TEXTBOOK INFORMATION. June 15, Registered Fire Academy Students. From: Tony Osa, Director Fire Technology and EMS Program

Similar documents
Indiana County. William A. Waugh. Fire Academy

Skykomish Valley Fire and Rescue

KLEIN VOLUNTEER FIRE DEPARTMENT SQUYRES ROAD, KLEIN TX Volunteer Application Station Number

Kittitas County Fire District 2 PERSONAL INFORMATION

Firefighter / Paramedic

Mailing Address (Street) (Apt) Telephone Numbers: Work: ( ) - Home: ( ) - (City) (State) (Zip Code) Other: ( ) -

APPLICATION FOR SCHOOL BUS DRIVER FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A CRIMINAL CHECK AS A CONDITION OF EMPLOYMENT

Employment Application

GLOBAL EDUCATION CENTER. GLOBAL EXPEDITION CONTRACT ( - Summer ) APPLICANT INFORMATION. Male Female Yes No DATE OF BIRTH GENDER HIGH SCHOOL STUDENT?

MT. VERNON FIRE DEPARTMENT 2016 APPLICATION PACKET

ONLINE APPLICATION. After receiving your application, what is the best way for us to contact you?

Application for Employment

Application for Employment

Deputy Application Packet

EMPLOYMENT APPLICATION PACKET

Top Shot Membership INDIVIDUAL & FAMILY MEMBERSHIP MEMBERSHIP APPLICATION AND AGREEMENT INSTRUCTIONS

Montgomery County ESD 1

Yes No. To: (Mo./Yr.) (Mo./Yr.) Other Education Training (including business, trade, or military service schools, etc.)

Continuing Education Discovery College Registration Form

PERSONAL DATA. Name: Last Name First Name Middle Initial. Address: Number Street Apartment. City State Zip Code. Telephone Number: name, please list:

(PLEASE PRINT) DATE OF APPLICATION

Clayton State University SAC Fitness Center

APPLICATION FOR EMPLOYMENT MTR Construction Inc.

The deadline to return rented textbooks for the current semester is no later than May, 12 th.

EMPLOYMENT APPLICATION

Punta Gorda Volunteer Fire Department

Application for Employment

The Tidelands Health Auxiliary Healthcare Scholarship Program. Guidelines Summary and Application

City of Becker Employment Application

Charter Oak Gymnastics Winter Camps 2018

IOS - Recruitment and Testing Services

Trophy Club Municipal Utility District No. 1 APPLICATION FOR EMPLOYMENT

Employment Application Version /25/16

APPLICATION FOR EMPLOYMENT [ Co. Logo and Address]

City of Shorewood Application for Employment

Employment Application

Charter Oak Gymnastics Winter Camp 2016

INDIANA COUNTY Employment Application

Educational Background Education School Name, City, State Major Area of Study High School

South Whidbey Fire / EMS Proudly Serving Since 1950

AFFILIATION AGREEMENT

RONDOUT VALLEY CENTRAL SCHOOL DISTRICT Classified Employment Application Personnel * P.O. Box 9 * Accord, New York * Phone: (845)

NORTH RIVER FIRE DISTRICT APPLICATION FOR EMPLOYMENT

Application for Employment

Employment Application

QUALIFYING CRITERIA, GUIDELINES, & RENTAL APPLICATION

CITY OF GRAIN VALLEY.

PERSONAL HISTORY STATEMENT INSTRUCTIONS TO THE APPLICANT. 1. The completion of this form is mandatory for all applicants

APPLICATION FOR EMPLOYMENT

NORTH SHELBY FIRE DISTRICT 4617 Valleydale Road, Birmingham Alabama, Fax

Denham-Blythe Company, Inc.

Saturday 9:00 am 11:30 am

Application Guidelines

APPLICATION FOR EMPLOYMENT

REQUEST FOR QUOTATION MIDDLETOWN, CONNECTICUT RFQ # STORM WEATHER WARNING SERVICES PUBLIC WORKS DEPARTMENT FOR THE CITY OF MIDDLETOWN

PRE-HIRE CHECKLIST. PRIOR TO HIRING: These forms must be completed & ed to or faxed to

AFFILIATION AGREEMENT

Fire Fighter. CITY OF CLOVIS, CALIFORNIA invites applications for the position of: An Equal Opportunity Employer

AN EQUAL OPPORTUNITY EMPLOYER/AA/ADA AND DRUG FREE

Tiger Sanitation, Inc US Hwy 87 E San Antonio, TX 78222

Badlands Motocross Park

Phone Fax

Angert s Hydrographics LLC. 342 Carbon Center Road Butler, PA

APPLICATION FOR EMPLOYMENT

Serving Our Community Since 1902

Last Name First Name Middle Name. Street Address City State Zip Code

SKATING RINK OPERATORS DISCOVERY QUESTIONNAIRE THIS IS FOR QUOTATION PURPOSES ONLY THIS IS NOT A BINDER

APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT

Student Account and Billing Information

APPLICATION FOR EMPLOYMENT APPLICANT PROCEDURES TO BE READ AND SIGNED BY APPLICANT

NORWEGIAN WOOD, LLC. Waitlist Application Package 2019

MEMBERSHIP AGREEMENT

Miami-Dade County Public Schools Supplemental Educational Services Revised District Policy Form

DRIVER QUALIFICATION APPLICATION

Adopt-a-Flowerbed Agreement

CITY OF ROCK HILL, SOUTH CAROLINA REQUEST FOR PROPOSAL SMALL VEHICLE PURCHASE. September 6, 2017 at 2:00 p.m.

