Field StaffApplication Packet

Revised 2013

Contents

Memorandum to persons interested in becoming a Field Staff member 1

Field Delivery System 2

Field Delivery System Chart 3

Field Staff Qualification, Recruitment, and Selection Process Chart 4

Field Staff Qualification, Recruitment, and Selection Process Explanation 5-8

• ProgramOverview 5

• MinimumQualifications 5

• Application(Step1) 6

• ApplicationReviewandSelection(Step2) 6

• Orientation(Step3) 6

• Classification(Step4) 7

• ActiveStatus 7

• InactiveStatus 7

• SpecialStatus 8

• EmeritusStatus 8

• QualificationCourses 8

Application Instructions 9

Fire Service Training Bureau Field Staff Application Form 10-13

NOTE: Please read the contents of this packet carefully. This packet contains an explanation of the Field Staff program and the expectations that accompany the title of Field Staff. This packet also includes the Field Staff application form and requirements for selection as a Field Staff member.

Memorandum

To: PotentialIowaFireServiceInstructors

From: ProgramStaff,FireServiceTrainingBureau

Subject: FieldStaffApplicationProcess

ThankyouforyourinterestinbecomingaFieldStaffmemberfortheFireServiceTrainingBureau.TheFireServiceTrainingBureauisalwaysseekinghighlyqualifiedandmotivatedinstructorstojoinusinthechallengingandrewardingmissionoftrainingIowa’sfirefighters.WehavesetourstandardshightoassuretheIowafireservicethatthebestinstructorsavailablewillbehelpingthemmeettheirtraininggoals.TheFireServiceTrainingBureaudelivershighqualitytrainingtotheIowafireservice.Ifyoumeettherequirements,weinviteyoutoapply.IfyouareselectedasoneofthebestandjointheBureau’sFieldStaffranks,youwillfindanewlevelofprofessionalsatisfactionasyouhelpfiredepartmentsandfirefightersincreasetheirabilitytocombatfire.

ThispacketincludesanexplanationoftheprocessusedtoselectnewFieldStaffforourprogram.Pleasereaditcarefully.Shouldyouhaveanyquestionsaboutqualificationsortheselectionprocess,pleasecalltheBureauat888-469-2374.Shouldyouapplypriortomeetingtheminimumrequirements,yourapplicationwillnotbeforwardedtotheselectioncommittee.Waitinguntiltheminimumrequirementsaremetwillgreatlyenhanceyourchancesofbeingselected.

Throughoutthisprocess,asuccessfulcandidatewillberequiredtomakeonetriptotheFireServiceTrainingBureauinAmes.Shouldyoubeselectedyouwillberequiredtoattendanorientation.Theorientationclassexplainstheprocedures,expectationsanddetailsofoperatingwithintheFireServiceTrainingBureaudeliverysystem.

Thankyouagainforyourinterest.IfyouneedadditionalinformationaboutourFieldStaffprogram,pleasecontactouroffices.Goodluck!

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Field Delivery SystemFire Service Training Bureau

TheFireServiceTrainingBureauistheonlyorganizationinIowaauthorizedandrequiredbylawtodelivertrainingandfireservicecertificationrelatedservicesonastatewidebasis.TheBureauhasdesignedawiderangeoftrainingprogramsspecificallydesignedtohelpfireservicepersonnelmeetthechallengesofperformingfireprotectionactivities.

OneveryimportantelementoftheservicesprovidedbytheFireServiceTrainingBureauisthedeliveryoftrainingtolocalfireserviceorganizations.Theseorganizationsinclude(butarenotlimitedto)cityortownshipfiredepartments,areafireprotectiondistricts,countyfirefighterorganizations,etc.Theseclassesarescheduledandconductedattheconvenienceofthelocalorganization.Mostoftheclassesareheldduringeveninghoursoronweekendssothatthevolunteerorganizations’needsforschedulingcanbemet.TheFireServiceTrainingBureauisproudofourcommitmenttoserviceandmeetingtheneedsofour“clients”throughscheduling,coursecontentandservice.

