Shasta College Fire Technology Program Business, Agriculture, Industry, Technology, & Safety

11555 Old Oregon Trail P.O. Box 496006 Redding, CA 96049-6006 Phone: (530) 242-7563 Fax: (530) 225-4823

www.shastacollege.edu

Fall Semester 2017 To: Registered Fire Academy Students

From: Tony Osa, Director Fire Technology and EMS Program Re: Fire Academy Orientation Information (Fall 2017) Welcome and thank you for registering for Shasta College’s 57th Regionally Accredited Firefighter 1 Academy. Dates for the 57th Academy are Monday through Friday, August 14 – December 1, 2017. This letter addresses many issues, so please be sure to read it thoroughly. The required class FIRS 398 Fire Academy Orientation is on Monday and Tuesday, July 31 and August 1, 2017, 8:00 a.m. to 5:00 p.m., Room 5006. Enrollment in this class is mandatory if you plan to attend the Fire Academy. You do not need to be in the academy uniform for this orientation. DO NOT SHOW UP LATE. This is a required prerequisite for the Firefighter 1 Academy. You need to bring the following to this class:

1. Paperwork from Admissions and Records showing you are enrolled or waitlisted in the class. 2. Copies of current CPR and EMR (or EMT) certificates (or verification of current enrollment). 3. Paper and writing instruments for note-taking during meeting. 4. Bottle of water (no other drinks are allowed in the academy classroom). 5. Sack lunch or snacks.

TEXTBOOK INFORMATION

1. Essentials of Firefighting, IFSTA, 6th Edition 2. DOT Emergency Response Guidebook, 2016 Edition 3. Fire Fighter Survival Student Guide, State Fire Training, June 2010 4. Firefighter 1 Skill Sheet Booklet, Shasta College 5. Manipulative Performance Test Booklet, Cal Fire, 2011 6. Wildland Firefighting Package (IRPG, L-180, S-130, S-133, S-190, S-212), NWCG

Bookstore Hours: Please call for store hours during semester break.

Telephone: (530) 242-7574 Website: www.shasta.bkstr.com

First Day of Fire Academy (FIRS-104) The first day of class begins at 6:00 a.m. on Monday, August 14, 2017. Most of the first week will deal with PT testing, rules, regulations, paperwork, required equipment, etc. You will get a complete run-down regarding course requirements and time commitments on the first day of class. The job of a firefighter requires paying close attention to following procedures, directions, and orders. Consequences for not doing so can adversely affect your success in this field. Therefore, you must be prepared for the first day of the academy by adhering to the following requirements or be subject to dismissal from the class. DO NOT purchase any materials except those described in this letter. On the first day of the Academy you MUST have the following: 1. Emergency Medical Information Form completed and signed by a physician. Students who do not have a

completed form that is checked as “full participation” and signed by a licensed physician may be dropped from the course.

2. Respiratory Medical Evaluation Questionnaire cleared by ROMC.

3. Current Fit Test for Interspiro SCBA (We will schedule this as a group. Do not make your own arrangements).

4. Physical Training uniform as listed below under Uniform Components.

5. Fire Academy uniform as listed below under Uniform Components (You must be in uniform the first day).

6. Structure PPE as listed below under Structure Fire PPE.

7. Required Materials as listed below under Enrollment Notes.

8. Textbooks: Approximately $300.00 (College Bookstore prices).

9. Receipt for payment of Optional Certificate Fees as listed below under Enrollment Notes.

10. Copies of Certificates: *Or verification of current enrollment, or approved equivalent. Courses must be completed by Aug. 14, 2017.

a. *FAID 133 CPR for the Professional Rescuer (or equivalent) b. *FAID 132 Emergency Medical Responder (EMR), or c. *FAID 75 Emergency Medical Technician (EMT) d. *FIRS 398 Fire Academy Orientation e. I-100 - Introduction to the ICS f. I-200 Basic Incident Command System g. I-700.a - NIMS, an Introduction

Enrollment Notes 1. Students wishing to register in more than 18 units must obtain a counselor’s permission before registration.

2. Prerequisite: Students must have completed FAID 132 EMR or FAID 75 EMT (formerly FAID 175), or the

equivalent; FAID 133 CPR, or the equivalent; and FIRS 398 Fire Academy Orientation prior to enrolling in FIRS 104 Firefighter 1 Academy.

3. Students who plan to seek employment with CalFire must have a current EMR card and be registered with the local EMS agency. Students who attempt to satisfy these prerequisites with courses from another institution must provide transcripts that verify a minimum grade of B (80%) has been met.

4. The California State Fire Marshal's Office requires that all Firefighter I summative tests be completed with a

minimum score of 80% (a grade of B or higher). Any student who does not meet this standard will have failed FIRS 104 and will not receive credit for the course, nor will the student receive a course completion certificate.

5. Required Materials: Approximately $330.00 per semester. Required materials include items such as safety

glasses, safety vest, rope and webbing, ID card, local certificates, name tag, water bottle, flash drive, maps, etc. To ensure consistency, please order only the exact items listed below. You must have all required materials, equipment, and uniforms in your possession on the first day of class. If you are missing anything, you will be sent home (see list below). *(Items marked * are available at Shasta College Bookstore while supplies last.)

a. *Igo Map

https://store.usgs.gov USGS Topo Map Number 44309 14.00* b. *Bella Vista Map

https://store.usgs.gov USGS Topo Map Number 43369 14.00* c. *Whiskeytown Map

https://store.usgs.gov USGS Topo Map Number 45870 14.00* d. Tie Rope (1/2” Red 1.61/ft)

http://www.cmcrescue.com/equipment/static-pro-lifeline/ 11 Feet 20.00 e. Tubular Web (Blue .49/ft)

http://www.cmcrescue.com/equipment/tubular-webbing/ 10 Feet 10.00 f. *Safety Glasses (Clear)

https://www.life-assist.com/Product/SCORPION-Protective-Eyewear/673 10.00* g. Reflective Vest

https://www.amazon.com/Reflective-Running-Cycling-Jogging-Motorcycle/dp/B018D9DX4Y/ref=sr_1_2?ie=UTF8&qid=1489674697&sr=8-2&keywords=runners+safety+vest 20.00

h. *Rite in the Rain Note

http://www.riteintherain.com/lces-wildland-fire-notebook-3-x-5 7.00* i. *Rite in the Rain Pen

http://www.riteintherain.com/clicker-pen-black-ink-chrome-black-plastic 13.00* j. PT Helmet

http://www.tactics.com/protec/full-cut-skate-helmet/white 50.00 k. Water Bottle

Shasta College Bookstore 11.00 l. Lanyard

Shasta College Bookstore 5.00 m. College ID Card

Shasta College Student Services Office 10.00 n. Flash Drive

https://www.amazon.com/Kingston-Digital-DataTraveler-DTSE9H-8GBZ/dp/B006W8U2MU?th=1 8.00

o. SCFA Binder (2 ea.)

