City of Plano
Citizens Fire Academy
Application for Enrollment
Name _____________________________________________________________________________

Address ___________________________________________ City/Zip Code _____________________

Home Phone ____________________ Work Phone _________________ Cell Phone _________________

Email address _______________________________________ T-Shirt size ______________________

Date of Birth ___________________ Driver License Number _______________ State issued _________

Occupation __________________________ Business Name ___________________________________

How did you hear about the Citizens Fire Academy?

__________________________________________________________________________________

What is your purpose for attending?

__________________________________________________________________________________

__________________________________________________________________________________

Have you ever been arrested for or convicted of a crime? ___________  If yes, please explain.

__________________________________________________________________________________

__________________________________________________________________________________

Please list name, address, and phone number of two personal references.

1. ________________________________________________________________________________

2. ________________________________________________________________________________

Please return to:  Plano Fire Department, CFA, 1901 Avenue K, Plano, Texas 75074 
Fax to: 972-941-7291