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275 Community Partner Application Confirmation
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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.