Fire & Emergency Medical Rescue Academy Information Session RSVP Fire Academy Information Session Registration Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Last four digits of Social Security number (used for state credentialing information)*Please enter a number from 0000 to 9999.Email* Enter Email Confirm Email Which information session date do you plan to attend?*Saturday, November 14 at 9:00 amSaturday, December 5 at 9:00 amSaturday, January 9 at 9:00 amWednesday, January 20 at 6:30 pmWednesday, January 27 at 6:30 pmCell phone*Are you planning to use your V.A. benefits? (for veterans only) Yes No
