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NC Rapid Intervention School: 6th Annual
NC Rapid Intervention School: 6th Annual
edu/publicsafety
REVISED
6th Annual
NC Rapid
Intervention School
September 12-16, 2016
This course is designed to expose the firefighter to a highly trained skill set of classes that
includes Mayday, Safety & Survival and working together as a Rapid Intervention Crew
member. This Class is for Certification.
Mayday
Rapid Intervention
Crew Certification Course
9/12/16
9/13/16
9/14/16
9/15/16
9/16/16
8:00
8:00
8:00
8:00
8:00
a.m.
a.m.
a.m.
a.m.
a.m.
7:00
7:00
7:00
7:00
5:00
p.m.
p.m.
p.m.
p.m.
p.m.
Registration
Class Location
Hotel Information
Registration is $150.00
Deadline for registrations is Sept 5, 2016
Checks MUST accompany registration form to reserve spot in class.
Mailing Address______________________________________________________________
Phone(Home)(_____)______________(Cell)(_____)________________
Sex1.Male____2.Female____
___Firefighter (Vol Agency) ___Firefighter (County/State/Municipal Agency) ___EMS Responder (Vol Agency)
___EMS Responder (County/State/Municipal Agency ___Emergency Mgt. Personnel ___Named in EOP
___Telecommunicator/Dispatcher ___LE Officer ___Detention Officer ___Sponsored BLET
___DACJJ Certified Officer-Indicate specific title ________________________________
___Other _______________________________________________________________
My signature attests that I am actively affiliated with the public safety agency listed and that I hold the
job classification indicated. I understand that CFCC may take my picture for purposes of promoting
College related classes and I also understand that I will receive no compensation.
___________________________________________________________/
Date
______________________________________________/
Fire Chiefs Signature (REQUIRED)
Date