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INSTRUCTOR INTEREST FORM

  1. Cross-JPEG.jpg

  2. Instructor Interest Form

  3. Employee Information

  4. Instructor Interest

  5. I am interested in becoming an instructor in the following discipline(s):

    CHECK ALL THAT APPLY

  6. Supervisors

  7. Chiefs*

    If applicable, in addition to your Battalion Chief, also select Battalion Chief Mike Cole and Captain Kathleen Harne for ALS Training. For Special Ops, also select David Barnes. IF REQUESTING A VEHICLE OR IF THERE IS A FEE ASSOCIATED WITH THIS TRAINING, ALSO SELECT THE BATTALION CHIEF OF TRAINING.

  8. Captains & Lieutenants

    Captains & Lieutenants will receive immediate notification of training request.

  9. I agree to submit to DFRS documentation regarding my successful completion of this course. I further agree to abide by the Travel Regulations and Expense Report procedures detailed in Section IV of the Frederick County Purchasing Rules & Regulations, if applicable.*

  10. Questions? Contact Lieutenant of Training - RMcCaa@FrederickCountyMD.gov

  11. Leave This Blank:

  12. This field is not part of the form submission.