http://www.officedepot.com/a/products/1383895/Abisco-Spine-Assist-Easy-Insert-Round/ 14.00 p. *Structure Gloves Your Choice 80.00* q. *Wildland Gloves Your Choice 30.00*

Total Required Materials Cost: 330.00

6. Enrollment fees: Resident students; $1,005.50 ($46.00 per unit [21 units]; and $39.50 Student Services fee). 7. Optional Fees: Approximately $200.00. The State of California Community College Chancellor’s Office has

determined that certification fees are optional in nature and cannot be collected at the time of registration. Cadets who do not have any existing course completion certificates and want those end of course documents will be required to pay the optional certification fees. Fees vary according to the certificates being sought. This fee covers certificates from the California State Fire Marshal’s Office, Cal-OES, CSTI, or similar agencies that have certification fees attached to their courses. Graduates of the academy will receive additional certificates that do not have optional fees attached. A complete listing of certificates with or without optional fees is available from the Fire Technology Office. Unused paid fees will be refunded to the student. Due date for payment of optional fees is August 14, 2017.

8. Emergency Medical Information Form: An Emergency Medical Information Form must be completed and

signed by a licensed physician. If a full physical has been completed within the last six months, bring a copy of that physical to the class. (See Medical Information below).

9. Respiratory Medical Evaluation Questionnaire Fee: Approximately $30.00 (subject to change). Students

must complete this questionnaire and submit it for review to Redding Occupational Medical Center (ROMC). This evaluation is mandatory to help determine the student’s ability to wear a respirator. In some cases, ROMC may recommend an additional physical exam to complete the evaluation.

10. Fit Test fee: Currently $25.00 (subject to change). Once the student receives medical clearance through

ROMC, the student will receive notification of approval to be fitted for a respirator. We will schedule a time to complete the fit test as a group. Please DO NOT make individual arrangements to complete a fit test.

11. This course is currently scheduled to meet on the days and times set forth above. While the Fire Academy

meets Monday through Friday, students should anticipate schedule changes based on weather, facilities use, mass illness, job interviews, instructor availability, etc. This may involve scheduling occasional evening or weekend class meetings. In addition to class hours, students will be expected to complete an extensive amount of homework, meet in study groups and, if needed, come in on their own time to practice technical skills and improve physical conditioning. In short, this is a full time commitment for the semester.

12. Fire Academy students will be required to purchase mandatory equipment and supplies for this class. Several

weeks prior to the orientation meeting, registered students will receive a pre-letter which lists all required equipment/supplies for both the pre-meeting and the first day of class. If you have not received this letter by the Monday prior to the orientation, please contact Liz Ault at (530) 242-7563.

13. Students taking the Fire Academy must have a valid email address and reliable internet access throughout the

semester (computers are available on a first-come/first served basis at the college library). Students will need effective computer skills.

14. Fire Academy students must be medically cleared for rigorous physical activity prior to the first day of class.

The required medical forms can be picked up in room 2800 or 2208 M-Th, 8:00 a.m. to 4:00 p.m. Students who do not have full medical clearance on the first day of class will not be allowed to participate in any Fire Academy activities and will be dropped from the class by the Director. Students should anticipate a very demanding, yet highly rewarding semester while completing this course.

15. A Physical Fitness Assessment will be administered during the first week of class to establish a baseline for

tracking progress throughout the semester.

Medical Information: Enclosed with this letter is an Emergency Medical Information Form. The form must be completed and signed by a licensed physician. This form must be completed and turned in by the first day of class. If you do not turn in this form, you will not be allowed to complete the Physical Fitness Assessment and will be dropped from the course. If you have completed and passed a full physical within the last six months, you can use a copy of that physical for the class. Some examples include; DMV class A driver license physical, FAA flight physical, military discharge, Guard or Reserve physical, athletic physical, Shasta County Fire Department physical, etc. The form must be signed by a licensed physician, and stamped or printed with the office name and phone number. If you cannot get in to see your regular doctor, you may choose to visit one of several walk-in clinics in the area: Hilltop Medical Clinic, 1093 Hilltop Drive; Hilltop Medical Clinic West, 2123 Eureka Way; Everyday Family Medical Clinic, 3270 Churn Creek Road; Prestige Urgent Care, 3689 Eureka Way; Crossroads Family Urgent Care, 1710 Churn Creek Road; Anderson Walk-In Medical Clinic, 3082 McMurray Drive; and Redding Occupational Medical Center, 1710 Churn Creek Road, are all located in the Redding area and are familiar with these pre-screening exams. Also enclosed with this letter is a Respiratory Medical Evaluation Questionnaire which must be evaluated by Redding Occupational Medical Center (ROMC). ROMC can also complete your Emergency Medical Information Form as well as your Respiratory Medical Evaluation Questionnaire review for $80.00 ($55.00 Medical; $25.00 Respiratory). Dress and Grooming Standards You will attend the first day of class in the approved PT uniform (described in the Uniform Components section below). The components should be clean, dark navy blue sweatpants and a long-sleeve, dark navy blue sweatshirt (without a hood). The weather is not an issue; if it is 110o or 10 o below zero, you show up in sweats. Both the sweatpants and sweatshirt are to be free of any logos and symbols, except for your last name stenciled on the front and back of the t-shirt and sweatshirt. You will also need dark blue running shorts or sweat shorts. You should have two (preferably three) full sets of sweats. One pair will get wet every morning during physical training (PT). After PT and showers, you may be wearing sweats for up to the first two weeks of the academy. If you only have one pair, you will be sitting in wet clothing for 12 hours every day. You will need a pair of good running shoes for PT. Buy a pair that is designed for cross training. You will be running on the track, in the dirt, and on pavement. Good shoes are one of the best ways to prevent shin splints and injuries to your legs and feet. They do not have to be the most expensive. Go to a store that specializes in running shoes. Fleet Feet will analyze your running style and recommend the appropriate type of shoe. Each semester, students quit the academy because of shin-splints or similar running-related problems. Many problems can be prevented if the student wears good running shoes. Purchase at least two pairs of dark blue or black gloves for the morning workouts. Physical training is conducted in rain, snow, and heat. The gloves that work best are made from thin wool, polypropylene or similar material. Grooming standards will be explained at the pre-meeting, but keep in mind this is a paramilitary academy—that means no beards, mustaches, goatees, sideburns, etc. Men’s hair should be cut in a short military style. Women’s hair must be short enough to completely fit comfortably in a bun inside the helmet lining. No earrings/nose rings, etc. With the exception of Medic-Alert tags, do not wear bracelets, necklaces, etc. Uniform Components: 3G Uniforms, (530) 655-1113. The number indicated is the minimum number required. You may order additional components if you choose. Costs are approximate and subject to change. You must be in full dress uniform on Monday, August 14, 2017.

