CERT Interest Form
Classes are scattered throughout the calendar year, if you are interested please fill in the below information.
Once we have a class schedule you will get notified through the email that you have left on the form.
YOU ARE NOT REGISTERED IN A CLASS UNTIL YOU GET AN ENROLLMENT NOTIFICATION EMAIL!
If you need to contact someone please call Scott Brewer (805) 385-7717 or email
scott.brewer@oxnard.org
.
* Required
Email address
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
City of Residence
This information is optional. Living in another City does NOT bar you from taking the Oxnard CERT class.
Your answer
Phone Number (with area code)
Your answer
Preferred Language
*
English
Spanish
Both
Preferred Timing
Classes are usually in the evenings during the week, if there is enough interest for another time we maybe able to schedule a class for that.
Morning
Afternoon
Evening
Weekends
Other:
Clear selection
Comments
Your answer
Send me a copy of my responses.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of City of Oxnard.
Report Abuse
Forms