2023 TN-KY Wildland Fire Academy Nomination Form

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Please submit a form for each course you wish to nominate yourself for.
Use the CAP Nomination Form for all Casualty Assistance Program courses, and the Finance Academy Nomination Form for S-260, S-261, FEMA L-975, S-262, Buying Team Member, and S-481.

Email *

First Name *

Last Name *

Full name as it should appear on course certificate. *

Example: John J Doe

Secondary Email Address *

Enter a secondary email address you will be able to access from November-January and during periods of leave.

Phone Number (XXX-XXX-XXXX) *

Enter a telephone number (including area code) at which you can be contacted if there are questions regarding your nomination(s).

IQCS # *

Enter your IQCS Employee ID. If you do not have an IQCS # enter n/a.

Job Title *

What is your working job title?

Emergency Contact Information *

List name and phone number of emergency contact.

Supervisor's Full Name

Supervisor's Email *

Supervisor's Phone Number (XXX-XXX-XXXX) *

USFS Fire? *

If you are an employee of the USFS, indicate whether your position is a primary or secondary covered fire position (YES) or not a fire position (NO). If you are not a USFS employee, choose N/A.

YES

N/A

Sponsor *

Indicate the unit that certifies your qualifications (issues your qualification card). If you are an employee of any park in the Southeast Region, choose option 6. If you are an employee of any refuge in USFWS Region 4, choose option 7. Option 9 applies ONLY to employees of the SA Regional Office, not to all forests in the Southern Region.

Home Unit *

Enter your 5-6 character unit identifier (Examples: KY-KYS, FL-EVP, GA-CHF, GA-R4R, VA-VAS). Find your UNIT ID HERE: https://drive.google.com/file/d/1RWrX_wZ0JOa1dpHbAiB6i_wDvlPDaRrn/view?usp=sharing

Students from sponsoring agencies do not pay tuition. If you are not from a sponsoring agency you will have to pay tuition. *

I understand.

Required

Please select the course you wish to submit a nomination for. *

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