A representative from 3G Uniforms will be at the Fire Academy Orientation to take uniform orders. Come to the orientation class prepared with sizing information and a method of payment. Payment must be made at the time the order is placed.

a. Uniform shirt (with academy patch and American flag) – minimum of 2 100.00 b. Uniform Pants – minimum of 2 100.00 c. Uniform Belt – 1 29.00 d. Academy t-shirt – minimum of 2 32.00 e. Academy sweatshirt – minimum of 1 30.00 f. PT sweatshirt – minimum of 2 44.00 g. PT sweat pants – minimum of 2 50.00 h. PT t-shirts – minimum of 4 48.00 i. PT running shorts – minimum of 2 40.00 j. Name Pin 15.00 k. US Flag Patch 3.50 l. Sewing charge 3.00 m. SCFA Patch 6.75 n. Sewing charge 3.00

Total Uniform Cost: 500.00 Structure Fire PPE: ALL EQUIPMENT MUST BE NFPA COMPLIANT Shasta College will not provide structure PPE components. You must use one of the options described below. If your Fire Chief approves the use of department PPE, you must inform him/her that the equipment will be damaged and may not be serviceable after the academy. Shasta College is not responsible for any damage. A signed letter from your Chief authorizing the use of department PPE must be returned to the Fire Academy Director. You MUST have the items listed below by August 24, 2017. You will not be able to continue in the academy without these items. You have several options for acquiring the required structure PPE components. You can purchase your own structure PPE ensemble, but this is the most expensive of the options. You may use agency/department provided PPE with permission of the department chief. Or, the preferred option, for those who are not able to use department provided PPE, is to rent them from a vendor that provides this service. We have negotiated a special price with the vendor listed below. See attached flyer. We encourage you to use the rental option from 911 Safety Equipment so that the academy looks professional in standardized PPE. An inspection of all turnout gear will be conducted during the first two weeks of class. 911 Safety Equipment fireacademyrentals.com 329 E. Main Street Norristown, PA 19401 USA 866-370-7800, or 610-279-6808 The three month rental period from 911 Safety Equipment should cover the amount of time you will need the structure ensemble for the academy. If you do not have agency issued turnouts, you will be required to rent or purchase the following items. If you purchase, get basic equipment—you do not need top-of-the-line equipment (unless you want it). Your structure PPE ensemble must include:

a. Structure firefighting helmet with a full visor

b. Structure firefighting turnout pants (with suspenders) c. Structure firefighting turnout coat d. Structural firefighting gloves e. Nomex or PBI structural fire hood (shock hood)—the long style works better, but it is more expensive f. Structure (bunker) boots—these are the boots that are worn with structural firefighting gear g. Gear Bag

PPE Ensemble Rental Cost through 911 Safety Equipment (See attached flyer): 475.00

Shipping: 85.00 Refundable Deposit: (100.00) Total PPE Rental Cost: 560.00

Wildland Fire PPE: Wildland fire pants and shirt will be provided by the college for your use during academy training. You are responsible for acquiring the following items. Costs listed are approximate and can vary by vendor.

1. Station boots 150.00

a. Wildland boots will NOT work; you MUST get a pair of black work boots that can be polished to a “military spit shine” standard. They need to be at least 8-inches high. This type of boot can be found at any boot store—you do not need to go through the vendors listed below.

2. Approved wildland goggles and shroud 55.00 a. Purchase the most economical model available.

3. Approved wildland firefighting boots 350.00 a. Nicks, Whites, Wesco, etc. b. Station boots will NOT work for wildland training.

4. Approved wildland gloves 30.00 Total Wildland PPE Cost: 555.00

The fastest shippers of these items are:

a. All Star Fire Equipment; 1-800-200-2334, info@allstarfire.com

b. Ben Meadows; 1-800-241-6401, http://www.benmeadows.com

c. Cascade Fire in Medford, Oregon; 1-800-654-7049, ask for Jim in sales. http://www.cascadefire.com/

d. Forestry Suppliers; 1-800-647-5368, http://www.forestry-suppliers.com

e. L.N. Curtis and Sons Fire Equipment; 1-800-443-3556, oaksales@lncurtis.com

f. Drew’s Boots; 1-800-722-0393, orders@drewsboots.com (Boots only) You may use agency-issued or personal safety clothing if it meets all current standards with permission of your agency/department chief. If you are on the waitlist, you do not need to bring these items; if you get in the class, you will be given a couple of weeks to acquire needed items. A money-saver note: If you are going to buy a full set of structural gear you may want to think about driving to Cascade Fire in Medford (assuming you live in Northern California). They are typically less expensive, it’s a nice drive, and they will measure and fit you at their office. You can also drive to the other vendors, but Medford is

closer. These equipment suppliers will NOT allow returns on any items that have been worn or custom-ordered; in addition, they may charge you a re-stocking fee for any returned equipment. If you do not have these items, and are unable to obtain them, you will not be allowed to continue in the class. The college does not provide personal lockers for your academy equipment. You are responsible for transporting your gear to school every day, and having it available at all times. DO NOT leave equipment visible in your vehicle. Lock items in your trunk. We have had several break-ins and thefts from personal vehicles, on and off campus. Physical Conditioning: Daily physical fitness participation is mandatory during the academy. If you are not actively engaged in a well-rounded fitness routine that includes strength training, cardiovascular conditioning and flexibility, it is strongly recommended that you do so immediately. Miscellaneous: All personal vehicles are to be parked in the lot west of the fire station, near the swimming pool. The Fire Academy will break for 60 minutes at, or around, 1:00 p.m. each day. Lunch breaks may be reduced to 30 minutes based on the needs of the instructors. You will be much better off if you bring your lunch with you. Water is the only item allowed in the classroom. Bring your academy water bottles every day and stay hydrated. Do not make any assumptions about information contained in this letter. Read it thoroughly. If anything is unclear, or if you have any questions, contact the Fire Technology Office before proceeding. This academy is a very demanding course, but for those with the desire and determination, you can succeed and the rewards are great. Come prepared, and stay motivated! “Shasta College employs policies and procedures to strengthen and guarantee the premise of equal opportunity for all. The College practices

nondiscrimination in academic programs, employment, promotion, transfer and assignment on the basis of color, ethnic group identification,

race, religion, national origin, gender, sexual orientation, age, physical and mental disability, veteran and/or marital status.”

