REVISED: DECEMBER 2013
Revised: Oct 2014
To Prospective Recruit School Candidates:
We are pleased that you are considering a career in the fire service. Our profession is among the world’s most
noble. Our mission in recruit training is to teach individual firefighter candidates the knowledge, skills, and
abilities needed to perform the tasks needed to begin their careers. Further, we incorporate teamwork and a
strong sense of esprit de corps into each individual mind set. We do not take this mission lightly, and ask that
each candidate bring values of honor, integrity, and workmanship to their entry into recruit training.
Recruit training is not for all individuals. The program consists of nine weeks of intense training that involves
both the mental and physical capacities of the trainee. The program begins with the teaching of individual
skills and progresses into increasingly more demanding skills toward the end of the school. The program
is designed to increase the fitness level of the recruit before commencing with more intense firefighting
training. It culminates with scenario-based training at which time all of the cumulative knowledge, skill,
and abilities gained will be required to successfully complete the program. Prior to entry, we encourage all
candidates to begin preparation both mentally and physically as the administration of tests will begin within
the first week of class along with the commencement of physical fitness training evolutions.
Enclosed you will find the paperwork necessary to apply for the training program. Certainly, if you have
questions that remain after reviewing the material please do not hesitate to contact Student Services.
Again, we look forward to seeing you in recruit training. We will be committed to providing you quality
training as you seek to begin your career.
Student Services
1(800)241-2467
[email protected]
Alabama Fire College
MINIMUM PRE-REQUISTES AND ADMISSION CRITERIA:
Must be turned in prior to Orientation.
______ 18 years of age
______ Copy of high school diploma, GED or transcript. If using VA benefits: official transcripts from all schools attended, including military and a certificate of eligibility and transfer of training programs must be included (VA Form 22-1995).
______ Verification of current CPAT (cannot be over one year from start date of class)
______ Current, valid certification or proof of successful training for: Emergency Medical Responder, Emergency Care Provider, or EMT training.
______ Proof of health insurance card (copy of card front and back) ______ Copy of driver’s license (front and back)
______ Physical Statement form including Essential Functions of Fire Fighting (cannot be over one year from start date of class)
______ Physical Examination form (cannot be over one year from start date of class) with proof of up-to-date Tetanus and Hepatitis B vaccinations
______ Notice of Employment (if hired by a paid department) ______ Completed application
Also required for Fire Fighter Bridge:
______ Certified Volunteer Fire Fighter
On-Campus Recruit School
Uniform & Equipment List
*PERSONAL PROTECTIVE EQUIPMENT (PPE)
RENTAL FEE ($700) INCLUDES:
turnout coat, turnout pants, helmet, gloves, boots, Nomex hood, and Self-Contained Breathing Apparatus (SCBA) with spare bottle.This fee is non-refundable and is payable at the Registration office. This option is available on-campus only.
MINIMUM REQUIRED for
SELF-SPONSORED APPLICANTS:
•Three (3) navy t-shirts with white AFC logo•Three (3) pairs of navy PT running shorts with AFC logo •One (1) navy sweatshirt with white AFC logo
•One (1) pair navy sweatpants with white AFC logo •Three (3) pairs of navy BDU pants
•Three (3) navy golf shirts with AFC logo •One (1) black, cotton belt
•Textbook
GRADUATION UNIFORM:
•One (1) long sleeve, gray dress shirt with AFC patch •One (1) navy tie
•One (1) pair of dress pants, navy with red stripe •One (1) AFC badge
ITEMS NOT INCLUDED: •One (1) pair of running shoes
•One (1) pair of black boots or dress shoes •*PPE
MINIMUM REQUIRED for
DEPARTMENT-SPONSORED APPLICANTS:
•Department-issued uniforms for daily wear •Department-issued dress uniform for graduation •*PPE•Three (3) navy PT t-shirts with AFC logo
•Three (3) pairs of navy PT running shorts with AFC logo •One (1) navy sweatshirt with white AFC logo
•One (1) pair of navy sweatpants with white AFC logo •One (1) pair of white or black running shoes
•Textbook
Regional Training Center Recruit School
Uniform & Equipment List
*PERSONAL PROTECTIVE EQUIPMENT (PPE):
To order, contact the Regional Coordinator assigned to the RTC where Recruit School is being held.
