NWCG & IFSTA training course application

Student’s name (last, first middle):

 

Course number:

 

Course name:

Course dates:

 

Course tuition: 

Amount enclosed:

Agency name:

 

Student’s job title:

Supervisor’s name and job title:

 

Student’s telephone:

Supervisor’s telephone:

 

Student’s e-mail:

Agency mailing address:

 

 

Student’s mailing address: (if different)

City:

 

City:

State or Province:

 

Zip code:

State or Province:

Zip code:

Does student meet all NWCG or additional agency prerequisites for the course?
            □ Yes         □ No

What is student's current wildland fire qualification?

Supervisor’s signature:

 

Student’s signature:

  • Check our current schedule of classes.
  • This form is also available in PDF format and may be used in place of the NWCG nomination form (PMS 921-2). 
  • Classes without prerequisites, such as S-130/190, do not require agency sponsorship or supervisor signature.
  • Rosters will be filled on a first-come, first-served basis.  Payment may accompany this form or be mailed separately after faxing/e-mailing:

    • Colorado Firecamp
    9008 County Road 240
    Salida, CO  81201

    E-mail us with any questions:  learn@coloradofirecamp.com
    or call (719) 539-9329 or fax (719) 530-0316