TO: la Enclosures: Academy Requirements Checklist Structure PPE Rental Agreement Emergency Medical Information Form Shasta Lake FPD Sleeper Program Information Shasta Lake FPD Sleeper Application Respirator Medical Evaluation Questionnaire Certificate Fees Payment Form

Shasta College Fire Academy #57 Fall 2017 Academy Requirements Checklist

Date

ITEMS TO COMPLETE Needed √

REQUIRED MATERIALS √

FIRS 104 Enrollment Receipt 14-Aug Igo Map

Emergency Medical Information Form 14-Aug Bella Vista Map

Respiratory Medical Evaluation Questionnaire 14-Aug Whiskeytown Map

Physical Training Uniform (see list to the right) 14-Aug Tie Rope

Fire Academy Uniform (see list to the right) 14-Aug Tubular Webbing

Station boots 14-Aug Safety Glasses

Structure PPE 14-Aug Reflective Safety Vest

*Structure firefighting helmet with a full visor Waterproof Notebook

*Structure firefighting turnout pants (with suspenders) Rite in the Rain Pen

*Structure firefighting turnout coat PT Helmet

*Structural firefighting gloves SCFA Waterbottle

*Nomex or PBI structural fire hood Structure Gloves

*Structure (bunker) boots Wildland Gloves

*Gear Bag SCFA Lanyard

Required Materials (see list to the right) 14-Aug Flash Drive

Textbook 14-Aug SCFA Binders (2)

*Essentials of Firefighting, IFSTA, 6th ed. Scantron Forms 882-E (30)

Certificate Fees Receipt 14-Aug

Prerequisite Certificates 14-Aug REQUIRED UNIFORM

*CPR for the Professional Rescuer Name Pin

*Emergency Medical Responder, or US Flag Patch

*Emergency Medical Technician SCFA Patch

*I-100 Introduction to the ICS Academy Uniform Belt

*I-200 Basic Incident Command System Academy Uniform Shirt

*I-700.a NIMS, an Introduction Academy Uniform Pants

Textbooks

Academy T-shirt

*Fire Fighter Survival Student Guide, SFT, June 2010 14-Aug Academy Sweatshirt

*Hazardous Materials Operations, IFSTA, 4th ed. 14-Aug PT T-shirt

*DOT Emergency Response Guidebook, 2016 ed 14-Aug PT Shorts

*Manipulative Performance Test Booklet, CalFire, 2011 30-Oct PT Sweatshirt

*Wildland Firefighting Package (NWCG) 30-Oct PT Sweatpants

*Incident Response Pocket Guide (IRPG) PT Shoes

*L-180 Human Factors on the Fireline *S-130 Firefighter Training *S-133 Look Up, Look Down, Look Around *S-190 Introduction to Wildland Fire Behavior *S-212 Wildland Fire Chain Saws Wildland PPE 30-Oct *Wildland boots *Wildland gloves *Wildland goggles *Wildland shroud

RENTAL AGREEMENT

911 Safety Equipment, LLC 329 E. Main St. Norristown, PA 19401

PH: 610-279-6808 ext 109 Fax: 610-978-2606

Email: Support@911se.com

RENTAL AGREEMENT (Sizing information page)

Student/Customer Name

Academy Attending

Height Weight

Coat:

Chest/Bust * (Chest measurement + 4” or coat chest size +4”)

Arm Length

Pants:

Waist *(Waist measurement + 4” or jean waist size + 4”)

Inseam

Boots :

Gloves :

Special Note:

*We ship the size you submit. You must add the 4 inches

911 Safety Equipment, LLC 329 E. Main St. Norristown, PA 19401

PH: 610-279-6808 ext 109 Fax: 610-978-2606

Email: Support@911se.com

RENTAL AGREEMENT (Signature page)

This lease agreement made this day of 20 between 911 Safety

Equipment, LLC (referred to as the "Owner") of the first part and:

(give full legal names, referred to as “Customer”)

First Name Last Name

Phone: E-Mail:

Shipping Address:

City/Town State Zip Code

Billing to name (if different) Bill to Phone:

Academy Attending Rental Period From To

Order Amount (Round trip shipping + $100 security deposit will be added)

Credit Card No.: Expiration Date:

Billing Address (credit card): Zip

Driver License: Issue State

Signature: x

1. I authorize 911 Safety Equipment to debit my Visa/MasterCard account with for any/all repairs, late fees, or payments due

under this agreement. My signature also affirms that I agree to all the terms of this agreement, and will return all leased items per this agreement.

2. TERM: This lease agreement shall extend for the period of training commencing on the date of execution of this agreement.

All rental fees and shipping charge are NON-REFUNDABLE; ALL SALES FINAL 3. RENT: This lease agreement shall pay to the Owner, rental fee for the period ending 7 business days from completion of

rental period. If equipment listed above is not returned within 7 business days from completion of rental period, late fees, repair/replacement costs (as listed below will apply).

4. IN WITNESS whereof, the parties hereto have executed the presents the day and year first above written.

5. LATE, REPAIR, AND REPLACEMENT FEES Customer agrees Owner shall be entitled to a late fee of

$30.00 PLUS $5.00 per day for each day equipment listed above is not returned to Owner within 7 business days from completion of the rental period. Owner shall charge any fees, including late, repair, replacement fees to the credit card listed above. Repair/Replacement fees shall be as follows: Replace lost or damaged Bunker Coat: $800.00 Replace lost or damaged Bunker Pants: $800.00 Replace lost or damaged Helmet: $185.00 Replace lost or damaged Boots $150.00 Replace lost or damaged Wildland Coat or Pant $100 each (If rented)

6. ACCEPTANCE The Customer acknowledges that he has fully inspected and accepted the equipment listed above in good condition and

repair and further acknowledges they read and understands the terms and conditions of this agreement. All gear meets NFPA standards for the year of equipment manufacture. NO REFUNDS will be provided if gear is rejected by a school, or instructor, we will replace at OUR discretion.

7. CUSTOMER Agrees that the Owner may charge late fees, repair, or replacement fees by method of Visa or MasterCard.

8. OWNERSHIP The equipment listed above is and shall at all times be and remain the sole and exclusive personal property of the Owner but

the Customer shall have the right to use the same except as expressly set forth in this lease agreement.

