* * * Course Enrollment Form * * *

Please review the Training Calendar and download and read the Training Division Policy and Procedure Manual.  This form may be completed online here or downloaded, completed, and emailed (training@bolivarcityfire.com), faxed (417-777-3513), mailed, or dropped off (312 S Springfield Ave, Bolivar).

Your Name:

Your Organization:

Your Social Security Number: (numbers only - no dashes or spaces)
Required to maintain and track student records.  SSN is not required for enrollment but is required if you want credit for taking the course. 

Your Email:
Preferred method of communication for course updates.  Required for enrollment confirmation. 

Your Phone: (numbers only - no dashes or spaces)
Only required if email is not provided. 

Course Name:

Course Number:

Course Start Date:

Course Start Time:

Notes: