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Registering For a GFC-Sponsored Georgia Basic Wildland Fighter (GBWF) Field Exercise
Once registered - a "no-show" on the Field Exercise Day will result in a $100.00 assessment against the employer for each non-reporting student.

All registrations must use only the E-mail address of the department chief - training officer - or trainee supervisor in the case of non-fire department cooperators. Send an E-mail from the department chief with a list of approved trainees to: Brian Croft at bcroft@gfc.state.ga.us and CC Jennifer Dorough at jmichael@gfc.state.ga.us

GFC Safety & Training Office | 478-751-3499
Student Information
Last Name
First Name (and Middle Name)
Last 5 digits of Social Security Number
Gender Male      Female     
Fire Fighter Certificate Number
Fire Fighter Certificate Date
Fire Fighter Certificate Type
Date of Birth
Position
Employer/Sponsor Agency E-mail Address
(E-mail address of the Supervisor/Department/Employer)
(Information about the Field Exercise will be sent to this E-mail address - do not use personal E-mail.)
Agency Information
Employing Agency
Employing Agency Type City/Municipal
County
State
Federal
Agency Mailing Address
City
State
Zip
Agency Phone
Agency Fax
Your Training Officer's Name
(Name entered here indicates "Electronic Signature" by the officer approving your registration.)
After submission: E-mail a list of trainees to bcroft@gfc.state.ga.us and CC jmichael@gfc.state.ga.us
Your Training Officer's Phone
Course and Field Exercise Details
Course Type I wish to obtain a Wildland Firefighter Course CD from GFC

I plan to complete the USFA Wildland Firefighter Online Course
(You will need the name of the administrator to register for the USFA Wildland Firefighter Online Course)
The website to register this online course is http://www.nfaonline.dhs.gov/browse/index.shtm#Q494
Field Exercise List of Upcoming Field Exercises
Select Date Location Administrator Enrolled/Slots
4/24/2010 Bartow County F. D. Stat. # 1 J. Steve Gray
770-655-8002 		13/30
5/9/2010 Peach Co Mark Millirons
478-751-3504 		1/30
5/15/2010 Peach Co Mark Millirons
478-751-3504 		3/30