9. USE The equipment listed above shall be used only for the purpose of training in a manner for which it is intended and for no other

purposes.

10. REPAIR & LOSS During the term of this lease agreement the Customer shall bear the expense and cost of any loss, damage, or

destruction to the equipment listed above howsoever caused and the Customer shall at his own expense keep the equipment listed in this agreement in good and workable condition and shall notify the owner of any repairs needed in a timely manner. All repairs of whatsoever nature and kind shall be made by the Owner, it's servants or agents at the Owner's place of business or by such persons as may be approved in writing by the Owner, and in any event, the cost of all such repairs shall be paid by the customer on the credit card listed in this agreement or any other card customer chooses within 10 days of the date of return to the owner for such repairs. Customer may not be notified of these charges in advance of owner charging customers’ card. Owner is NOT responsible for any bank fees related to these charges.

11. CANCELLATION The customer shall have the right to cancel this lease agreement at any time of the term hereof, on the following

conditions: a) the equipment listed above shall be returned forthwith to the Owner at appropriate address listed below, with all shipping and/or postage charges and insurance prepaid. b) The equipment listed above shall be returned in good, clean, and workable condition, reasonable wear and tear only excepted. c) The Customer shall pay the cost of any repairs to the equipment listed above which the Owner, in it's sole opinion, deems necessary to place the gear in a good and workable condition., NO REFUNDS will be due or credit given for

future training.

12. SURRENDER I, the Customer, agree to surrender the equipment listed above in as good order as received by me at the end of the lease

agreement, subject to normal wear and tear, or I shall pay for the loss or repairs. In the event that litigation becomes necessary to fulfill the terms of this agreement, I also agree to pay all costs, both legal and extralegal that 911 Safety Equipment may incur in recovering the equipment listed above. I agree to notify the Owner in case of any changes to the below information as entered by me. Upon the expiration of the term of this lease agreement, the Customer shall deliver the equipment listed above to the Owner at the noted address with all shipping and/or postage charges and insurance prepaid. EQUIPMENT RETURNS WILL ONLY BE ACCEPTED BY TRACKABLE SHIPPING & can be shipped to: 911 Safety Equipment, Attn: Rental Returns 329 E. Main Street, Norristown PA 19401.

13. DEFAULT If the customer shall default in the payment of repair or replacement cost as hereinbefore provided or if the Customer attempts

to remove or sell or part with possession of the equipment listed in this agreement, then, and in either such event, the Customer shall, upon the demand of the owner, forthwith deliver the equipment listed above to the Owner at the cost and expense of the Customer to such place as the Owner shall designate, and/or the Owner may without notice to the Customer enter upon any premises of the customer and repossess the equipment listed above and thereafter the Customer shall be responsible for the cost and expense of the Owner taking possession, reconditioning and selling or otherwise disposing of the equipment listed above.

14. PURCHASE OPTION The Customer will have no option to purchase equipment listed above.

15. ASSIGNMENT The Customer shall not assign lease agreement or the interest of the Customer hereunder without the prior written

consent of the Owner, and neither this lease agreement for any interest therein is assignable or transferable by operation of law. 16. INTERPRETATION This agreement is a lease agreement only and the Customer shall not have or acquire any right, title or interest in

the equipment listed above. 17. NOTICES Service of all notices under this lease agreement shall be sufficient if given personally or mailed to the party involved at its

respective address, or at such address as such party may provide in writing from time to time. Mailing address: 911 Safety Equipment, 329 E. Main Street, Norristown, PA 19401

SHASTA COLLEGE FIREFIGHTER ACADEMY

EMERGENCY MEDICAL INFORMATION FORM Name_(Print)_____________________________________________________________________________________

Last First Middle Local Address _______________________________________________________________________________________________________

Street City State ZIP Local Telephone ______________________ Soc.Sec.#__________-_______-__________ Birthdate_____________________________

Alter.Phone __________________________ Height____________ Weight____________ Age_____________ Sex_____________

Marital Status ________________________ Spouse' s Name _______________________ Spouse Work Phone ___________________

Father' s Name_____________________________________________ Mother' s Name___________________________________________ Parent' s Address____________________________________________________________________ Phone______________________________________

Street City State ZIP Medical Alert/Condition/Allergies ______________________________________________________________________________________ Medical Insurance Policy__________________________________________________________Policy #______________________________ Family Physician_________________________________________________________________Telephone______________________________ PARTICIPATION QUESTIONNAIRE To be completed by participant Circle correct answer: Y for yes, N for no, and indicate (R)-right or (L)-left For PHYSICAL EXAM 1. Have you had a condition that

required medical attention to: Muscle Y N Joint Y N Tendon Y N Bone Y N Explain____________________

__________________________ 2. List date you had:

Shoulder dislocation__________ Knee trouble __________ Knee cap dislocation__________ Ankle sprain __________ Back pain __________ Fracture __________

3. Have you ever had an injury producing weakness or numb- ness of arms or legs? Y N Explain____________________

__________________________ 4. Are you under a physician's

care now? Y N For?_______________________

5. Have you experienced a con-cussion during past 3-yrs?Y N

6. Have you ever been unconscious? Y N Fainted? Y N How many times?____________ Hospitalized for this? Y N Explain____________________

7. Do you have frequent or severe headaches? Y N

8. Have you ever had seizures or convulsions? Y N

9. Have you ever had a brain wave test? Y N When?____________________ Where?____________________

10. Do you wear: Glasses Y N Contacts Y N Bridgework Y N Braces Y N Dentures Y N Last dentist visit (date)_______

11. Do you have loss or seriously impaired function of any paired organ? Y N (Circle which apply) KIDNEY EYE LUNG TESTICLE

12. Do you have or have you had: Asthma Y N Hayfever Y N Allergies Y N To what?___________________

__________________________ 13. List surgical operations you

have had and approximate date(s):____________________

__________________________ __________________________ 14. Have you been seen by a

physician for any illness or condition lasting more than one week during past year?Y N Explain____________________

__________________________

15. Are you on medication? Y N What? ____________________

16. Date of last tetanus shot: _________________________

17. Have you ever had a skull, neck, or spine fracture? Y N X-ray of any of above? Y N Explain____________________

__________________________ 18. Do you have or have you had:

Diabetes Y N Epilepsy Y N Kidney disease Y N Abnormal bleeding tendencies Y N Tuberculosis Y N Stomach/intestinal troubleY N Arthritis Y N Heart disease Y N (rheumatic fever, high blood, heart murmur) Other problems_____________ __________________________ __________________________