FireserviceorganizationsmayrequesttrainingfromtheBureauinmanyways.TheFireServiceTrainingBureaucanbecontacteddirectlybyphone,email,fax,orlettertorequesttraining,oraFieldStaffmemberintheirareamaybecontactedtorequestaclass.Oncetherequestisreceived,aninstructorisassigned(ifrequestedthroughalocalFieldStaffmember,theFieldStaffmemberisgiventheopportunitytoteachtheclass).TheFieldStaffmemberconfirmsthedatewiththehostorganizationandtheFireServiceTrainingBureauprovidesinstructionalmaterialandappropriatestudentmaterials.Uponcoursecompletion,FieldStaffmemberspreparethecoursedocumentationpaperworkandreturnittotheFireServiceTrainingBureauforprocessingandcertificatepreparation.Instructionalmaterials(slides,overheadtransparencies,Power-Pointpresentations,etc.)arealsoreturnedtotheFireServiceTrainingBureauuponcoursecompletion.

BillingandinstructorpaymentsarepreparedbytheFireServiceTrainingBureau.FieldStaffmembersareclassifiedaspart-timeemployeesofIowaStateUniversity.Payrollforinstructionalservices(hourlywages)issubmittedforpaymenttwicepermonth.(FieldStaffwillbepaidonthe15thofthemonthandthelastworkingdayofthemonth.)Reimbursementformileageandmiscellaneousexpensesispaidonacoursebycoursebasisandwillbeonadifferentcheckthanthewages.Normalprocessingtimeforexpensereimbursementis2to3weeks.

Field Staff members are not authorized to teach courses from the Fire Service Training Bureau to any fire department or any organization without specific authorization of the Fire Service Training Bureau.IfFieldStaffmemberswishtoteachacoursefortheirdepartment(oranyotherdepartment)atareducedcost,theFieldStaffmembermaywaivehis/herwagesandexpenses;thusreducingthecostofthecoursebythatamount.FieldStaffmembersarenotauthorizedtoteachfreecourses(fromtheFireServiceTrainingBureaucoursemenu)withoutauthorizationfromtheFireServiceTrainingBureau.

DetailsofthedeliverysystemandproceduresusedbytheFireServiceTrainingBureauarediscussedinanOrientationclassfornewFieldStaffmembers.

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FD/Client/Host FSTB Central Staff FSTB Field Staff

FD/ClientcallsFireServiceTrainingBureau

FD/Clientattendsclass(taughtbyFieldStaff)

FDreceivescertificatesandinvoice(ifappropriate)

fromtheBureau

RequestReceived

RequestProcessedbyCentralStaff

a. Instructorassignedb. Coursedocumentationbeginsc. Coursematerialsreserved

CentralStaffshipsinstructionalsupplies(teachingkit)toFieldStaff14dayspriortoclass

CentralStaffprepares

1. Certificates

2. FieldStaffwage,travelandexpensereimbursement

3. InvoicetoFD/Clientorotherprovider

FieldStaffcallsonbehalfofFD/Client

FieldStaffconfirmsdate,location,timeofcoursewithFD/Clientandnotifiesthe

Bureau

FieldStaffreviewsinformationinpreparationforteaching

FieldStaffteachesclass

FieldStaffreturnsteachingkitandcoursedocumentationtotheBureauwithin1weekofcourse

completion

FieldStaffreceiveswage,travelandexpensereimbursement

FSTB Field Delivery SystemUsing Field Staff Instructors

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Minimum Qualifications:

Step 1 Application

Step 2 Applicant Review & Selection

Step 3 Orientation

Step 4 Classification

Submit: •CompletedFieldStaffApplicationForm• DocumentationofInstructorI,FirefighterI,andFirefighterIICertification• Three(3)ReferenceLetters• Coverletterexplaininginterestintrainingandeducation

• ApplicationsreviewedbyFSTBCentralStaff• Selectionbasedonqualificationsandqualityofexperience• LetterofAcceptancesenttoapplicant• ApplicantcontactsFSTBtoscheduleOrientation(FSTB reserves the right

to evaluate/observe a candidate’s teaching prior to completion of this step.)

• IntroductiontotheFireServiceTrainingBureauandDepartmentofPublicSafetysystem• StatementofPerformanceExpectations• IntroductiontoPolicies&Philosophy• AdministrativeOverview(paperwork)

• InstructorICertification• FirefighterI&IICertification(effective01/01/07)• Two(2)yearsFireServiceExperience• DemonstratedInterestinFireServiceTraining&Education

Field Staff Qualification, Recruitment, Selection and Retention Process

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Inactive

• Activerequirementsnotmet

• Inactive2yearsthenlettersentaskingintenttoremainonFieldStaff

• TogettoActivestatusagain:- Updateapplicationform- LettertoFSTBrequestingActivestatus

- ActivestatusreinstatedatthediscretionofFSTBCentralStaff

Probationary

AllnewFieldStaffareclassifiedasProbationary.UponcompletionoftwoFSTBprograms(FieldProgram/Conferencecoursesand/orCertifica-tionEvaluator)performancewillbereviewed.FieldStaffwillbere-classifiedtoActive,or“appropriate”actionwillbetaken,whichmayincludeadditionalobservation,training,mentoring,etc.

