CERT Application
Please make sure to fill out all required fields, the form will not submit if required fields are not completed. A SLED background check will be completed based on the information provided. After the form is submitted and your background check is returned you will be contacted by Fire-Rescue and informed of the next meeting date.  
Email *
Legal Name *
Gender *
Address *
Phone Number *
Date of Birth *
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Social Security Number *
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