Wednesday, April 26, :30 8:00 a.m. Set Up (Conference registration begins at 7:00 a.m.) 8:00 a.m. 4:00 p.m. Display 4:00 5:00 p.m.

ARISE Academy, Inc. d/b/a ARISE Schools Request for Proposals Student Transportation

SANILAC COUNTY ROAD COMMISSION EMPLOYMENT APPLICATION FOR CDL POSITION 35 N. Flynn Street Sandusky, MI 48471

2018 Junior Lifeguard Camp Registration

Duneland Family YMCA General YMCA Member Policy

Clayton State University Division of Student Affairs. Student Travel Agreement Form

To become an Amador Rides Volunteer Driver, you must provide:

phone fax

Last Name First M.I. Date. Street Address Apartment/Unit #

APPLICATION FOR EMPLOYMENT

Starting Salary: $57,200 Ceiling Salary: $76,000 Department Size: 80

Robinson Nevada Mining Company EMPLOYMENT APPLICATION

Professional Credential Services, Inc.

FIELD INTERNSHIP AGREEMENT

Application for Employment

13 th Year Anniversary Season

Application for Employment

Employment Application

MANDATORY PRE-BID MEETING JUNE 06, VEGETATION Center Grinding

APPLICATION FOR EMPLOYMENT

Clerical Assistant $13 - $15 per hour DOQ TEMPORARY/PART-TIME / NO BENEFITS

Transit Authority of Central Kentucky 1209 N. Dixie Ave. Elizabethtown, KY Phone: (270) Fax: (270)

AAD Policy Manual An overview of the Policies, Strategies and Core Operational Guidelines that AAD uses in its Day to Day operations.

Transcription:

Shasta College Fire Technology Program Business, Agriculture, Industry, Technology, & Safety 11555 Old Oregon Trail P.O. Box 496006 Redding, CA 96049-6006 Phone: (530) 242-7563 Fax: (530) 225-4823 www.shastacollege.edu 1 June 15, 2016 To: Registered Fire Academy Students From: Tony Osa, Director Fire Technology and EMS Program Re: Fire Academy Orientation Information (Fall 2016) Welcome and thank you for registering for Shasta College s 55 th Regionally Accredited Firefighter 1 Academy. Dates for the 55 th Academy are Monday through Friday, August 15 December 2, 2016. This letter addresses many issues, so please be sure to read it thoroughly. The required Orientation for the Firefighter 1 Academy is on Monday, August 1, 2016, 2:00 p.m., Room 1632. You do not need to be in uniform or sweats for this meeting. DO NOT SHOW UP LATE. This meeting will last for several hours. You need to bring the following to this meeting: 1. Paperwork from Admissions and Records showing you are enrolled or waitlisted in the class. 2. Copies of current CPR and EMR (or EMT) certificates. 3. Paper and writing instruments for note-taking during meeting. 4. Bottle of water. 5. Sack lunch or snacks. TEXTBOOK INFORMATION 1. Essentials of Firefighting, IFSTA, 6th edition 2. Hazardous Materials for First Responders, IFSTA, 4th edition 3. DOT Emergency Response Guidebook, 2016 edition 4. Fire Fighter Survival Student Guide, State Fire Training, June 2010 5. Manipulative Performance Test Booklet, Cal Fire, 2011 6. Wildland Firefighting Package (IRPG, L-180, S-130, S-133, S-190, S-212), NWCG Bookstore Hours: Please call for store hours during semester break. Telephone: (530) 242-7574 Website: www.shasta.bkstr.com

2 First Day of Class The first day of class begins at 6:00 a.m. on Monday, August 15, 2016. Most of the first week will deal with PT testing, rules, regulations, paperwork, required equipment, etc. You will get a complete run-down regarding course requirements and time commitments on the first day of class. The job of a firefighter requires paying close attention to following procedures, directions, and orders. Consequences for not doing so can adversely affect your success in this field. Therefore, you must be prepared for the first day of the academy by adhering to the following requirements or be subject to dismissal from the class. DO NOT purchase any materials except those described in this letter. On the first day of the Academy you MUST have the following: 1. Emergency Medical Information Form completed and signed by a physician. Students who do not have a completed form that is checked as full participation and signed by a licensed physician may be dropped from the course. 2. Respiratory Medical Evaluation Questionnaire cleared by ROMC. 3. Physical Training uniform as listed below under Uniform Components. 4. Fire Academy uniform as listed below under Uniform Components. 5. Structure PPE as listed below under Structure Fire PPE. 6. Required Materials as listed below under Enrollment Notes. 7. Textbooks: Approximately $250.00 (College Bookstore prices). 8. Receipt for payment of Optional Certificate Fees as listed below under Enrollment Notes. 9. Copies of Certificates: *Or verification of current enrollment. Courses must be completed by August 15, 2016. a. *CPR for the Professional Rescuer b. *Emergency Medical Responder (EMR) c. *Emergency Medical Technician (EMT) d. I-100 - Introduction to the ICS e. I-200 Basic Incident Command System f. I-700.a - NIMS, an Introduction Enrollment Notes 1. Students wishing to register in more than 18 units must obtain a counselor s permission before registration. 2. Prerequisite: Students must have completed FAID 132 EMR or FAID 75 EMT (formerly FAID 175), or the equivalent, and FAID 133 CPR, or the equivalent prior to enrolling in FIRS 104. Students who plan to seek employment with CalFire must have a current EMR card and be registered with the local EMSA. Students who attempt to satisfy these prerequisites with courses from another institution must provide transcripts that verify a minimum grade of B (80%) has been met. 3. The California State Fire Marshal's Office requires that all Firefighter I summative tests be completed with a minimum score of 80% (a grade of B or higher). Any student who does not meet this standard will have failed

