Responses cannot be edited
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 Spring/Fall 2017 First Aid class. The Spring Class tentatively begins on May 17th and ends on June 24th. The Fall class will run from September to October. Generally, classes will be held on Tuesdays from 4:30-6:30 and Saturdays from 2-4. Please submit your application by May 5th. You will be notified of the decision on May 12th. Direct any questions/concerns to post53firstaid@gmail.com.
Last name
First name
Gender
Age
Date of birth
Will you be attending DHS in the fall?
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.
Which class do you prefer to take? Spring class: May - June. Fall class: September - October.
Are you unable to take one of the classes?
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)
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms