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2020 Fire Academy Scholarship-Internship Form
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* Indicates required question
Teacher Recommending Student
*
Your answer
High School
*
Choose
Dinuba HS
Kingsburg HS
Orange Cove HS
Parlier HS
Reedley Middle College HS
Reedley HS
Sanger HS
Selma HS
Orosi HS
Student First Name
*
Your answer
Student Last Name
*
Your answer
Email Address
*
Your answer
Cell phone Number
*
Your answer
Secondary Contact Number
*
parent cell, guardian, School Counselor, etc....
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Choose
CA
Zip Code
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Do you have the an EMT License
Yes
No
I am currently taking the EMT course this semester
I am planning to take the EMT course in the summer
Other:
Clear selection
FIRET1 - Fire Prevention Organization
I am currently enrolled in the FIRET1 thru my U/R Fire Fighting course this semester
I completed the FIRET1 Dual Enrollment Course last year
I am have not completed the FIRET1 Dual Enrollment course
Clear selection
If you have a Fresno City or Reedley College ID number (ask your teacher), please enter:
Your answer
What are your plans after High School?
*
Attend Fresno City College Fire Academy
Attend Fresno State
Attend a different College outside the area
Required
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