VFIS of North Carolina - Instructor Form

Thank you for your interest in VFIS training content, materials, and courses. We are excited to partner with you and expand access to high quality training materials for you to utilize in your department or region.

Please complete the form in its entirety. Once submitted, you will be contacted by the VFIS of North Carolina Training Coordinator with more information.

Last name

First name

Phone (Cell)

Email

Mailing Address

City

Zipcode

NC County

Please list the departments and/or organizations where you currently serve.

What position do you hold in your department or organization? Choose all that apply.

Primary Officer (Chief, Rescue/EMS Captain, etc.)

Officer (Training officer, Safety officer, line officer, etc.)

CC Training Coordinator (Fire, EMS, Emergency Services)

Other

Instructor Certification Level

Instructor Level I

Instructor Level II

Instructor Level III

Other

Years of Instructor Experience

Are you currently affiliated with a local community college?

Yes, I currently provide training for my local community college.

No, I do not provide training for my local community college.

If yes, with which community college(s) are you affiliated.