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NORTHEAST TEXAS FIRE/EMS TRAINING ACADEMY

Applying for Fire/EMS Training

Please fill out the information below.

A enrollment packet and informational flyer will be e-mailed to you. If you do not indicate a e-mail account in your request the enrollment packet and informational flyer will be mailed to you at the address that you indicate.

If you do not recieve your information in a timely manor please reapply, we may not have recieved your request due to technical problems. You must fill out the application to receive the packet.

 

Application request form

NAME

ADDRESS

CITY

STATE

ZIP

E-MAIL

PHONE

(home)

(work)

(cell)

DATE OF BIRTH

dd/mm/yyyy

AGE

I'm interested in receiving information on

Fire Program EMT Program Both

Paramedic Online Fire or EMT Training


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