FIRS 104 and will not receive credit for the course, nor will the student receive a course completion certificate. 3 4. Enrollment fees: Resident students; $1,005.50 ($46.00 per unit [21 units]; and $39.50 Student Services fee). 5. Required Materials: Approximately $330.00 per semester. Required materials include items such as safety glasses, safety vest, rope and webbing, ID card, local certificates, name tag, water bottle, flash drive, maps, etc. To ensure consistency, please order only the exact items listed below. You must have all required materials, equipment, and uniforms in your possession on the first day of class. If you are missing anything, you will be sent home (see list below). *(Items marked * are available at Shasta College Bookstore while supplies last.) a. *Igo Map https://store.usgs.gov USGS Topo Map Number 44309 14.00* b. *Bella Vista Map https://store.usgs.gov USGS Topo Map Number 43369 14.00* c. *Whiskeytown Map https://store.usgs.gov USGS Topo Map Number 45870 14.00* d. Tie Rope (1/2 Red 1.61/ft) http://www.cmcrescue.com/equipment/static-pro-lifeline/ 11 Feet 20.00 e. Tubular Web (Blue.49/ft) http://www.cmcrescue.com/equipment/tubular-webbing/ 10 Feet 10.00 f. *Safety Glasses (Clear) https://www.life-assist.com/product/scorpion-protective-eyewear/673 10.00* g. Reflective Vest http://www.amazon.com/reflective-richele-rechargeable-visibility- Adjustable/dp/B01AFYVE0A/ref=sr_1_147?s=sporting-goods&ie=UTF8&qid=1465251025&sr=1-147- spons&keywords=reflective+led+vest&psc=1 20.00 h. *Rite in the Rain Note http://www.riteintherain.com/lces-wildland-fire-notebook-3-x-5 7.00* i. *Rite in the Rain Pen http://www.riteintherain.com/clicker-pen-black-ink-chrome-black-plastic 13.00* j. PT Helmet http://www.tactics.com/protec/full-cut-skate-helmet/glow-in-the-dark 50.00 k. Water Bottle Shasta College Bookstore 11.00 l. Lanyard Shasta College Bookstore 6.00 m. College ID Card Shasta College Student Services Office 10.00 n. Flash Drive http://www.officedepot.com/a/products/462565/kingston-datatraveler-se9-usb-20-flash/ 8.00 o. SCFA Binder (2 ea.) http://www.officedepot.com/a/products/1383895/abisco-spine-assist-easy-insert-round/ 14.00 p. *Structure Gloves Your Choice 80.00* q. *Wildland Gloves Your Choice 30.00* *Available at Shasta College Bookstore while supplies last. Total Required Materials Cost: 330.00

