2027 Nomination Form

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Welcome to the 2027 TN-KY Wildland Fire Academy Nomination Form

Please only submit this form once for ALL courses you wish to be nominated for! Write your name as it appears on your Red Card, and ensure it is spelled correctly! This will be used to generate course certificates and must be accurate. While you may nominate yourself for multiple classes occurring on the same day, you will only be allowed to take one should you be accepted into two or more. Instructions for dropping a course will be provided to all selected students.

Contact Details

First Name

Last Name

Mobile

Email Address

Verify Email Address

Additional Emails

Position

Agency

Home Unit Name/ID

State Abbreviation

IQCS or IQS#

Supervisor Name (First and Last!)

Supervisor Email

Optional: Add a photo to your EventsAir Profile.

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Registration Type

Please indicate if you are employed by a sponsored agency

*I do not work for a sponsored agency*

Big South Fork National River and Recreation Area

KY Division of Forestry

TN Division of Forestry

Based on your above answer, select your registration type. This helps us ensure invoicing is correct. If your agency is not listed, you are a non-sponsored agency student.

Sponsored Agency Student FULL

Non-Sponsored Agency Student FULL

If selected, will you be attending as an AD (Casual Hire) student?

Yes

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Select all classes you wish to be nominated for.

A-219 Helicopter Transport of External Cargo

Prerequisites: None

Number Of

Student Nomination FULL

D-110 Expanded Dispatch Recorder

Prerequisites: None

Number Of

Student Nomination FULL

E-ISUITE - Session A

Prerequisites: None

Number Of

Student Nomination FULL

E-ISUITE - Session B

Prerequisites: None

Number Of

Student Nomination FULL

EMT Refresher

Prerequisites: Qualified NREMT-Basic

Number Of

Student Nomination FULL

EVOC (Emergency Vehicle Operator Course)

Prerequisites: None

Number Of

Student Nomination FULL

FLOP Forklift Operator

Prerequisites: IS-700; ICS-100

Number Of

Student Nomination FULL

ICS-300 Intermediate ICS for Expanding Incidents

Prerequisites: IS-100; IS-200, IS-700; IS-800

Number Of

Student Nomination FULL

ICS-400 Advanced ICS for Complex Incidents

Prerequisites: IS-100; IS-200; ICS-300; IS-700; IS-800

Number Of

Student Nomination FULL

Introduction to GIS

Prerequisites: None

Number Of

Student Nomination FULL

L-280 Followership to Leadership

Prerequisites: L-180

Number Of

Student Nomination FULL

M-410 Facilitative Instructor

Prerequisites: None

Number Of

Student Nomination FULL

N-9059 Crew Resource Manager

Prerequisites: None

Number Of

Student Nomination FULL

P-301 Fire Prevention Education 2

Prerequisites: Recommended - P-101

Number Of

Student Nomination FULL

RT-9059 Crew Resource Manager Refresher

Prerequisites: N-9059

Number Of

Student Nomination FULL

RX-300 Prescribed Fire Burn Boss

Prerequisites: Qualified as FIRB and ICT4; S-390.

Number Of

Student Nomination FULL

RX-310 Intro to Fire Effects

Prerequisites: None

Number Of

Student Nomination FULL

RX-410 Smoke Management Techniques (Virtual)

Prerequisites: None

Number Of

Student Nomination FULL

S-112 Introduction to Chainsaw Operations

Prerequisites: None

Number Of

Student Nomination FULL

S-131 Firefighter Type 1 - Session A

Prerequisites: Qualified as FFT2

Number Of

Student Nomination FULL

S-131 Firefighter Type 1 - Session B

Prerequisites: Qualified as FFT2

Number Of

Student Nomination FULL

S-200 Initial Attack Incident Commander

Prerequisite: Qualified as any single resource boss

Number Of

Student Nomination FULL

S-215 Fire Operations in the WUI

Prerequisites: Qualified as FFT1

Number Of

Student Nomination FULL

S-219 Firing Operations - Session A

Prerequisites: Qualified as FFT2

Number Of

Student Nomination FULL

S-219 Firing Operations - Session B

Prerequisites: Qualified as FFT2

Number Of

Student Nomination FULL

S-230 Crew Boss

Prerequisites: Qualified as FFT1 and S-290

Number Of

Student Nomination FULL

S-231 Engine Boss

Prerequisites: Qualified as FFT1 and S-230

Number Of

Student Nomination FULL

S-244 Field Observer

Prerequisites: S-290; For FOBS: Qualified as any single resource boss OR for FEMO: Qualified as FFT2

Number Of

Student Nomination FULL

S-270 Basic Air Operations

Prerequisites: None

Number Of

Student Nomination FULL

S-271 Helicopter Crew Member

Prerequisites: Qualified as FFT2

Number Of

Student Nomination FULL

S-290 Intermediate Wildland Fire Behavior

Prerequisites: S-190

Number Of

Student Nomination FULL

S-320 Introduction to IMTs

Prerequisites: ICS-100, ICS-200, ICS-700

Number Of

Student Nomination FULL

S-330 Task Force/Strike Team Leader

Prerequisites: Qualified as any Single Resource Boss

Number Of

Student Nomination FULL

S-390 Intro to Wildland Fire Behavior Calculations

Prerequisites: Qualified as any single resource boss and S-290

Number Of

Student Nomination FULL

SIM Table Train-the-Trainer

Prerequisites: None

Number Of

Student Nomination FULL

Wilderness 1st Aid/ Wilderness 1st Responder Refresher

Prerequisites: None for full course OR Qualified Wilderness First Responder for Refresher

Number Of

Student Nomination FULL

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List qualifications and training to show you meet the prerequisites of the course(s) you are applying for.

Examples:
S-390: Completed S-290 June 2018; qualified as ENGB.
S-219: Qualified as FFT2.
Type N/A if a course does not have prerequisites.

List qualifications and training to show you meet the prerequisites of the course(s) you are applying for.

Any additional reasons you may need these courses? What are your priority classes?

Please list all CURRENT qualifications (ie. ENGB)

Please list all CURRENT trainee qualifications (ie. TFLD)

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