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NWRTC Instructor III
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Last Name
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First Name
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Your answer
Fire Department
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Cell Number
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Your answer
E-Mail
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Your answer
SMOKE ID#
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Your answer
Certified Fire Instructor II O55A or O55B Certificate
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Yes
No
7 Years of Fire Service Experience
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Yes
No
Member or have been a member of organized Michigan Fire Dept in Last 5 years
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Yes
No
80 Hours Documented Fire and EMS Instructional Hours
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Yes
No
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