Active

• AttendAnnual“AdministrativeSeminar”(requiredonceduringeachtwoyearperiod)

• Teachasleadorassistantinstructor,one(1)courseperyear,averagedover2years(i.e.1courseperyear,orskipteachingin1yearandteach2coursesthefollowingyear)

• PerformasanevaluatoratanFSTBCertificationExamsite

Special

SpecialstatusawardedonlybyFSTBCentralStaffforuniqueorspecialcircum-stances.

Emeritus

FieldStaffwhoretirefromtheFireServiceorleavethestateofIowamayrequestEmeritusstatus.ThoseindividualswillremainontheFSTBmailinglists,andreceiveFieldStaffmemosandannouncements,butwillnotbeteachingclassesorbeevaluatorsatexamsites.

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Field Staff Recruitment and Selection Process Explanation

Program Overview

TheFireServiceTrainingBureauhascreatedaprogramthroughwhichfireserviceinstructorsfromacrossIowaarehiredtoprovideinstructionalservicestoclientsoftheBureau.ClientsoftheFireServiceTrainingBureauinclude(butarenotlimitedto)firedepartmentswithinIowa,CommunityCollegePartners,countyandregionalfireassociations,fireprotectiondistricts,andprivatesectorcompanies.Theseinstructorsarehiredaspart-timeemployeesoftheFireServiceTrainingBureauandreporttotheFieldProgramCoordinators.

Responsibilitiesincludeawiderangeofduties.Primarily,FieldStaffareresponsibleforthetasksassociatedwithpreparingforandteachingfireservicetrainingtoclientsoftheFireServiceTrainingBureau.Beyondinstructionalduties,FieldStaffareexplectedto:helppromoteactivitiesoftheFireServiceTrainingBureau;serveasanevaluatoratFSTBCertificationExamsites;serveasanambassadorfortheFireServiceTrainingBureau;andhelpmarketclassesandservicesprovidedbytheBureau.

FieldStaffmembersarepaidaperhourwage(actualclasstime)forteachingclasses.ExpensesandmileagearealsoreimbursedatapplicableratesestablishedbytheState.TheFireServiceTrainingBureaualsoprovidesanumberofprofessionaldevelopmentactivitiesthroughouttheyearforFieldStaff.

FieldStaffmembersformthecoreofthedeliverysystemfortheFireServiceTrainingBureau.Theyare,manytimes,theprimarycontactthataclienthaswiththeBureau.ThisrelationshiprequiresthatFieldStaffbededicatedtotheFireServiceTrainingBureauphilosophyofclientorienteddeliveryofservices.Inordertomaintainthehigheststandardofexcellence,theFireServiceTrainingBureaucontinuestoseekoutthebestinstructorsinIowatojoinourteamofhighlymotivatedanddedicatedprofessionals.

Minimum Qualifications

ThemostqualifiedfireserviceinstructorsinIowaarebeingsoughttojointheFireServiceTrainingBureaudeliveryteam.Inordertoassistinthisprocess,minimumqualificationshavebeenestablishedasabaselinefromwhichtorecruitnewmembers.

Instructor I Certification: ApplicantsmustbenationallycertifiedasaFireServiceInstructorI.Documentationofthiscertificationshouldbesubmittedwiththeoriginalapplication.Aphotocopyofthecertificate,oranFSTBcertificationreport,isadequatedocumentation.

Firefighter I & II Certification: ApplicantsmustbenationallycertifiedasbothFirefighterIandFirefighterII.Documentationofthesecertificationsshouldbesubmittedwiththeoriginalapplication.Aphotocopyofthecertificates,oranFSTBcertificationreport,areadequatedocumentation.

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2 Years Fire Service Experience: Applicantsmusthaveaminimumof2yearsexperienceinthefireservice.Additionalexperienceispreferred.Instructionalexperienceisdesiredandwillstrengthenanapplication.

