Fields marked with an * are required.

Date of Birth:*
E-mail confirmation:*
Home Address:*
Home Phone:
Cell Phone:
Have you ever been convicted of a crime?*
If convicted, please explain and give disposition.
How did you hear about the Sacramento Fire Dept. CERT Program?*
If you have a disability, what accommodations would you need to attend the training program?
Are you interested in advancing to Level 2 or Level 1 and becoming a volunteer with our organization?*
Do you have a 3/4 or 1 ton truck capable of towing a trailer?*
What in particular attracted you to SFD CERT organization?*
By submitting my application, I am asking to be considered to receive approximately 24 hours of Community Emergency Response Training. Furthermore, I agree to attend and participate in all classes, and the graduation exercise. Training is throughout the year, but usually is during weekdays evening hours (6-9 pm) and / or on Saturdays.*
I understand that a background investigation and fingerprinting will be required before placement in any sensitive volunteer position. In some placements TB testing is required.*
I authorize investigation of all statements contained in this application and any supporting documents and I understand that a background check may be conducted.*
I authorize the City of Sacramento and its non-profit partners to secure information from the references I have provided, and release all parties from any liability arising from such investigation.*
Prove you are not a robot: