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EMS Training Registration Form
Fire Department - EMS Training Registration Form
Student Name:
*
Email Address:
*
Phone Number:
Course Code/Title:
*
Be Sure to Select Correct Class and Start Date!
EMTB-3 - EMT-Basic | Start Date: 6/23/2008
ESDR-4 - EMT-Refresher | Start Date: 5/31/2008
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New Class Schedule - Added 4/16/08
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EMTB-2 - EMT-Basic | Start Date: 8/18/2008
EMTB-3 - EMT-Basic | Start Date: 8/19/2008
EMTB 4 - EMT-Basic | Start Date: 10/18/2008
ESDR-1 - EMT-Refresher | Start Date: 9/20/2008
ESDR-2 - EMT-Refresher | Start Date: 10/18/2008
ESDR-3 - EMT-Refresher | Start Date: 10/14/2008
ESDR-4 - EMT-Refresher | Start Date: 12/6/2008
If you are a "out of county" applicant you will be placed on the stand-by list. You will be awarded a seat should one become available. You must be present at the registration to claim that seat.
Select County of Station:
Allegany
Anne Arundel
Baltimore City
Baltimore
Calvert
Caroline
Carroll
Cecil
Charles
Dorchester
Frederick
Garrett
Harford
Howard
Kent
Montgomery
Price Georges
Queen Annes
Somerset
St. Marys
Talbot
Washington
Wicomico
Worcester
Select Number/Location (if AACO):
Select one of the following
OUT OF COUNTY
1 Galesville
2 Woodlawn Beach
3 Riva
4 Severn
5 Waugh Chapel
6 Herald Harbor
7 Arundel
9 Harwood/Lothian
10 Jacobsville
11 Orchard Beach
12 Earleigh Heights
13 Riviera Beach
17 Arnold
18 Marley
19 Cape St. Claire
20 Lake Shore
21 Harmans/Dorsey
23 Jones Station
26 S. Glen Burnie
27 MD City
28 Odenton
29 Jessup
30 Arminger
31 Brooklyn Park
32 Linthicum
33 Glen Burnie
34 Ferndale
35 Forrest Drive
36 Eastport
40 West Annapolis
41 Avalon Shores
42 Deale
43 BWI Airport
45 Ft. Meade
46 Naval Academy
60 Sandy Point
Badge Number:
AACO Fire Department Volunteers please select Station Commander or Training Officer from the below list. Out of county or AACO career applicants please select the appropriate option from the below list.
Station Commander or Training Officer:
Select one of the following
OUT OF COUNTY
Anne Arundel County Career
2. Bob Howlin - fdhowl79@aacounty.org
6. Martin Orndorff - mornd6@verizon.net
7. Steve Race - fdrace@aacounty.org
11. Tom Fenwick - fd009576@aacounty.org
12. Paul Demasky - fddema80@aacounty.org
13. George Smith - fdsmit83@aacounty.org
17. Bill Ehrlich - mucke172@yahoo.com
19. David Nibeck - training@cscvfc.org
20. Timothy Hall - fd501286@aacounty.org
27. Ray Smallwood - fdsmallwood@aacounty.org
28. Troy Odenhal - tao942@gmail.com
29.
33. Ellwood Klump - klumpster1@msn.com
34. Jeremy Weiss - fd502931@aacounty.org
35. J Menassa - jmenassa@annapolis.gov
36. J Menassa - jmenassa@annapolis.gov
39. J Menassa - jmenassa@annapolis.gov
40. Bob Vice - fdvice10@aacounty.org
42. Dale Browning - captain46b@comcast.net
45. Bruce Smith - bruce.s.smith@us.army.mil