MINIMUM REQUIRED for
SELF-SPONSORED APPLICANTS:
•Three (3) navy t-shirts with white AFC logo•Three (3) pairs of navy PT running shorts with AFC logo •One (1) navy sweatshirt with white AFC logo
•One (1) pair navy sweatpants with white AFC logo •Three (3) pairs of navy BDU pants
•Three (3) navy golf shirts with AFC logo •One (1) black, cotton belt
•One (1) AFC badge (for graduation uniform) •One (1) AFC patch (for graduation uniform) •Textbook
ITEMS NOT INCLUDED:
•One (1) pair of running shoes
•One (1) pair of black boots or dress shoes •*PPE
•Graduation uniform: A badge and patch may be purchased from the Bookstore at 1(866)984-3545. The host
department affiliated with the recruit school will provide the student with information regarding the graduation uniform at the beginning of the Recruit School. Required uniform for graduation will include:
•One (1) long sleeve, gray dress shirt •One (1) navy tie
•One (1) pair of dress pants, navy with red stripe
MINIMUM REQUIRED for
DEPARTMENT-SPONSORED APPLICANTS:
•Department-issued uniforms for daily wear •Department-issued dress uniform for graduation •*PPE•Three (3) navy PT t-shirts with AFC logo
•Three (3) pairs of navy PT running shorts with AFC logo •One (1) navy sweatshirt with white AFC logo
•One (1) pair of navy sweatpants with white AFC logo •One (1) pair of white or black running shoes
•Textbook
Badges, patches, BDU pants, golf shirts, and PT gear are available for purchase at the
AFC Bookstore on the main campus in Tuscaloosa and can also be ordered
Payment Information
Full payment is due at the time of registration.
Withdrawal/Refund Policy
Students who register for a course and wish to withdraw in good standing must submit a written request by email to [email protected], to be received at least two weeks prior to the beginning date of the class. A written withdrawal received according to the stated time limit will result in a full refund. If you fail to withdraw in the allotted time, you/your department/your agency will not receive a refund. There is no refund given for PPE rental. There is a $175 penalty for withdrawal from Fire Fighter I/II after Orientation has been held, providing the student has withdrawn before the first day of class, in addition to:
First week withdrawal:
• Students, both FF I/II and Bridge, withdrawing during the first week of class will receive a 75% tuition refund minus penalty for early withdrawal.
• No refund will be given for uniform costs.
• Hotel accommodation (on-campus only) refund is pro-rated based on the date of withdrawal.
Second week withdrawal:
• Students, both FF I/II and Bridge, withdrawing during the second week of class will receive a 50% tuition refund minus penalty for early withdrawal.
• No refund will be given for uniform costs.
• Hotel accommodation (on-campus only) refund is pro-rated based on the date of withdrawal.
Third week withdrawal:
• Tuition refunds will not be granted to FF I/II or Bridge students withdrawing during or after third week of class. • No refund will be given for uniform costs.
• Hotel accommodation (on-campus only) refund is pro-rated based on the date of withdrawal.
Registration Payment Policy
Official registration requires full payment of the stated fees by credit card, personal check (for personal registration), or official purchase order (for government agencies or businesses) at the time of registration. Accepted credit cards are Discover, Mastercard, and Visa.
Cancellation Policy
The Alabama Fire College reserves the right to cancel or postpone any course that does not meet the minimum registration, is affected by inclement weather or for any situation requiring Alabama Fire College Staff. Courses that do not meet the minimum registration may be cancelled two (2) weeks prior to the start date. When a course is
scheduled and advertised there is no guarantee that the course will be delivered. Courses cancelled due to
inclement weather or other situations may be rescheduled.
Drug Screening
If at anytime a student appears to be under the influence of drugs or alcohol, the instructor may request to have drug screening performed at that time. The cost for this testing will be paid by either the sponsoring fire department or the student. A positive drug screen result will constitute dismissal from the program.
ALABAMA FIRE COLLEGE
2501 Phoenix Drive • Tuscaloosa, Alabama 35405
Recruit School Application
Circle one: On-Campus (Tuscaloosa) / Regional Training Center: __________________________________________ SSN:________-______-_________ Begin date: _____________ End date: ______________
DOB:_____/_____/________ Sex:_______ Race:________________ (optional)
Name: ____________________________________________________________________________________________
(Last) (Middle) (First)
Home Address:_____________________________________________________________________________________ City, State, Zip:_____________________________________________________________________________________ County:___________________________________________________________________________________________ Home Phone:____________________________ Cell or Work Phone:_________________________
*Email Address:_______________________________________________________________________ *Student notifications, confirmations and cancellations will be sent via e-mail. Please make sure your e-mail address is correct and legible on the registration form.
