Interested in Hosting a Course? First Name * Last Name * Title/Position * Email * Telephone Number * Fire Department * Will you be the main contact for the course? * Yes No If not, please provide the main contact details. - Optional Do you have a classroom with good connectivity to fit 18 students comfortably, an apparatus bay, and a DZ truck for the practicals? * Yes No If yes, what is the address of the location? * Please provide at least 3 date options that the course could run (the course is three days and usually Friday - Sunday). * The minimum number of students for this course is 9. Can you fill the minimum requirement? **Please note this question is only asked to determine if we will need to advertise the course. * Leave this field blank - Optional