Commitment To Participate Training Officer Certification Program

Office of the
Fire Marshal

Fire Department
Commitment to Participate Training Officer Certification Program

Name of Fire Department

Contacted Phone No.

Four/Six digit location code

The department is composed of

Full-time Training Officers

Volunteer Training Officers

Composite

As Fire Chief, I declare the intent of my department to participate in the Training Officer Certification Program.

Attached is a list of _____________________Training Officers in the department
(state the total number)
(complete with their full names, date of eligibility as a Training Officer and classification) who will be seeking certification.

Name of Fire Chief: ______________________________ please print	Date:___________
Signature: __________________________ (Fire Chief)

For Office Use only:

Return completed form to: Chairperson, Certification Council, Academic Standards & Evaluation Section, Office of the Fire Marshal, 5775 Yonge Street, 7^th Floor, North York, ON M2M 4J1 or fax to (416) 325-3122