4 6. Optional Fees: Approximately $200.00. The State of California Community College Chancellor s Office has determined that certification fees are optional in nature and cannot be collected at the time of registration. Cadets who do not have any existing course completion certificates and want those end of course documents will be required to pay the optional certification fees. Fees vary according to the certificates being sought. This fee covers certificates from the California State Fire Marshal s Office, Cal-OES, CSTI, ASHI, or similar agencies that have certification fees attached to their courses. Graduates of the academy will receive additional certificates that do not have optional fees attached. A complete listing of certificates with or without optional fees is available from the Fire Technology Office. Unused paid fees will be refunded to the student. Due date for payment of optional fees is August 15, 2016. 7. Emergency Medical Information Form: An Emergency Medical Information Form must be completed and signed by a licensed physician. This form must be completed and turned in at the Orientation Meeting. If a full physical has been completed within the last six months, bring a copy of that physical to the class. (See Medical Information below). 8. Respiratory Medical Evaluation Questionnaire Fee: Approximately $30.00 (subject to change). Students must complete this questionnaire and submit it for review to Redding Occupational Medical Center (ROMC). This evaluation is mandatory to help determine the student s ability to wear a respirator. In some cases, ROMC may recommend an additional physical exam to complete the evaluation. 9. Fit Test fee: Currently $25.00 (subject to change). Once the student receives medical clearance to wear a respirator, the student will receive notification of approval to be fitted for a respirator. We will schedule a time to complete the fit test as a group. Please DO NOT make individual arrangements to complete a fit test. 10. This course is currently scheduled to meet on the days and times set forth above. While the Fire Academy meets Monday through Friday, students should anticipate schedule changes based on weather, facilities use, mass illness, numerous job interviews, instructor availability, etc. This may involve scheduling occasional evening or weekend class meetings. In addition to class hours, students will be expected to complete an extensive amount of homework, meet in study groups and, if needed, come in on their own time to practice technical skills and improve physical conditioning. In short, this is a full time commitment for the semester. 11. Fire Academy students will be required to purchase mandatory equipment and supplies for this class. Several weeks prior to the orientation meeting, registered students will receive a pre-letter which lists all required equipment/supplies for both the pre-meeting and the first day of class. If you have not received this letter by the Monday prior to the pre-meeting, please contact Liz Ault at (530) 242-7563. 12. Students taking the Fire Academy must have a valid email address and reliable internet access throughout the semester (computers are available on a first-come/first served basis at the college library). Students will need effective computer skills. 13. Fire Academy students must be medically cleared for rigorous physical training prior to the first day of class. The required medical forms can be picked up in room 2800 or 2208 M-Th, 8:00 a.m. to 4:00 p.m. Students who do not have full medical clearance on the first day of class will not be allowed to participate in any Fire Academy activities and may be dropped from the class by the Director. Students should anticipate a very demanding, yet highly rewarding semester while completing this course. 14. A Physical Fitness Assessment will be administered during the first week of class. The student must pass the assessment in order to continue in the class. Dress and Grooming Standards You will attend the first day of class in the approved PT uniform (described in the Uniform Components section below) which is available through the Shasta College Bookstore Phone: (530) 242-7574; Fax: (530) 225-4881; Email: shasta@bkstr.com. The components should be clean, dark navy blue sweatpants and a long-sleeve, dark

5 navy blue sweatshirt (without a hood). The weather is not an issue; if it is 110 o or 10 o below zero, you show up in sweats. Both the sweatpants and sweatshirt are to be free of any logos and symbols, except for your last name stenciled on the front and back of the t-shirt and sweatshirt. You will also need dark blue running shorts or sweat shorts. You should have two (preferably three) full sets of sweats. One pair will get wet every morning during physical training (PT). After PT and showers, you may be wearing sweats for up to the first two weeks of the academy. If you only have one pair, you will be sitting in wet clothing for 12 hours every day. You will need a pair of good running shoes for PT. Buy a pair that is designed for cross training. You will be running on the track, in the dirt, and on pavement. Good shoes are one of the best ways to prevent shin splints and injuries to your legs and feet. They do not have to be the most expensive. Go to a store that specializes in running shoes. Fleet Feet will analyze your running style and recommend the appropriate type of shoe. Each semester, students quit the academy because of shin-splints or similar running-related problems. Many problems can be prevented if the student wears good running shoes. Purchase at least two pairs of dark blue or black gloves for the morning workouts. Physical training is conducted in rain, snow, and heat. The gloves that work best are made from thin wool, polypropylene or similar material. Grooming standards will be explained at the pre-meeting, but keep in mind this is a paramilitary academy that means no beards, mustaches, goatees, sideburns, etc. Men s hair should be cut in a short military style. Women s hair must be short enough to completely fit comfortably in a bun inside the helmet lining. No earrings/nose rings, etc. With the exception of Medic-Alert tags, do not wear bracelets, necklaces, etc. Uniform Components: Order uniform components at Shasta College Bookstore, (530) 242-7574. The number indicated is the minimum number required. You may order additional components if you choose. Costs are approximate and subject to change. You must be in full dress uniform on Monday, August 15, so order your components early! a. Uniform shirt (with academy patch and American flag) minimum of 2 90.00 b. Uniform Pants minimum of 2 100.00 c. Uniform Belt 1 29.00 d. Academy t-shirt minimum of 2 32.00 e. Academy sweatshirt minimum of 1 30.00 f. PT sweatshirt minimum of 2 44.00 g. PT sweat pants minimum of 2 50.00 h. PT t-shirts minimum of 4 48.00 i. PT running shorts minimum of 2 40.00 j. Name Pin 15.00 k. US Flag Patch 3.50 l. Sewing charge 3.00 m. SCFA Patch 6.75 n. Sewing charge 3.00 Total Uniform Cost: 490.00 Structure Fire PPE: ALL EQUIPMENT MUST BE NFPA COMPLIANT Shasta College will not provide structure PPE components. You must use one of the options described below. If your Fire Chief approves the use of department PPE, you must inform him/her that the equipment will be damaged and may not be serviceable after the academy. Shasta College is not responsible for any damage. A signed letter from your Chief authorizing the use of department PPE must be returned to the Fire Academy Director.

