Post 53 First Aid Class Application 2017-2018
Please complete this application thoroughly and carefully before submitting to be considered for Darien EMS - Post 53's Fall 2017 First Aid class. The Fall class will run from September to October. Generally, classes will be held on Tuesdays from 6:30-8:30 and Saturdays from 2-4. Please submit your application by August 1st. You will be notified of the decision in mid August. Direct any questions/concerns to
First name *
Last name
Gender *
Age *
Date of birth *
Will you be attending DHS in the fall as a 9th grader? *
Preferred student email for contact *
Parent email *
Home phone *
Do you have any family members that are now or have been involved with Post 53?
Please indicate if you have any of the following certifications.
How did you hear about Post 53? (Max 1000 characters) *
Why do you think you'd be a good candidate for Post 53? (Max 1000 characters) *
Describe yourself. What kind of person are you? What are your strengths and weaknesses? (Max 1000 characters) *
What are your extracurricular activities and interests? (Max 1000 characters) *
Have you been involved with other community service programs? (Max 1000 characters) *
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