CERT Interest Form

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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 cert@oxnard.org.

Email *

City of Oxnard CERT - Offered through Oxnard Fire Department

First Name *

Last Name *

City of Residence

This information is optional. Living in another City does NOT bar you from taking the Oxnard CERT class.

Street Address or Neighborhood Name

(e.g., Via Marina, Fremont South)

Preferred Language

We offer 2 English and 2 Spanish CERT courses per year. (Class size - up to 35 students )

English

Spanish

Both

Phone Number (with area code)

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:

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Comments: How did you hear about us?

Send me a copy of my responses.

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