Demonstrated interest in training and education: Applicantsmusthaveademonstratedinterestinfireservicetrainingandeducation.Thisinterestcanbedocumentedparticipationinavarietyoftrainingopportunities,instructionalactivities,organizationalmemberships,etc.Interestintrainingandeducationshouldbeexplainedandelaboratedonintheapplicantscoverletterexplainingtheirinterestintrainingandeducation.

Application (Step 1)

ApplicantsmustsubmitacompletedFieldStaffapplicationformtotheFireServiceTrainingBureau.Documentationofminimumrequirementsshouldaccompanytheapplicationform.Inadditiontothedocumentationofminimumrequirements,applicantsshouldalsoinclude3lettersofreference.Theapplicationpacketshouldbesubmittedunderacoverletterexplainingtheapplicant’sinterestintrainingandeducation,andwhytheywishtojointheFireServiceTrainingBureauFieldStaffteam.

Applicant Review and Selection (Step 2)

Periodically,afterreceivinganumberofapplications,theFireServiceTrainingBureauwillactivateacommitteetoreviewapplications.Providedenoughapplicationsarereceived,itistheintentoftheBureautoinitiatethisprocessatleasttwiceeachyear.ThiscommitteewillbemadeupofFireServiceTrainingBureauCentralStaff.Thecommitteewillreviewapplicationstoinsureapplicationsarecomplete,applicantsmeetminimumrequirements,andselectcandidatestoprogresstothenextstepoftheselectionprocess.SuccessfulapplicantswillbenotifiedthattheyhavebeenacceptedandshouldcontacttheFireServiceTrainingBureautoscheduletheirOrientation.

Orientation (Step 3)

TheOrientationisheldattheFireServiceTrainingBureauinAmes,andconductedbyFSTBCentralStaff.ThepurposeoftheorientationistofamiliarizenewFieldStaffwithadministrativeproceduresandpoliciesgoverningthedeliveryoftrainingthroughtheFireServiceTrainingBureau.TheorientationalsogivestheFireServiceTrainingBureauanopportunitytoexplainexpectationsthattheBureauhasofFieldStaffas theypertaintoconductandperformance.

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Classification (Step 4)

UponbeingselctedasanewFieldStaffmember,allnewFieldStaffareassignedaProbationaryStatus.FieldStaffwillremainintheProbationaryStatusuntilthefirsttwoprogramsarecompleted.Afterthefirsttwoclassesaretaught,theFieldStaffmember’sperformancewillbereviewed.Basedonperformancereview,theFieldStaffmemberwillbereclassifiedtoActivestatusor(ifperformanceisnottoalevelthatwarrantsActiveStatus)appropriateactionswillbeinitiated.Ifperformancehasnotmetthestatedexpectations,FieldStaffmaybeaskedtoattendadditionaltraining,attendanotherorientation,orclassroomobservationandmentoringmayberequired.Onrareoccasions,iftheFieldStaffmember’sperformanceisunsatisfactory,theFieldStaffmembermayberemovedfromtheFieldStafflist.

Active Status

Tomaintainactivestatus,FieldStaffmustteachatleastonecourseperyear.Thisrequirementwillbeaveragedoveratwoyearperiod(ifyoudon’tteachaclassforoneyear,youmustteachtwothefollowingyear).FieldStaffarerequiredtoattendanannualadministrativeseminar(onceinatwoyearperiod).TheseseminarswillbeheldforthepurposeofupdatingFieldStaffonadministrativemattersandothercommunicationissuesrelatedtoservingasaFieldStafffortheFireServiceTrainingBureau.AnumberofAdministrativeseminarswillbescheduledatvariouslocationsthroughoutthestate.FieldStaffmembershavetheirchoiceofwhichofthesesseminarstheywillattend.Eachoftheseminarswillcontainthesameinformation.

ItistheintentthatmostFieldStaffmemberswillhavetodrivelessthantwohourstogettooneofthesemeetings.IfaFieldStaffmemberisunabletoattendtheseminarclosesttotheirhome,theywillberequiredtoattendoneoftheotherseminarsinordertomaintainActivestatus.

