2020 Westmont Spring Citizens Fire Academy - Online Application Form
To apply for the 2020 Westmont Spring Citizens Fire Academy, please fill out the following form. There is a limited amount of spaces available for this class, so please be aware that once this class is closed, applications will be placed on file for our next set of classes. This year's CFA will be from March 25 through April 22. Be sure to hit SUBMIT at the end of this form so that your answers are forwarded to the Westmont Fire Department.
* Required
Last name:
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Your answer
First name:
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Your answer
Middle initial:
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Your answer
Address:
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Your answer
City - State - Zip
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Your answer
How long have you lived at this address?
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Your answer
Date of Birth (MO/DAY/YEAR):
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Your answer
Home Phone:
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Your answer
Cell Phone:
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Your answer
Email:
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(Please type NA if you do not have an email)
Your answer
Name of Employer:
Your answer
Employer Address:
Your answer
Business Phone:
Optional
Your answer
Are you currently a member of a Fire Department?
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(If yes, where?)
Your answer
Shirt Size:
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Small
Medium
Large
X-Large
2X
3X
How did you learn about the Citizens Fire Academy Program?
Village Website
Press Release
Newspaper Article
Social Media
Electronic Bulletin Board
Word of Mouth
Other:
All applicants must be at least 18 years of age and live, work or volunteer in the Village of Westmont. I hereby ensure that all of the information that I have submitted on this Citizens Fire Academy application form is true and accurate. I understand that the Fire Department reserves the right to accept or reject any applicant for the Citizens Fire Academy.
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Yes
No
Please type in today's date. (MO/DAY/YEAR)
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Your answer
Be sure to click SUBMIT below to forward this application to the Westmont Fire Department. Paper applications are available at the Frank J. Johanik Fire Station Headquarters, 6015 S. Cass Ave., Westmont, IL 60559, M-F, 8am-4pm. For more information please contact Neil Berkowitz,
nberkowitz@westmont.il.gov
and 630-981-6442. You will be notified by e-mail, phone, or letter of your acceptance into the program.
If you have any questions or comments, please use the space below. Be sure to click SUBMIT at the end of this form.
Your answer
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