You MUST have the items listed below by August 15, 2016. You will not be able to continue in the academy without these items. You have several options for acquiring the required structure PPE components. You can purchase your own structure PPE ensemble, but this is the most expensive of the options. You may use agency/department provided PPE with permission of the department chief. Or, the preferred option, for those who are not able to use department provided PPE, is to rent them from a vendor that provides this service. We have negotiated a special price with the vendor listed below. See attached flyer. We encourage you to use the rental option from 911 Safety Equipment so that the academy looks professional in standardized PPE. An inspection of all turnout gear will be conducted during the first two weeks of class. 911 Safety Equipment fireacademyrentals.com 329 E. Main Street Norristown, PA 19401 USA 866-370-7800, or 610-279-6808 The three month rental period from 911 Safety Equipment should cover the amount of time you will need the structure ensemble for the academy. If you do not have agency issued turnouts, you will be required to rent or purchase the following items. If you purchase, get basic equipment you do not need top-of-the-line equipment (unless you want it). Your structure PPE ensemble must include: a. Structure firefighting helmet with a full visor b. Structure firefighting turnout pants (with suspenders) c. Structure firefighting turnout coat d. Structural firefighting gloves e. Nomex or PBI structural fire hood (shock hood) the long style works better, but it is more expensive f. Structure (bunker) boots these are the boots that are worn with structural firefighting gear g. Gear Bag Wildland Fire PPE: PPE Ensemble Rental Cost through 911 Safety Equipment (See attached flyer): 433.00 Shipping: 85.00 Refundable Deposit: (100.00) Total PPE Rental Cost: 518.00 Wildland fire pants and shirt will be provided by the college for your use during academy training. You are responsible for acquiring the following items. Costs listed are approximate and can vary by vendor. 1. Station boots 150.00 a. Wildland boots will NOT work; you MUST get a pair of black work boots that can be polished to a military spit shine standard. They need to be at least 8-inches high. This type of boot can be found at any boot store you do not need to go through the vendors listed below. 2. Approved wildland goggles and shroud 55.00 a. Purchase the most economical model available. 3. Approved wildland firefighting boots 350.00 a. Nicks, Whites, Wesco, etc. b. Station boots will NOT work for wildland training. 4. Approved wildland gloves (30.00) Total Wildland PPE Cost: 555.00 6

The fastest shippers of these items are: 7 a. All Star Fire Equipment; 1-800-200-2334, info@allstarfire.com b. Cascade Fire in Medford, Oregon; 1-800-654-7049, ask for Don, Todd, Steve or Jeff in sales. http://www.cascadefire.com/ c. L.N. Curtis and Sons Fire Equipment; 1-800-443-3556, oaksales@lncurtis.com d. Drew s Boots; 1-800-722-0393, orders@drewsboots.com (Boots only) You may use agency-issued or personal safety clothing if it meets all current standards with permission of your agency/department chief. If you are on the waitlist, you do not need to bring these items; if you get in the class, you will be given a couple of days to acquire needed items A money-saver note: If you are going to buy a full set of structural gear you may want to think about driving to Cascade Fire in Medford (assuming you live in Northern California). They are typically less expensive, it s a nice drive, and they will measure and fit you at their office. You can also drive to the other vendors, but Medford is closer. These equipment suppliers will NOT allow returns on any items that have been worn or custom-ordered; in addition, they may charge you a re-stocking fee for any returned equipment. If you do not have these items, and are unable to obtain them, you will not be allowed to continue in the class. The college does not provide personal lockers for your academy equipment. You are responsible for transporting your gear to school every day, and having it available at all times. DO NOT leave equipment visible in your vehicle. Lock items in your trunk. We have had several break-ins and thefts from personal vehicles, on and off campus. Physical Conditioning: Daily physical fitness participation is mandatory during the academy. If you are not actively engaged in a wellrounded fitness routine that includes strength training, cardiovascular conditioning and flexibility, it is strongly recommended that you to do so immediately. Medical Information: Enclosed with this letter is an Emergency Medical Information Form. The form must be completed and signed by a licensed physician. This form must be completed and turned in at the Pre-Meeting. If you do not turn in this form, you will not be allowed to complete the Physical Fitness Assessment and will be dropped from the course. If you have completed and passed a full physical within the last six months, you can use a copy of that physical for the class. Some examples include; DMV class A driver license physical, FAA flight physical, military discharge, Guard or Reserve physical, athletic physical, Shasta County Fire Department physical, etc. The form must be signed by a licensed physician, and stamped or printed with the office name and phone number. If you cannot get in to see your regular doctor, you may choose to visit one of several walk-in clinic in the area: Hilltop Medical Clinic, 1093 Hilltop Drive; Hilltop Medical Clinic West, 2123 Eureka Way; Everyday Family Medical Clinic, 3270 Churn Creek Road; Prestige Urgent Care, 3689 Eureka Way; Crossroads Family Urgent Care, 1710 Churn Creek Road; Anderson Walk-In Medical Clinic, 3082 McMurray Drive; and Redding Occupational Medical Center, 1710 Churn Creek Road, are all located in the Redding area and are familiar with these pre-screening exams. Also enclosed with this letter is a Respirator Medical Evaluation Questionnaire which must be evaluated by Redding Occupational Medical Center (ROMC). ROMC can also complete your Emergency Medical Information Form as well as your Respiratory Medical Evaluation Questionnaire review for $80.00 ($55.00 Medical; $25.00 Respiratory).