Inactive Status

FieldStaffmembersnotmeetingtheactivityrequirementswillbeplacedinanInactiveStatus.AletterwillbesentfromtheFireServiceTrainingBureauaskingiftheindividualwishestoremainonFieldStaff.FieldStaffwillhavetwoyearstoregainActiveStatus.TherequirementstoregainActiveStatuswillbeidentifiedonanindividualbasis.Individualsmayberequiredtoresubmitanapplication,orentertheselectionprocessatanylevel(includingtheOrientationstep).AfteranindividualhasmettherequirementsforregainingActiveStatus,theFireServiceTrainingBureauCentralStaffwillmeettoreviewthepertinent informationanddocumentation.Adecisionwillbemadeatthattimeregardingthestatusoftheindividual.Theresultofthisdecisionwillbesentinwritingtotheindividual.InactiveFieldStaffhavetheresponsibilityofcontactingtheFireServiceTrainingBureauforthepurposeofregainingActiveStatus.

FieldStaffmembersmayrequesttobeplacedonInactiveStatusforspecialcircumstances.Examples:militarydeployment,healthorpersonalissues,etc.IndividualsplacedonInactiveStatusattheirownrequestarenotsubjecttoactivityrequirements,andmayrequesttoreturntoActiveStatuswhentheirspecialcircumstanceschange.

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Special Status

TheFireServiceTrainingBureauretainstheabilitytograntSpecialFieldStaffstatustopersonswishingtoserveasFieldStaff.TheSpecialstatuswascreatedinordertocapitalizeonanindividual’sspecialoruniqueexpertiseinanasubject.TheseindividualswillbelimitedastowhatsubjectstheymayteachwithintheFireServiceTrainingBureaudeliverysystem.

PersonswithSpecialstatuswillberequiredtocompletethenormalselectionprocessiftheywishtobeginteachingawiderangeofsubjects.

Emeritus Status

FieldStaffwhoretirefromtheFireServiceorleavetheStateofIowamayrequestEmeritusStatus.ThoseindividualswillremainontheFSTBmailinglists,andreceiveFieldStaffmemosandannouncements,butwillnotbeteachingclasses.TheymayattendFieldStaffactivities.Ifandwhenanindividualdoesnotwishtoreceivemailings,he/sheshouldrequesttobecompletelydroppedfromtheFieldStaff.

Qualification Courses

AllFieldStaffmustattendaqualificationcourse(train-the-trainer)foreachcoursethattheFieldStaffwishestoteach.Qualificationcoursesmustbecompletedpriortoteachingthecourse.QualificationcoursesarenormallyconductedattheFireServiceTrainingBureauasdemandrequires.TheBureauwillattempttoschedulequalificationcourseswithinareasonabletimeaftercompletingtheirOrientation.

Qualificationcourseshelpfamiliarizetheinstructorwiththeinstructionalmaterials,activities,objectivesandotherissuesthathelpinsurethatthecourseobjectivesandexpectationsoftheBureauaremet.

Application Instructions

Theformmaybefilledoutbyhandorbytypewriter.Uponcompletingtheform,pleasereturnitwiththerequireddocumentationtotheFireServiceTrainingBureau.

General Directions:

1. Pleasetypeorprintneatly.

2. Answerallquestions.

3. Ifyouneedmoreroom,pleaseaddadditionalpages.

4. Aresumemaybesubmittedinadditiontothisapplicationform.

5. Includeacoverletterexplainingyourinterestintrainingandeducation,andwhyyouwishtojointheFireServiceTrainingBureauFieldStaffprogram.

6. MailapplicationanddocumentationtotheFireServiceTrainingBureau.

Required Documentation:

• ApplicationForm

• PhotocopyofInstructorICertificate

• PhotocopyofFireFighterICertificate

• PhotocopyofFireFighterIICertificate

Mail Documentation to:

FireServiceTrainingBureau

Attention:FieldStaffApplications

Building 3536 (B-59)

7105 NW 70th Avenue

Johnston, IA 50131-1824• Three(3)lettersofreference

Please refer questions about the application recruitment and selection process to the Fire Service Training Bureau.