Felony Conviction Statement: I hereby affirm and certify, under penalty of perjury, that I have not been convicted of a felony
and that I am not in violation of Alabama Administrative Code 360-X-1-.01(3)(d)5(e)1-2. I attest that all information provided herein is true and accurate to the best of my knowledge.
Student Signature:_______________________________________
By checking this box, I acknowledge I have read and understood the Felony Conviction Statement.Photo Release Statement: I hereby authorize the staff of the Alabama Fire College to use, reproduce, and/or publish
photographs and/or video that may pertain to me, including my image, likeness and/or voice without compensation. I understand that this material may be used in various publications, public affairs releases, recruitment materials, broadcast public service advertising (PSAs) or for other related marketing endeavors. This material may also appear on the Alabama Fire College’s website and other related social media sites. This authorization is continuous and may only be withdrawn by my specific revocation of this authorization in writing. If I do not wish to agree to this release statement, I will alert my instructor at the beginning of the class.
By checking this box, I acknowledge I have read and understood the Photo Release Statement.THE FOLLOWING INFORMATION IS FOR OFFICE USE ONLY:
Emergency Care Provider: Yes___ No___
PPE: Yes___ No___
Lodging:
Yes___ No___
4 nights___ 5 nights___
Total due:________________
Method of payment:_____________________
Payment date: __________
All documentation complete date:__________
File scanned to student record: Date: ___________ Initials:______
Registration notification date: _____________
Certification notification date: ____________
____________________ ___________________________________
TUITION & FEES
Name:_____________________________________________________________________________
Course Location:____________________________________________ Dates:__________________
Course options and tuition:
Emer. Care Provider Tuition Only $100
Lodging Fee for
Emer. Care Provider Hotel accommodations for 2 nights a week (Wed. & Thurs. nights) (On-campus Recruit Schools only) $100 Lodging Fee for
Emer. Care Provider Hotel accommodations for 3 nights a week (Tue. - Thurs. nights) (On-campus Recruit Schools only) $150
Firefighter I/II Tuition Only $900
Lodging Fee for
Firefighter I/II Hotel accommodations for nine weeks- 4 nights a week (Mon. - Thurs. nights) (On-campus Recruit Schools only) $1,080 Lodging Fee for
Firefighter I/II Hotel accommodations for nine weeks- 5 nights a week (Sun. -Thurs. nights) (On-campus Recruit Schools only) $1,350 Bridge Program Tuition Only (5-week course for Certified Volunteer Firefighters who seek FF I/II certification for employment purposes) $600
Additional fees for self-sponsored students:
PPE Rental Fee $700 (On-campus only. Non-refundable.)
Out-of-state students:
Additional Tuition: $1000
Total Due:
$
Uniforms and textbook can be purchased from the AFC Bookstore on the AFC campus in Tuscaloosa, by
phone at 1(866)984-3545, or online at www.afcbookstore.com.
METHOD OF PAYMENT
Name:
1. Check
Check #: ___________________Amount: _________________
2. Money Order
Money Order #: _______________________ Amount: __________________
3. Cash
Amount: ______________________
4. Credit Card
Visa _____ Master Card_____ Amount: _____________________
Card Number: ________________________________________________ Expiration: _______________ Card Holder Name: _____________________________________________________
Card Holder Signature: ________________________________________________
5. Purchase Order
PO #:__________________ Amount: _________________________
Fire Department Address: _____________________________________________________________ Fire Department Phone Number:__________________________
ATTENTION FIRE DEPARTMENT-SPONSORED STUDENTS:
A fire department purchase order or a purchase
order number must accompany your application packet when applying for admission to recruit school. The
P.O. reserves a space for applicant in recruit school. The Alabama Fire College will invoice the sponsoring fire
department for final payment.
the following form must be completed and forwarded to the Alabama Fire College and Personnel Standards Commission within 30 DAYS after date of employment. *Recruit School requirements – see note
PHYSICAL STATEMENT
The Physical and Medical examination should be conducted for the purpose of detecting or determining the presence of deficiencies or abnormalities which would reasonably be expected to limit the abilities of the
applicant to satisfactorily and safely perform all the duties associated with firefighting. (Code of AL 36-32-1 thru 36-132-12; chapter 360-x-1 and as outlined in NFPA 1582).
