G0428 CERT TtT

Course Dates: June 7-9, 2025
· Friday (6/7): 6:00-10:00pm
· Saturday (6/8): 8:00-5:00pm
· Sunday (6/9): 8:00-5:00pm
Meal: No meals will be provided Friday (6/7). Lunch will be provided Saturday (6/8) and Sunday (6/9). All other personal expenses including lodging, mileage, wages, all other meals will not be reimbursed.
Location: 935 Schneider St, Fremont, NE 68025
Course Description: This course prepares participants to deliver the Federal Emergency Management Agency’s (FEMA) CERT Basic Training course.

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* 1. First and Last Name (for course certificate)

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* 2. Email (for correspondence and course materials)

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* 3. Phone Number

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* 4. Organization

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* 5. Discipline

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* 6. Is your position considered volunteer?

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* 7. Is any part of your position paid for using Federal funds?

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* 8. Please upload your prerequisite certificate for IS 317 in PDF format for review.

PDF file types only.

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* 9. Please upload your CERT Basic Training certificate in PDF format

PDF file types only.

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* 10. Please describe your first responder experience (The term "first responder" includes a firefighter, law enforcement officer, paramedic, emergency medical technician, or other individual (including an employee of a legally organized and recognized volunteer organization, whether compensated or not), who, in the course of his or her professional duties, responds to fire, medical, hazardous material, or other similar emergencies).

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* 11. Please upload a credential, ID card, or other verification of your first responder experience being used in place of a CERT Basic Training certificate (may be PDF, PNG, JPG, or JPEG format).

PDF, PNG, JPG, JPEG file types only.

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* 12. Please list any dietary restrictions for the lunches being provided on Saturday and Sunday below or type "none" if you do not have any

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* 13. Please certify you understand course materials will be provided digitally to follow FEMA's green initiative and it is your responsibility to have access to these documents during class either digitally or printed (printed will be at you or your organization's expense)