Phone: 515-727-3426 • Fax: 515-727-2429

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Fire Service Training Bureau Field Staff Application Form

__________________________ ________________________________(_________________)LastName FirstName M.I.Nickname

SSN:___________-__________-___________ BirthDate(mm/dd/yr)_______/_______/_______

___________________________ ____________________________ _____ _________ __________HomeAddress City State Zip County

____________________________ __________________________ _____________________________HomePhone WorkPhone EmailAddress

________________________________________ ___________________________________________ EmployerName Position

____________________________________ __________________________ _____ _________ EmployerAddress City State Zip

DoyouholdIowa/National*FireInstructorCertification?YNApprox.Date_______/_______

HighestLevelAchieved_______________________CertificationAgency________________________

DoyouholdIowa/National*FireFighterCertification?YNApprox.Date_______/_______

HighestLevelAchieved_______________________CertificationAgency________________________

DoyouholdIowa/National*FireOfficerCertification?YNApprox.Date_______/_______

HighestLevelAchieved_______________________CertificationAgency________________________

DoyouholdanyotherIowa/National*Certifications?YN

Type____________________________Agency_________________________Date_______/_______

Type____________________________Agency_________________________Date_______/_______

* Please furnish a copy of your Iowa/National Certificate.

FieldStaffApplication-Page1

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Fire Service Experience:

Areyounoworhaveyoueverbeenamemberofafiredepartment?YN

Department Location Approx.Dates Career/Volunteer

1.________________________/ ____________________/ ______________/ _______________

2.________________________/ ____________________/ ______________/ _______________

3.________________________/ ____________________/ ______________/ _______________

Pleaselistanyofficeandrankheldwithinthefiredepartment:

Office Approx.Dates

1.____________________________________________________________/ _______________________

2.____________________________________________________________/ _______________________

3.____________________________________________________________/ _______________________

4.____________________________________________________________/ _______________________

5.____________________________________________________________/ _______________________

Pleasesummarizeanyspecialtrainingorcourseworkrelatedtothefireservice.

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Pleaselistanycommunityactivities(otherthanfiredepartment)inwhichyouhavebeeninvolved.

Activity OfficeHeld Approx.Dates 1.______________________________/ ___________________________/ _____________________

2.______________________________/ ___________________________/ _____________________

3.______________________________/ ___________________________/ _____________________

FieldStaffApplication-Page2

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Teaching Experience:

Pleaselistyourfireandemergencyserviceteachingexperiencewithinthelasttwoyears.BesuretoincludeanyteachingyouhavedonefortheFireServiceTrainingBureau.

SubjectArea Forwhomdidyouteach Approx.Date _________________________________/ ___________________________/ _____________________

_________________________________/ ___________________________/ _____________________

_________________________________/ ___________________________/ _____________________

_________________________________/ ___________________________/ ____________________

_________________________________/ ___________________________/ _____________________ _________________________________/ ___________________________/ _____________________

_________________________________/ ___________________________/ _____________________

_________________________________/ ___________________________/ _____________________

_________________________________/ ___________________________/ _____________________

_________________________________/ ___________________________/ _____________________

_________________________________/ ___________________________/ _____________________

_________________________________/ ___________________________/ _____________________

_________________________________/ ___________________________/ _____________________

_________________________________/ ___________________________/ _____________________

IhaveservedonthefollowingIowaFireServiceTrainingBureauCertification/ProgramCommittees:

Committee DatesServed

1.____________________________________________________________/ __________________________

2.____________________________________________________________/ __________________________

3.____________________________________________________________/ __________________________

FieldStaffApplication-Page3

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Pleaselistareasinwhichyouareinterestedinteachinginorderofpreference.YouarenotrestrictedtoonlythoseclassesthatarepresentlyavailablethroughtheBureau.Youwillnotbeboundbyyourselectionsasindicatedhere.Wewillusethisinformationasaguidetoprogramplanning.

Topic

1._____________________________________________________________________________________

2._____________________________________________________________________________________

3._____________________________________________________________________________________

4._____________________________________________________________________________________

5._____________________________________________________________________________________

6._____________________________________________________________________________________

7._____________________________________________________________________________________

8._____________________________________________________________________________________

9._____________________________________________________________________________________

TheFireServiceTrainingBureauhastheexpectationthatFieldStaffshouldhelpmarketcoursesandserviceavailable.DoyoubelievethatyoucouldsupporttheBureauinthistypeofanactivity?____Yes_____No

Pleaseexplainyourresponse:

________________________________________________________________________________________

________________________________________________________________________________________

Reasonably,howmanyhoursdoyoufeelthatyoucouldcomfortableteachpermonth?

0-5 _______________ 5 - 10 _______________ 10 - 15 ________________ 15 - 20 ________________

Signature____________________________________________________Date_____________________

FieldStaffApplication-Page4