The Essential Functions of Firefighting listed below are meant to serve as a reference resource for physicians when determining the fitness of a candidate for firefighting duties. The Essential Functions of Firefighting are meant to define and to give a broader understanding of the physical requirements demanded of firefighters. The Essential Functions of Firefighting are merely meant to be used as an aid for physicians when determining the physical status of a candidate.
Performing fire-fighting tasks (e.g., hoseline operations, extensive crawling, lifting and carrying heavy objects, ventilating roofs or walls using power or hand tools, forcible entry), rescue operations, and other emergency response actions under stressful conditions while wearing personal protective ensembles and self-contained breathing apparatus (SCBA), including working in extremely hot or cold
environments for prolonged time periods
Wearing a SCBA, which includes a demand valve–type positive-pressure face piece or HEPA filter masks, which requires the ability to tolerate increased respiratory workloads
Exposure to toxic fumes, irritants, particulates, biological (infectious) and nonbiological hazards, and/or heated gases, despite the use of personal protective ensembles and SCBA
Depending on the local jurisdiction, climbing six or more flights of stairs while wearing fire protective ensemble weighing at least 50 lb (22.6 kg) or more and carrying equipment/tools weighing an additional 20 to 40 lb (9 to 18 kg)
Wearing fire protective ensemble that is encapsulating and insulated, which will result in significant fluid loss that frequently progresses to clinical dehydration and can elevate core temperature to levels exceeding 102.2°F (39°C)
Searching, finding, and rescue-dragging or carrying victims ranging from newborns up to adults weighing over 200 lb (90 kg) to safety despite hazardous conditions and low visibility
Advancing water-filled hoselines up to 21/
2 in. (65 mm) in diameter from fire apparatus to occupancy
[approximately 150 ft (50 m)], which can involve negotiating multiple flights of stairs, ladders, and other obstacles
Climbing ladders, operating from heights, walking or crawling in the dark along narrow and uneven surfaces, and operating in proximity to electrical power lines and/or other hazards
Unpredictable emergency requirements for prolonged periods of extreme physical exertion without benefit of warm-up, scheduled rest periods, meals, access to medication(s), or hydration
Operating fire apparatus or other vehicles in an emergency mode with emergency lights and sirens
Alabama Fire College and Personnel Standards Commission
Note to applicant: Both pages of
page 1
Essential Functions of Firefighting, Based on NFPA 1582
Critical, time-sensitive, complex problem solving during physical exertion in stressful, hazardous
environments, including hot, dark, tightly enclosed spaces, that is further aggravated by fatigue, flashing lights, sirens, and other distractions
Ability to communicate (give and comprehend verbal orders) while wearing personal protective ensembles and SCBA under conditions of high background noise, poor visibility, and drenching from hoselines and/or fixed protection systems (sprinklers)
Functioning as an integral component of a team, where sudden incapacitation of a member can result in mission failure or in risk of injury or death to civilians or other team members
I have examined
Applicant’s Full Name – Print
and as a physician licensed to practice in the State of Alabama due hereby certify that the applicant is in good health and physically fit for the performance of the duties of a firefighter as outlined in NFPA 1582.
__________ Physician’s Signature Date of Examination
Physician’s Name – Printed
Name of Practice
_____
Address Office Number
City State Zip
*NOTE TO RECRUIT SCHOOL CHIEFS: Chiefs in charge of recruit schools must not allow the enrollment of any trainee who has not submitted to the AFC a successful completion of CPAT form, copy of trainee’s Notice of Employment or Sponsorship Letter, and a Physical Statement. These forms are due at the AFC at least 72 hours prior to the first day of Recruit School.