Student Signature_________________________________________________________________ Date________________________________________ PHYSICIAN'S PRE-SEASON SCREENING DATA To be completed by physician For PHYSICAL EXAM REQUIREMENT Systems Review Mouth & Pharynx Normal____ Abnormal____ Lungs Normal____ Abnormal____ Heart Normal____ Abnormal____ Abdomen Normal____ Abnormal____ Hernia Normal____ Abnormal____ Cervical Normal_____ Abnormal_____ Comments_____________________________ _____________________________________ Trunk/Cervical Spine Normal_____ Abnormal_____ Comments______________________________ _____________________________________ Shoulder Normal_____ Abnormal_____ Comments_____________________________ _____________________________________ Elbow Normal_____ Abnormal_____ Comments_____________________________

Wrist Normal_____ Abnormal_____ Comments_____________________________ _____________________________________ Hand Normal_____ Abnormal_____ Comments_____________________________ _____________________________________ Hip Normal_____ Abnormal_____ Comments_____________________________ _____________________________________ Knee Normal_____ Abnormal_____ Comments_____________________________ _____________________________________ Ankle Normal_____ Abnormal_____ Comments ____________________________ _____________________________________

Foot Normal_____ Abnormal_____ Comments ____________________________ _____________________________________ Blood Pressure S D Pulse Resting ___________________________ Active ___________________________ Additional comments _____________________ _____________________________________ _____________________________________ Physician' s Program Participation Recommendation: Full Participation _______________ Restricted Participation _______________ Prohibited Participation _______________

Physician Signature/Date:

Shasta College Sleeper Program

Individuals that are pursuing an AS degree in Fire Technology from Shasta College are invited to apply for one of two openings for our Shasta College Sleeper Program. Selected students will be allowed to live at the fire station free of charge. They will be expected to take part in daily activities and respond to calls as their schedule allows. Minimum Qualifications 18 years old. Be a student in good standing currently pursuing a Fire Technology degree, and remain enrolled and in good standing for duration of participation in sleeper program. Pass a pre-employment drug screening, background check, and medical clearance. Firefighting experience is preferred but not required. Equipment All PPE for structural and wildland firefighting will be provided. Application and Selection Process Submit an application, recent DMV printout, copy of current Shasta College class schedule, and copies of any certifications or qualifications held. Qualified applicants will be interviewed by the Fire Chief and department staff. Two will be selected, with two alternates. If one of the first two is removed from the program the next will be offered the position.

Applicants will sign a code of conduct agreement

Applications can be picked up at the main station 4126 Ashby Court, Shasta Lake, CA 96019

Online at:

www.shastalakefpd.org

For more information, contact Fire Chief Dennis Beck (530) 275-7474

Shasta Lake Fire Protection District is an Equal Opportunity Employer

SHASTA LAKE FIRE PROTECTION DISTRICT 4126 Ashby Court Shasta Lake, CA 96019-9215 ~ (530) 275-7474 ~ fax (530) 275-6502 ~ www.shastalakefiredistrict.com

SHASTA LAKE FIRE PROTECTION DISTRICT

4126 Ashby Ct., Shasta Lake, CA 96019-9215 ~ (530) 275-7474 ~ fax (530) 275-6502 ~ www.shastalakefpd.org

EMPLOYMENT APPLICATION

POSITION APPLYING FOR: DATE: If you’re attaching a resume, please read: In order for your application to be considered, the following section MUST be completed. A Resume MAY be attached, but

WILL NOT be acceptable in lieu of this section. Please attach an original copy of your current DMV driving record.

Name: SS#

Address: City: State: Zip:

Home Phone: Message Phone:

Are you a US citizen? If not, are you a legal resident?

DL# Class State Exp Date E-mail

YES NO

If you are hired, can you submit proof of right to work in the United States?

Are you at least 18 years of age?

Have you ever been discharged or forced to resign a position? (If yes explain circumstances below)

Have you ever been employed by the Shasta Lake Fire Protection District? (List under what name and year below)

Do you have any relatives working for Shasta Lake Fire Protection District? (List names and relationship below)

Have you ever been convicted of a misdemeanor or felony? (If yes, please explain circumstances below. Note: Conviction is not

necessarily a bar to employment. Each case is given individual consideration. Marijuana misdemeanors 2 years & older need not be listed.)

Do you possess any license, permit, certificate or are there any other experiences, skills or qualifications which you feel would

especially meet the requirements as stated on the job announcement? Describe.

Indicate the type of work you

would be willing to accept:

Full Time Part Time

Temporary Volunteer

Seasonal

Shifts

Days Wknds

Evenings Rotating

Overtime On-Call

PERSONNEL DEPARTMENT ONLY

Application Review - Approval/Denial Results Examination Results Date Stamp

Action Signature Date

Oral Score

Written Score

Other Score

Final Score

Employment History: List below all present and past employment FOR THE LAST 10 YEARS beginning with your most recent.

Explain gaps between employment periods. If more space is needed, use a separate sheet prepared in the same format and attach securely.

Incomplete information MAY result in disqualification.

DATES

Month - Year

PRESENT

OR LAST

POSITION

Company Position Held Starting Salary

From Mailing Address Supervisor Name & Title Final Salary

To City State Zip Reason for Leaving Phone No.

May we

contact?

Yes No

Your Duties: Hours per Week:

DATES

Month - Year

NEXT

PREVIOUS

POSITION

Company Position Held Starting Salary

From Mailing Address Supervisor Name & Title Final Salary

To City State Zip Reason for Leaving Phone No.

May we

contact?

Yes No

Your Duties: Hours per Week:

DATES

Month - Year

NEXT

PREVIOUS

POSITION

Company Position Held Starting Salary

From Mailing Address Supervisor Name & Title Final Salary

To City State Zip Reason for Leaving Phone No.

May we

contact?

Yes No

Your Duties: Hours per Week:

Education

School

Name & Address of School

Course of Study Credits Earned

Diploma or

Degree

Grade Point

Average Quarter

Units

Semester

Units

High

College

Other

(Specify)

I HEREBY CERTIFY THAT ALL STATEMENTS MADE IN THIS APPLICATION AND ACCOMPANYING MATERIALS ARE

COMPLETE, ACCURATE ANE TRUE TO THE BEST OF MY KNOWLEDGE. I AGREE AND UNDERSTAND THAT ANY

OMISSIONS OR MISSTATEMENTS OF MATERIAL FACTS CONTAINED IN THE APPLICATION MAY CAUSE ME TO

FORFEIT ALL RIGHTS TO EMPLOYMENT WITH THE SHASTA LAKE FIRE PROTECTION DISTRICT. I UNDERSTAND

THAT THE INFORMATION PROVIDED BY ME WILL BE VERFIED. I AUTHORIZE THE RELEASE OF PERTINENT

INFORMATION TO THE DISTRICT BY EMPLOYERS AND EDUCATIONAL FACILITIES.

