Columbus Fire & EMS

Columbus Fire and Emergency Medical Services
Citizen Fire Academy

1100 Veterans Parkway, Columbus GA, 31901

Phone: (706) 653-3500
Application for Enrollment

First Name
Last Name

In case of emergency, whom should we notify?

First Name
Last Name

Please list two references that are not family members.

First Name
Last Name

YOU MUST BE AT LEAST 18 YEARS OLD TO PARTICIPATE

By submitting this form, I hereby certify there are no willful falsifications, omissions, or misrepresentations in the foregoing statements and answers to questions. I understand that any omission or false statement on this application shall be sufficient cause for rejection for enrollment or dismissal from the Columbus Fire and EMS , Citizen Fire Academy.

Street Address
Street Address 2
City	State
Postal Code	Country

Street Address
Street Address 2
City	State
Postal Code	Country

Street Address
Street Address 2
City	Region
Postal Code	Country

Columbus Fire and Emergency Medical ServicesCitizen Fire Academy

1100 Veterans Parkway, Columbus GA, 31901

Phone: (706) 653-3500Application for Enrollment

Columbus Fire and Emergency Medical Services
Citizen Fire Academy

Phone: (706) 653-3500
Application for Enrollment