time?
YES
NO
Date of third training session
MM slash DD slash YYYY
Start time
Hours
:
Minutes
AM
PM
AM/PM
End time
Hours
:
Minutes
AM
PM
AM/PM
Props and Equipment
Please select from the following:
ADULT CPR Manikins (4 pack)
INFANT CPR Manikins (4 pack)
Air Trailer 1
Air Trailer 2
American Red Cross AED Trainers
Confined Space Props
Defibtech AED Trainers
Engine 1
Engine 2
Extinguisher Prop
HAZMAT Awaerness Operations Trailer
HAZMAT Tech Trailer
HAZMAT Decon Trailer
IAFF Fireground Safety Props (CREF classes only)
Ladder 1
Laerdal AED Trainers
Multi force door prop
North Country Training Facility- A Building
North Country Training Facility- Drillyard
North Country Training Facility- White House
NHFA Drillyard - ARFF Drill Yard
NHFA Drillyard
NHFA Drillyard - A Building
NHFA Drillyard - Auto Extrication
NHFA Drillyard - B Building
NHFA Drillyard - Flashover
NHFA Drillyard - Lifting and Jacking
NHFA Drillyard - LP
NHFA Drillyard - Vent Prop
NHFA Drillyard - Firehouse
NHFA Drillyard - J Building
Phillips AED Trainers
Rescue 1
SCBA Trailer
Trench Rescue Props
Zoll AED Trainers
Additional Notes (please list numbers of manikins or AED trainers needed
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