Miscellaneous: All personal vehicles are to be parked in the lot west of the fire station, near the swimming pool. 8 The Fire Academy will break for 60 minutes at, or around, 1:00 p.m. each day. Lunch breaks may be reduced to 30 minutes based on the needs of the instructors. This is your lunch break, you will be much better off if you bring your lunch with you. Water is the only item allowed in the classroom. Bring water bottles and stay hydrated. Do not make any assumptions about information contained in this letter. Read it thoroughly. If anything is unclear, or if you have any questions, contact the Fire Technology Office before proceeding. This academy is a very demanding course, but for those with the desire and determination, you can succeed and the rewards are great. Come prepared, and stay motivated! Shasta College employs policies and procedures to strengthen and guarantee the premise of equal opportunity for all. The College practices nondiscrimination in academic programs, employment, promotion, transfer and assignment on the basis of color, ethnic group identification, race, religion, national origin, gender, sexual orientation, age, physical and mental disability, veteran and/or marital status. TO: la Enclosures: Structure PPE Rental Agreement Emergency Medical Information Form Shasta Lake FPD Sleeper Program Information Shasta Lake FPD Sleeper Application Respirator Medical Evaluation Questionnaire Certificate Fees Payment Form

Shasta College Fire Academy #55 Fall2016 Academy Requirements Checklist 9 Date ITEMS TO COMPLETE Needed REQUIRED MATERIALS FIRS 104 Enrollment Receipt 15-Aug Igo Map Emergency Medical Information Form 15-Aug Bella Vista Map Respiratory Medical Evaluation Questionnaire 15-Aug Whiskeytown Map Physical Training Uniform (see list to the right) 15-Aug Tie Rope Fire Academy Uniform (see list to the right) 15-Aug Tubular Webbing Station boots 15-Aug Safety Glasses Structure PPE Reflective Safety Vest *Structure firefighting helmet with a full visor 15-Aug Waterproof Notebook *Structure firefighting turnout pants (with suspenders) 15-Aug Rite in the Rain Pen *Structure firefighting turnout coat 15-Aug PT Helmet *Structural firefighting gloves 15-Aug SCFA Waterbottle *Nomex or PBI structural fire hood 15-Aug Structure Gloves *Structure (bunker) boots 15-Aug Wildland Gloves *Gear Bag 15-Aug SCFA Lanyard Required Materials (see list to the right) 15-Aug Flash Drive Textbook SCFA Binders (2) *Essentials of Firefighting, IFSTA, 6th ed. 15-Aug Certificate Fees Receipt 15-Aug Prerequisite Certificates REQUIRED UNIFORM *CPR for the Professional Rescuer 15-Aug Name Pin *Emergency Medical Responder, or 15-Aug US Flag Patch *Emergency Medical Technician 15-Aug SCFA Patch *I-100 Introduction to the ICS 15-Aug Academy Uniform Belt *I-200 Basic Incident Command System 15-Aug Academy Uniform Shirt *I-700.a NIMS, an Introduction 15-Aug Academy Uniform Pants Textbooks Academy T-shirt *Hazardous Materials for First Responders, IFSTA, 4th ed 30-Sep Academy Sweatshirt *DOT Emergency Response Guidebook, 2016 ed 30-Sep PT T-shirt *Fire Fighter Survival Student Guide, SFT, June 2010 PT Shorts *Manipulative Performance Test Booklet, CalFire, 2011 PT Sweatshirt *Wildland Firefighting Package (NWCG) PT Sweatpants *Incident Response Pocket Guide (IRPG) *L-180 Human Factors on the Fireline *S-130 Firefighter Training *S-133 Look Up, Look Down, Look Around *S-190 Introduction to Wildland Fire Behavior *S-212 Wildland Fire Chain Saws Wildland PPE *Wildland boots *Wildland gloves *Wildland goggles *Wildland shroud

10

RENTAL AGREEMENT 11 911 Safety Equipment, LLC 329 E. Main St. Norristown, PA 19401 PH: 610-279-6808 ext 109 Fax: 610-978-2606 Email: Support@911se.com RENTAL AGREEMENT (Sizing information page) Student/Customer Name Academy Attending Height Weight Coat: Chest/Bust * (Chest measurement + 4 or coat chest size +4 ) Arm Length Pants: Waist *(Waist measurement + 4 or jean waist size + 4 ) Inseam Boots : Gloves : Special Note: *We ship the size you submit. You must add the 4 inches

12 911 Safety Equipment, LLC 329 E. Main St. Norristown, PA 19401 PH: 610-279-6808 ext 109 Fax: 610-978-2606 Email: Support@911se.com RENTAL AGREEMENT (Signature page) This lease agreement made this day of 20 between 911 Safety Equipment, LLC (referred to as the "Owner") of the first part and: (give full legal names, referred to as Customer ) First Name Last Name Phone: E-Mail: Shipping Address: City/Town State Zip Code Billing to name (if different) Bill to Phone: Academy Attending Rental Period From To Order Amount Credit Card No.: Billing Address (credit card): Driver License: (Round trip shipping + $100 security deposit will be added) Expiration Date: Zip Issue State Signature: x 1. I authorize 911 Safety Equipment to debit my Visa/MasterCard account with for any/all repairs, late fees, or payments due under this agreement. My signature also affirms that I agree to all the terms of this agreement, and will return all leased items per this agreement. 2. TERM: This lease agreement shall extend for the period of training commencing on the date of execution of this agreement. All rental fees and shipping charge are NON-REFUNDABLE; ALL SALES FINAL 3. RENT: This lease agreement shall pay to the Owner, rental fee for the period ending 7 business days from completion of rental period. If equipment listed above is not returned within 7 business days from completion of rental period, late fees, repair/replacement costs (as listed below will apply). 4. IN WITNESS whereof, the parties hereto have executed the presents the day and year first above written.

