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2. Citizens Fire Academy

   The Citizens Fire Academy is a free course designed to give Bedford citizens and business owners, managers and employees working knowledge of their Fire Department. The class also provides a great opportunity for persons that reside or work in the City of Bedford to increase relations between the Fire Department and the community.

4. First Name*
5. Last Name*
7. Name you would like displayed on badge
9. Address*
11. City*
12. State*
13. Zip*
15. Phone Number*
16. Email Address*
18. Sex

    1. M
    2. F
19. Driver's License*
20. Date of Birth (mm/dd/yyy)*
22. Employer Name *
24. Employer Address
26. Shirt Size

    1. S
    2. M
    3. L
    4. XL
    5. 2X
28. I, __________________________________, understand from this application and signature below, the information will be verified and a background check will be completed by the Bedford Fire Department, for the purposes of checking my criminal history record so that I MAY be selected to participate in the Citizens Fire Academy and Rider Program. I also understand my criminal history background MAY disqualify me from being selected to the Citizens Fire Academy. By signing below, I give my consent to the Bedford Fire Department to check my criminal history record for the purpose of being selected to the Citizens Fire Academy and Rider Program.
30. First and Last Name
31. Date
33. For more information, please contact:

    Bedford Fire Department Administration Office: 817-952-2500

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35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit Submit and Print

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