page 2 Last 4 digits of Applicant’s SSN: __ __ __ __
Medical Exam Form
(to be completed by licensed physician, physician’s assistant or nurse practitioner)
Name: ____________________________________________________________________________________
Height: ____’______” Weight: _________ lbs. Student is able to send verbal messages
yes
no
Vision Status: Right Eye: 20/_____ Left Eye: 20/ _____ Corrected: ___________________________
Blood Pressure: ______/______ Pulse Rate: _______
Normal
Abnormal
If
abnormal,
explain
1. Skin
_______________________________
2. Head & Neck
_______________________________
3. Eyes
_______________________________
4. Ears, Nose, Throat
_______________________________
5. Teeth & Mouth
_______________________________
6. Lungs & Chest
_______________________________
7. Cardiovascular
_______________________________
8. Abdomen & Lymphatics
_______________________________
9. Genitalia/Hernia
_______________________________
10. Orthopedic Screening:
a. Upper Extremities
_______________________________
b. Lower Extremities
_______________________________
c. Spine & Back
_______________________________
11. Neurological
_______________________________
Tests and/or Vaccinations
a. Tetanus/Booster Date:
_____________ (Cannot be over 10 years old)
b. Hepatitis: Shot Dates:
1._____________
2._____________
3._____________
Additional comments: ______________________________________________________________________
_________________________________________________________________________________________
Note: The student has provided me a copy of the “essential functions” for the program and he or she is able
to perform these functions.
This is to certify that on this ________ day of ___________________, _________, I performed the above
limited examination of _______________________________ and based upon the medical history given, and
upon my evaluation, I am of the opinion that he/she IS_____ IS NOT _____ physically and medically able to
participate in the Alabama Fire College program.
Signature:_____________________________ Date:______________ Phone #:________________
Name: ________________________________________________________________________
This form must be submitted to the Alabama Fire College and
Personnel Standards Commission within TEN DAYS after date of employment.
*Recruit School requirements – see note
NOTICE OF EMPLOYMENT
I,
Fire Chief/Authorized Agent (Print)
Fire Department City/District
by means of this affidavit, hereby certify and warrant that the following represents a true and accurate statement of the qualifications for and terms of employment. I further certify that the individual listed below is an active employee of my organization and is covered by the same workers compensation insurance or other such protection as is extended to all other employees.
Name of Employee Date of Birth
Date of Employment Social Security Number
Trainee (As defined in Code of Alabama 36-32-1) Yes No If No, list Certification Number
Signature Fire Chief/Authorized Agent Date
Sworn to and subscribed before me this Day of , 20 .
Notary Public My Commission Expires
A copy of physical statement from a licensed Alabama physician is required. (Form 05) *NOTE TO RECRUIT SCHOOL CHIEFS: Chiefs in charge of recruit schools must not allow the enrollment of any trainee who has not submitted to the AFC a successful completion of CPAT form, copy of trainee’s Notice of Employment, and a Physical Statement. These forms are due at the AFC at least 72 hours prior to the first day of Recruit School.
Alabama Fire College
and Personnel Standards Commission
Position
Alabama Fire College Firefighter I/II Recruit School
Circle one: On-Campus (Tuscaloosa) / Regional Training Center: ___________________________________
UNIFORM SIZES FORM
Please return this form to the bookstore.
Name: _____________________________________ Email:___________________________________ Phone:________________
Recruit School Dates: _____________________________ Location: ____________________________________________
Circle one: Self-Sponsored / Department-Sponsored For pricing information, call the Bookstore at 1(866)984-3545, or visit us online at www.afcbookstore.com.
RECRUIT CLOTHES: SIZE: # Needed # Rec’d
3 navy AFC RS t-shirts S M L XL 2XL
3 pairs of AFC navy running shorts (these run small) S M L XL 2XL
3 navy AFC golf shirts S M L XL 2XL
3 pairs of navy BDU pants (unhemmed length- student is
responsible for hemming) Waist: (circle one) 30” 32” 34” 36” 38” 40”
pair of navy sweatpants with white AFC logo S M L XL 2XL navy sweatshirt with white AFC logo S M L XL 2XL black, cotton belt
AFC patch (for graduation uniform if needed) AFC badge (for graduation uniform if needed)
GRADUATION UNIFORM: (On-Campus Recruit School only. For RTC students: The host department affiliated with
the recruit school will provide the student with information regarding the graduation uniform at the beginning of the Recruit School.)
long sleeve, gray dress shirt Neck: Sleeve: pair of dress pants, navy with red stripe Waist: Length: navy tie: (circle one) regular long
Type: Amount: Number:
Check Cash
Money Order
Purchase Order Department Name
FD Address: FD Phone:
Credit Card VISA MC DISCOVER
Cardholder Name: Exp: Zip Code:
Bookstore use only