13 5. LATE, REPAIR, AND REPLACEMENT FEES Customer agrees Owner shall be entitled to a late fee of $30.00 PLUS $5.00 per day for each day equipment listed above is not returned to Owner within 7 business days from completion of the rental period. Owner shall charge any fees, including late, repair, replacement fees to the credit card listed above. Repair/Replacement fees shall be as follows: Replace lost or damaged Bunker Coat: $800.00 Replace lost or damaged Bunker Pants: $800.00 Replace lost or damaged Helmet: $185.00 Replace lost or damaged Boots $150.00 Replace lost or damaged Wildland Coat or Pant $100 each (If rented) 6. ACCEPTANCE The Customer acknowledges that he has fully inspected and accepted the equipment listed above in good condition and repair and further acknowledges they read and understands the terms and conditions of this agreement. All gear meets NFPA standards for the year of equipment manufacture. NO REFUNDS will be provided if gear is rejected by a school, or instructor, we will replace at OUR discretion. 7. CUSTOMER Agrees that the Owner may charge late fees, repair, or replacement fees by method of Visa or MasterCard. 8. OWNERSHIP The equipment listed above is and shall at all times be and remain the sole and exclusive personal property of the Owner but the Customer shall have the right to use the same except as expressly set forth in this lease agreement. 9. USE The equipment listed above shall be used only for the purpose of training in a manner for which it is intended and for no other purposes. 10. REPAIR & LOSS During the term of this lease agreement the Customer shall bear the expense and cost of any loss, damage, or destruction to the equipment listed above howsoever caused and the Customer shall at his own expense keep the equipment listed in this agreement in good and workable condition and shall notify the owner of any repairs needed in a timely manner. All repairs of whatsoever nature and kind shall be made by the Owner, it's servants or agents at the Owner's place of business or by such persons as may be approved in writing by the Owner, and in any event, the cost of all such repairs shall be paid by the customer on the credit card listed in this agreement or any other card customer chooses within 10 days of the date of return to the owner for such repairs. Customer may not be notified of these charges in advance of owner charging customers card. Owner is NOT responsible for any bank fees related to these charges. 11. CANCELLATION The customer shall have the right to cancel this lease agreement at any time of the term hereof, on the following conditions: a) the equipment listed above shall be returned forthwith to the Owner at appropriate address listed below, with all shipping and/or postage charges and insurance prepaid. b) The equipment listed above shall be returned in good, clean, and workable condition, reasonable wear and tear only excepted. c) The Customer shall pay the cost of any repairs to the equipment listed above which the Owner, in it's sole opinion, deems necessary to place the gear in a good and workable condition., NO REFUNDS will be due or credit given for future training. 12. SURRENDER I, the Customer, agree to surrender the equipment listed above in as good order as received by me at the end of the lease agreement, subject to normal wear and tear, or I shall pay for the loss or repairs. In the event that litigation becomes necessary to fulfill the terms of this agreement, I also agree to pay all costs, both legal and extralegal that 911 Safety Equipment may incur in recovering the equipment listed above. I agree to notify the Owner in case of any changes to the below information as entered by me. Upon the expiration of the term of this lease agreement, the Customer shall deliver the equipment listed above to the Owner at the noted address with all shipping and/or postage charges and insurance prepaid. EQUIPMENT RETURNS WILL ONLY BE ACCEPTED BY TRACKABLE SHIPPING & can be shipped to: 911 Safety Equipment, Attn: Rental Returns 329 E. Main Street, Norristown PA 19401. 13. DEFAULT If the customer shall default in the payment of repair or replacement cost as hereinbefore provided or if the Customer attempts to remove or sell or part with possession of the equipment listed in this agreement, then, and in either such event, the Customer shall, upon the demand of the owner, forthwith deliver the equipment listed above to the Owner at the cost and expense of the Customer to such place as the Owner shall designate, and/or the Owner may without notice to the Customer enter upon any premises of the customer and repossess the equipment listed above and thereafter the Customer shall be responsible for the cost and expense of the Owner taking possession, reconditioning and selling or otherwise disposing of the equipment listed above. 14. PURCHASE OPTION The Customer will have no option to purchase equipment listed above. 15. ASSIGNMENT The Customer shall not assign lease agreement or the interest of the Customer hereunder without the prior written consent of the Owner, and neither this lease agreement for any interest therein is assignable or transferable by operation of law. 16. INTERPRETATION This agreement is a lease agreement only and the Customer shall not have or acquire any right, title or interest in the equipment listed above. 17. NOTICES Service of all notices under this lease agreement shall be sufficient if given personally or mailed to the party involved at its respective address, or at such address as such party may provide in writing from time to time. Mailing address: 911 Safety Equipment, 329 E. Main Street, Norristown, PA 19401