Signature of Applicant _________________________________________________ Date _________________________

Part A. Section 2.

1. Do you currently smoke tobacco, or have you smoked tobacco in the last month: Yes □ No □

2. Have you ever had any of the following conditions?

a. Seizures: Yes □ No □

b. Diabetes (sugar disease): Yes □ No □ c. Allergic reactions that interfere with your breathing: Yes □ No □

d. Claustrophobia (fear of closed-in places): Yes □ No □ e. Trouble smelling odors: Yes □ No □

3. Have you ever had any of the following pulmonary or lung problems?

a. Asbestosis: Yes □ No □

b. Asthma: Yes □ No □ c. Chronic bronchitis: Yes □ No □

d. Emphysema: Yes □ No □ e. Pneumonia: Yes □ No □

f. Tuberculosis: Yes □ No □ g. Silicosis: Yes □ No □

h. Pneumothorax (collapsed lung): Yes □ No □

i. Lung cancer: Yes □ No □ j. Broken ribs: Yes □ No □

k. Any chest injuries or surgeries: Yes □ No □ l. Any other lung problem that you've been told about: Yes □ No □

4. Do you currently have any of the following symptoms of pulmonary or lung illness?

a. Shortness of breath: Yes □ No □

b. Shortness of breath when walking fast on level ground or walking up a slight hill or incline: Yes □ No □

c. Shortness of breath when walking with other people at an ordinary pace on level ground: Yes □ No □

d. Have to stop for breath when walking at your own pace on level ground: Yes □ No □

e. Shortness of breath when washing or dressing yourself: Yes □ No □ f. Shortness of breath that interferes with your job: Yes □ No □

g. Coughing that produces phlegm (thick sputum): Yes □ No □ h. Coughing that wakes you early in the morning: Yes □ No □

i. Coughing that occurs mostly when you are lying down: Yes □ No □

j. Coughing up blood in the last month: Yes □ No □ k. Wheezing: Yes □ No □

l. Wheezing that interferes with your job: Yes □ No □ m. Chest pain when you breathe deeply: Yes □ No □

n. Any other symptoms that you think may be related to lung problems: Yes □ No □

5. Have you ever had any of the following cardiovascular or heart problems?

a. Heart attack: Yes □ No □ b. Stroke: Yes □ No □

c. Angina: Yes □ No □ d. Heart failure: Yes □ No □

e. Swelling in your legs or feet (not caused by walking): Yes □ No □

f. Heart arrhythmia (heart beating irregularly): Yes □ No □ g. High blood pressure: Yes □ No □

h. Any other heart problem that you've been told about: Yes □ No □

6. Have you ever had any of the following cardiovascular or heart symptoms?

a. Frequent pain or tightness in your chest: Yes □ No □ b. Pain or tightness in your chest during physical activity: Yes □ No □

c. Pain or tightness in your chest that interferes with your job: Yes □ No □ d. In the past two years, have you noticed your heart skipping or

missing a beat: Yes □ No □

e. Heartburn or indigestion that is not related to eating: Yes □ No □ d. Any other symptoms that you think may be related to heart or

circulation problems: Yes □ No □

7. Do you currently take medication for any of the following problems?

a. Breathing or lung problems: Yes □ No □

b. Heart trouble: Yes □ No □

c. Blood pressure: Yes □ No □ d. Seizures: Yes □ No □

8. If you've used a respirator, have you ever had any of the following problems?

(If you've never used a respirator, check the following space and go to question 9:) Yes □ No □

a. Eye irritation: Yes □ No □

b. Skin allergies or rashes: Yes □ No □

c. Anxiety: Yes □ No □ d. General weakness or fatigue: Yes □ No □

e. Any other problem that interferes with your use of a respirator: Yes □ No □

9. Would you like to talk to the health care professional who will review this questionnaire

about your answers to this questionnaire: Yes □ No □

Questions 10 to 15 are mandatory for students who wear a full-face piece respirator or a self-contained breathing apparatus (SCBA). Others may answer these questions voluntarily.

10. Have you ever lost vision in either eye (temporarily or permanently): Yes □ No □

11. Do you currently have any of the following vision problems?

a. Wear contact lenses: Yes □ No □

b. Wear glasses: Yes □ No □

c. Color blind: Yes □ No □ d. Any other eye or vision problem: Yes □ No □

12. Have you ever had an injury to your ears, including a broken ear drum: Yes □ No □

13. Do you currently have any of the following hearing problems?

a. Difficulty hearing: Yes □ No □

b. Wear a hearing aid: Yes □ No □

c. Any other hearing or ear problem: Yes □ No □

14. Have you ever had a back injury: Yes □ No □

15. Do you currently have any of the following musculoskeletal problems?

a. Weakness in any of your arms, hands, legs, or feet: Yes □ No □ b. Back pain: Yes □ No □

c. Difficulty fully moving your arms and legs: Yes □ No □ d. Pain or stiffness when you lean forward or backward at the waist: Yes □ No □

e. Difficulty fully moving your head up or down: Yes □ No □

f. Difficulty fully moving your head side to side: Yes □ No □ g. Difficulty bending at your knees: Yes □ No □

h. Difficulty squatting to the ground: Yes □ No □ i. Climbing a flight of stairs or a ladder carrying more than 25 lbs: Yes □ No □

j. Any other muscle or skeletal problem that interferes with using a respirator: Yes □ No □

Part B Supplemental Question Any of the following questions, and other questions not listed, may be added to the questionnaire at the discretion of

the health care professional who will review the questionnaire.

