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2. Garland Fire Department - Citizens Fire Academy Application
4. First Name
5. Last Name
7. Name as You Want it on Your Graduation Certificate
   Please Print Clearly
9. Phone Number
10. Business Phone Number
11. Date of Birth
12. Age
14. Address
16. City
17. State
18. Zip Code
20. Email Address
22. Occupation
23. Drivers License Number
24. T-Shirt Size
    -- Select One --SmallMediumLargeX-Large2X-Large
26. Do you require any accommodations to perform the activities in the program description? If yes, please explain.
28. Why would you like to attend the Garland Citizens Fire Academy?
30. Have you ever been arrested for any offense other than a traffic violation and/or convicted of a felony or misdemeanor? If yes, please explain.
32. List name, address, and phone number of two personal references.
34. I hereby authorize the Garland Fire Department to make an examination of the records of the Garland Police Department for the purpose of evaluating my application.
36. Initials for Signature
37. Date
    Date
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39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit Submit and Print

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