14

15 SHASTA LAKE FIRE PROTECTION DISTRICT 4126 Ashby Court Shasta Lake, CA 96019-9215 ~ (530) 275-7474 ~ fax (530) 275-6502 ~ www.shastalakefiredistrict.com Shasta College Sleeper Program Individuals that are pursuing an AS degree in Fire Technology from Shasta College are invited to apply for one of two openings for our Shasta College Sleeper Program. Selected students will be allowed to live at the fire station free of charge. They will be expected to take part in daily activities and respond to calls as their schedule allows. Minimum Qualifications 18 years old. Be a student in good standing currently pursuing a Fire Technology degree, and remain enrolled and in good standing for duration of participation in sleeper program. Pass a pre-employment drug screening, background check, and medical clearance. Firefighting experience is preferred but not required. Equipment All PPE for structural and wildland firefighting will be provided. Application and Selection Process Submit an application, recent DMV printout, copy of current Shasta College class schedule, and copies of any certifications or qualifications held. Qualified applicants will be interviewed by the Fire Chief and department staff. Two will be selected, with two alternates. If one of the first two is removed from the program the next will be offered the position. Applicants will sign a code of conduct agreement Applications can be picked up at the main station 4126 Ashby Court, Shasta Lake, CA 96019 Online at: www.shastalakefpd.org For more information, contact Interim Fire Chief Dennis Beck (530) 275-7474 Shasta Lake Fire Protection District is an Equal Opportunity Employer

16 POSITION APPLYING FOR: SHASTA LAKE FIRE PROTECTION DISTRICT 4126 Ashby Ct., Shasta Lake, CA 96019-9215 ~ (530) 275-7474 ~ fax (530) 275-6502 ~ www.shastalakefpd.org EMPLOYMENT APPLICATION DATE: If you re attaching a resume, please read: In order for your application to be considered, the following section MUST be completed. A Resume MAY be attached, but WILL NOT be acceptable in lieu of this section. Please attach an original copy of your current DMV driving record. Name: SS# Address: City: State: Zip: Home Phone: Message Phone: Are you a US citizen? If not, are you a legal resident? DL# Class State Exp Date E-mail If you are hired, can you submit proof of right to work in the United States? Are you at least 18 years of age? Have you ever been discharged or forced to resign a position? (If yes explain circumstances below) Have you ever been employed by the Shasta Lake Fire Protection District? (List under what name and year below) Do you have any relatives working for Shasta Lake Fire Protection District? (List names and relationship below) Have you ever been convicted of a misdemeanor or felony? (If yes, please explain circumstances below. Note: Conviction is not necessarily a bar to employment. Each case is given individual consideration. Marijuana misdemeanors 2 years & older need not be listed.) YES NO Do you possess any license, permit, certificate or are there any other experiences, skills or qualifications which you feel would especially meet the requirements as stated on the job announcement? Describe. Indicate the type of work you would be willing to accept: Full Time Part Time Temporary Seasonal Shifts Volunteer PERSONNEL DEPARTMENT ONLY Application Review - Approval/Denial Results Examination Results Date Stamp Action Signature Date Oral Score Written Score Other Score Days Evenings Overtime Wknds Rotating On-Call Final Score

Employment History: List below all present and past employment FOR THE LAST 10 YEARS beginning with your most recent. Explain gaps between employment periods. If more space is needed, use a separate sheet prepared in the same format and attach securely. Incomplete information MAY result in disqualification. DATES PRESENT Month - Year From Mailing Address Supervisor Name & Title Final Salary OR LAST POSITION Company Position Held Starting Salary To City State Zip Reason for Leaving Phone No. May we contact? Your Duties: Hours per Week: Yes No DATES Company Position Held Starting Salary Month - Year From NEXT Mailing Address Supervisor Name & Title Final Salary PREVIOUS To City State Zip Reason for Leaving Phone No. May we contact? POSITION Your Duties: Hours per Week: Yes No DATES Company Position Held Starting Salary Month - Year From NEXT Mailing Address Supervisor Name & Title Final Salary PREVIOUS To City State Zip Reason for Leaving Phone No. May we contact? POSITION Your Duties: Hours per Week: Yes No Education School Name & Address of School Course of Study Quarter Units Credits Earned Semester Units Diploma or Degree Grade Point Average High College Other (Specify) I HEREBY CERTIFY THAT ALL STATEMENTS MADE IN THIS APPLICATION AND ACCOMPANYING MATERIALS ARE COMPLETE, ACCURATE ANE TRUE TO THE BEST OF MY KNOWLEDGE. I AGREE AND UNDERSTAND THAT ANY OMISSIONS OR MISSTATEMENTS OF MATERIAL FACTS CONTAINED IN THE APPLICATION MAY CAUSE ME TO FORFEIT ALL RIGHTS TO EMPLOYMENT WITH THE SHASTA LAKE FIRE PROTECTION DISTRICT. I UNDERSTAND THAT THE INFORMATION PROVIDED BY ME WILL BE VERFIED. I AUTHORIZE THE RELEASE OF PERTINENT INFORMATION TO THE DISTRICT BY EMPLOYERS AND EDUCATIONAL FACILITIES. Signature of Applicant Date