1. In your present job, are you working at high altitudes (over 5,000 feet) or in a

place that has lower than normal amounts of oxygen: Yes □ No □

If "yes," do you have feelings of dizziness, shortness of breath, pounding in your chest, or other symptoms when you're working under these conditions: Yes □ No □

2. At work or at home, have you ever been exposed to hazardous solvents, hazardous

airborne chemicals (e.g., gases, fumes, or dust), or have you come into skin contact with hazardous chemicals: Yes □ No □

If "yes," name the chemicals if you know them:__________________________________________

3. Have you ever worked with any of the materials, or under any of the conditions, listed below:

a. Asbestos: Yes □ No □

b. Silica (e.g., in sandblasting): Yes □ No □ c. Tungsten/cobalt (e.g., grinding or welding this material): Yes □ No □

d. Beryllium: Yes □ No □ e. Aluminum: Yes □ No □

f. Coal (for example, mining): Yes □ No □ g. Iron: Yes □ No □

h. Tin: Yes □ No □

i. Dusty environments: Yes □ No □ j. Any other hazardous exposures: Yes □ No □

If "yes," describe these

exposures:____________________________________________________________________________

4. List any second jobs or side businesses you have:___________________________________________

5. List your previous

occupations:___________________________________________________________________________

6. List your current and previous

hobbies:______________________________________________________________________________

7. Have you been in the military services?

If "yes," were you exposed to biological or chemical agents (either in training or combat): Yes □ No □

8. Have you ever worked on a HAZMAT team? Yes □ No □

9. Other than medications for breathing and lung problems, heart trouble, blood pressure, and seizures mentioned earlier in this questionnaire, are you taking

any other medications for any reason (including over-the-counter medications): Yes □ No □

If "yes," name the medications if you know them:_____________________________________________

10. Will you be using any of the following items with your respirator(s)?

a. HEPA Filters: Yes □ No □ b. Canisters (for example, gas masks): Yes □ No □

c. Cartridges: Yes □ No □

11. How often are you expected to use the respirator(s) (mark "yes" or "no" for all answers that apply).

a. Escape only (no rescue): Yes □ No □ b. Emergency rescue only: Yes □ No □

c. Less than 5 hours per week: Yes □ No □ d. Less than 2 hours per day: Yes □ No □

e. 2 to 4 hours per day: Yes □ No □

f. Over 4 hours per day: Yes □ No □

12. During the period you are using the respirator(s), is your work effort:

a. Light (less than 200 kcal per hour): Yes □ No □

If "yes," how long does this period last during the average shift:____________hrs.____________mins.

Examples of a light work effort are sitting while writing, typing, drafting, or performing light assembly work; or

standing while operating a drill press (1-3 lbs.) or controlling machines.

b. Moderate (200 to 350 kcal per hour): Yes □ No □

If "yes," how long does this period last during the average shift:____________hrs.____________mins.

Examples of moderate work effort are sitting while nailing or filing; driving a truck or bus in urban traffic; standing while drilling, nailing, performing assembly work, or transferring a moderate load (about 35 lbs.) at

trunk level; walking on a level surface about 2 mph or down a 5-degree grade about 3 mph; or pushing a

wheelbarrow with a heavy load (about 100 lbs.) on a level surface.

c. Heavy (above 350 kcal per hour): Yes □ No □

If "yes," how long does this period last during the average shift:____________hrs.____________mins.

Examples of heavy work are lifting a heavy load (about 50 lbs.) from the floor to your waist or shoulder; working on a loading dock; shoveling; standing while bricklaying or chipping castings; walking up an 8-degree

grade about 2 mph; climbing stairs with a heavy load (about 50 lbs.).

13. Will you be wearing protective clothing and/or equipment

(other than the respirator) when you're using your respirator: Yes □ No □

If "yes," describe this protective clothing and/or equipment:_____________________________________

14. Will you be working under hot conditions (temperature exceeding 77 deg. F): Yes □ No □

15. Will you be working under humid conditions: Yes □ No □

16. Describe the work you'll be doing while you're using your respirator(s):

_____________________________________________________________________________________

_____________________________________________________________________________________

17. Describe any special or hazardous conditions you might encounter when you're using your respirator(s) (for example, confined spaces, life-threatening gases):

_____________________________________________________________________________________

18. Provide the following information, if you know it, for each toxic substance that you'll be exposed to when you're using your respirator(s):

Name of the first toxic substance:__________________________________________________________

Estimated maximum exposure level per shift:_________________________________________________

Duration of exposure per shift:____________________________________________________________

Name of the second toxic substance:_______________________________________________________

Estimated maximum exposure level per shift:_________________________________________________

Duration of exposure per shift:____________________________________________________________

Name of the third toxic substance:_________________________________________________________

Estimated maximum exposure level per shift:_________________________________________________

Duration of exposure per shift:____________________________________________________________

The name of any other toxic substances that you'll be exposed to while using your respirator:

_____________________________________________________________________________________

19. Describe any special responsibilities you'll have while using your respirator(s) that may affect the safety and well-being of others (for example, rescue, security):

_____________________________________________________________________________________

Name: (Please Print) ____________________________________________________

Signature: __________________________________________________________ Date: _____________

Please submit your payment to the Business Office window in the 100 building Monday-Thursday between 8:00 a.m. to 4:30 p.m., Friday between 8:00 a.m. to 3:00 p.m., or mail your payment with this form to: Shasta College Business Office, PO Box 496006, Redding, CA 96049-6006

White: Business Office copy / Yellow: Fire Technology Office copy / Pink: Student copy

SHASTA COLLEGE FIRE TECHNOLOGY & EMS PROGRAM

BUSINESS, AGRICULTURE, INDUSTRY, TECHNOLOGY & SAFETY

CERTIFICATE FEES

FIREFIGHTER I ACADEMY

Office

use

only

CERTIFICATION

BUDGET CODE

DATATEL

VAL CODE

AMOUNT DUE

FSTEP – Confined Space

11-00-28-000-00000-887720 SFIRE $20.00

FSTEP – Fire Control 1

11-00-28-000-00000-887720 SFIRE $20.00

FSTEP – Fire Control 2

11-00-28-000-00000-887720 SFIRE $20.00

FSTEP – Fire Control 3B

11-00-28-000-00000-887720 SFIRE $20.00

FSTEP – Fire Control 6

11-00-28-000-00000-887720 SFIRE $20.00

FSTEP – Fire Fighter Survival

11-00-28-000-00000-887720 SFIRE $20.00

FSTEP – I200: Basic ICS

11-00-28-000-00000-887720 SFIRE $20.00

FSTEP – Vehicle Extrication

11-00-28-000-00000-887720 SFIRE $20.00

CSTI – Hazmat FRO

11-00-28-000-00000-887720 SFIRE $5.00

CSTI – Hazmat DECON

11-00-28-000-00000-887720 SFIRE $5.00

CSTI – Hazmat WMD

11-00-28-000-00000-887720 SFIRE $5.00

Total Due

$175.00

To Students: Shasta College is a California State Fire Marshal approved Firefighter 1 Academy. In order to receive the Firefighter 1

Academy completion certificate, students need to complete all of the below certifications (and more). If you already have one or

more of these certificates, you MUST provide a copy of the certificate to the office.

Tony Osa

Fall 2017

FIRS-104-F9582