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Certification Class Prerequisite Verification Roster

Certification Class Prerequisite Verification Roster

Certification Class Prerequisite Verification Roster

The Certification Class Prerequisite Verification Roster must be completed and submitted to the Accredited Certification office, seven (7) days prior to the first day of the class. Please ensure that all information on the roster is accurate prior to submission. Once you hit "submit" the form will come directly to our email box. If you have any questions, please reach out to ifsacaccreditedcertification@kctcs.edu.

Certification Class Information

Class #:
This number was assigned upon registration of your class. You will find this on your confirmation email.

Fire Instructor I Registrants

A minimum of 10 students is required with a maximum capacity of 40. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
Must have held certification for at least one (1) year.
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Fire Instructor II Registrants

A minimum of 10 students is required with a maximum capacity of 30. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
Must have held certification for at least one (1) year.
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Fire Officer I Registrants

A minimum of 10 students is required with a maximum capacity of 40. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Fire Officer II Registrants

A minimum of 10 students is required with a maximum capacity of 30. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Fire Officer III Registrants

A minimum of 10 students is required with a maximum capacity of 20. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Fire Officer IV Registrants

A minimum of 10 students is required with a maximum capacity of 20. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Driver Operator - Pumper ONLY Registrants

A minimum of 10 students is required with a maximum capacity of 30. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Driver Operator - Pumper AND Mobile Water Supply Registrants

A minimum of 10 students is required with a maximum capacity of 30. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Driver Operator - Aerial Registrants

A minimum of 10 students is required with a maximum capacity of 30. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Airport Firefighter Registrants

A minimum of 10 students is required with a maximum capacity of 20. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Fire Inspector I Registrants

A minimum of 10 students is required with a maximum capacity of 20. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Common Passenger Awareness Registrants

A minimum of 10 students is required with a maximum capacity of 24. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Common Passenger Operations Registrants

A minimum of 10 students is required with a maximum capacity of 24. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Common Passenger Technician Registrants

A minimum of 10 students is required with a maximum capacity of 24. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Common Passenger Awareness/Operations COMBO Registrants

A minimum of 10 students is required with a maximum capacity of 24. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Common Passenger Operations/Technician COMBO Registrants

A minimum of 10 students is required with a maximum capacity of 24. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Common Passenger Awareness/Operations/Technician COMBO Registrants

A minimum of 10 students is required with a maximum capacity of 24. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Rope Rescue Awareness Registrants

A minimum of 10 students is required with a maximum capacity of 24. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Rope Rescue Operations Registrants

A minimum of 10 students is required with a maximum capacity of 24. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Rope Rescue Technician Registrants

A minimum of 10 students is required with a maximum capacity of 24. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Rope Rescue Awareness/Operations COMBO Registrants

A minimum of 10 students is required with a maximum capacity of 24. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Rope Rescue Operations/Technician COMBO Registrants

A minimum of 10 students is required with a maximum capacity of 24. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Rope Rescue Awareness/Operations/Technician COMBO Registrants

A minimum of 10 students is required with a maximum capacity of 24. Please use the (+) and (-) buttons to the right of each line as needed. Every field is required once a line is added.
Name
Name
First
Last
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Please use the same email address used when the class was registered.

Maximum file size: 268.44MB

I certify that the information above is correct and true to the best of my knowledge. I have verified each seal number and Kentucky Basic I date (when required), through the registrants KyFIRES portal.

Maximum file size: 268.44MB