2020 Westmont VIRTUAL Citizens Fire Academy - Online Application Form
To apply for Westmont's first-ever VIRTUAL Citizens Fire Academy, please fill out the following form.  The virtual CFA will be a 4-week program on Wednesday evenings beginning May 2020.  Please fill out this form and be sure to hit SUBMIT at the end so that your answers are forwarded to the Westmont Fire Department.
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Last name: *
First name: *
Middle initial: *
Address: *
City - State - Zip *
How long have you lived at this address? *
Date of Birth (MO/DAY/YEAR): *
Home Phone: *
Cell Phone: *
Email: *
(Please type NA if you do not have an email)
Name of Employer:
Employer Address:
Business Phone:
Optional
Are you currently a member of a Fire Department? *
(If yes, where?)
Shirt Size: *
How did you learn about the Citizens Fire Academy Program?
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. *
Please type in today's date.  (MO/DAY/YEAR) *
Be sure to click SUBMIT below to forward this application to the Westmont Fire Department. For more information, please contact Neil Berkowitz at nberkowitz@westmont.il.gov or 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.
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