Academy Forms

Online Applications · Facility Use Requests · Downloadable Forms

⚠️ Be Advised — Effective September 1, 2022

A No-Show at a scheduled Drill Ground Activity will result in a cost-of-staff charge to the No-Show Department.

📧 All Form Submissions Go To

All forms in this section are configured to email submissions to MCFMRegistration@MCFMNJ.org. You will receive an on-screen confirmation once submitted successfully.

🎓Advanced Class Registration

🎓

Online Application

Advanced Class Registration Form

For Fire Department members seeking enrollment in advanced certification courses

⏱️ ~10 min📧 → MCFMRegistration@MCFMNJ.org

Open Form▼

📋 Information You'll Provide

Applicant info: name, address, phone, email
Credentials: DFS Number, SSN (last 4), EMT ID
Course details: course name, start date, prerequisites
Medical & emergency services affiliation documentation
Authorized signature with certification statement

Advanced Class Registration Form

Monmouth County Fire Academy

Advanced Class Registration

Course enrollment application — complete all required sections

1027 Highway 33 · Freehold, NJ 07728 · 📞 732-683-8857
Submit completed forms to: MCFMRegistration@mcfmnj.org

👤 Applicant Information

Section 1

Date of Application *

Personal Information

First Name *

Last Name *

Address

Street Address *

City *

County *

State / Province *

Zip / Postal Code *

Contact

Phone *

Email *

🆔 Credentials & Medical Documentation

Section 2

DFS Number

Division of Fire Safety ID

If no DFS# — Last 4 of SSN

Used only if no DFS# is available

EMT ID Number

If applicable

Medical Documentation Upload

🏥

Any Medical Documentation

Upload supporting medical documents (JPG, PNG, PDF) — Maximum file size: 516MB

🎓 Course Details

Section 3

Course Name *

Course Number *

Course Start Date *

Course Prerequisites

Do You Meet Course Prerequisites? *

✅ Yes

❌ No

📋

Course Prerequisites Documentation

Upload prerequisite certificates / documentation (JPG, PNG, PDF) — Maximum file size: 516MB

🚒 Emergency Services Affiliation

Section 4

Department Name *

Department Phone Number *

✅ Authorized Signature Block

Section 5

In-County or Out-of-County Department? *

🏛️ In-County
Monmouth County department

🌐 Out-of-County
Department outside Monmouth County

📍
Out-of-County Department Address

Department Name *

Address *

City *

State / Province *

Zip / Postal *

Department Certification Statement

⚠️
Certification Statement — Required

By checking the box below, the authorized department representative hereby certifies that:

The applicant is a member of the listed fire department.
The applicant has completed all prerequisites for the course requested as identified by the Monmouth County Fire Academy.
The applicant is covered by Worker's Compensation and Liability Insurance.

I understand that course space is limited and that student registration is based on a first come, first serve basis. If a class is canceled or filled and no additional students are allowed, then re-enrollment via a new form is required in the future.

I agree to the statement above and certify that all information provided is accurate.

Authorized Signature

Authorized Representative Name (Print) *

Title *

Authorized Signature (Type Full Legal Name)

Typing your name above constitutes an electronic signature of certification.

Signature Date *

If you are human, leave this field blank.

📚Departmental Course Request

For Fire Departments requesting a specific Fire Academy course be given to their members, either at the Fire Academy or at their location.

📚

Online Application

Departmental Course Request Form

Request a specific Fire Academy course for your department members — at the academy or your location

⏱️ ~8 min📧 → MCFMRegistration@MCFMNJ.org👥 15 student minimum

Open Form▼

📋 Information You'll Provide

Request info: activity date, department name, station #
Chief making request: name, contact number, email
Course details: course requested + location (academy or on-site)
Certificate mailing address
In-County or Out-of-County selection
Chief signature with required certification statement

Departmental course request form

Monmouth County Fire Academy

Departmental Course Request

Request a specific Fire Academy course for your department members

1027 Highway 33 East · Freehold, NJ 07728
📞 Office: 732-683-8857 · Fax: 732-683-8978
Submit completed forms to: MCFMRegistration@mcfmnj.org

📚

Form Purpose

This form is for use when a department / company is requesting a specific fire academy course be given to their members, either at the fire academy or at their location. Please see the academy website for costs to out-of-county departments.

📋 Request Information

Section 1

Activity Details

Date of Requested Activity *

Department / Company Name *

Station # *

Chief Making the Request

Chief Name *

Chief Contact # *

Chief Email Address *

🎓 Course / Activity Requested

Section 2

Course or Requested Activity *

Location of Course / Activity *

Where will the course be conducted — at the Fire Academy or at your department location?

Certificate Mailing

Address to Send Certificates *

✅ Department Authorized Signature Block

Section 3

In-County or Out-of-County Department? *

🏛️ Monmouth County
In-county department — left section only

🌐 Out-of-County
Must complete ALL information below

📍
Out-of-County Department Address

Out-of-County Department Address *

City *

Zip / Postal *

Certification Statement

⚠️
Required Certification — Read Carefully

I attest that:

All participants are covered by Worker's Compensation and Liability Insurance.
All participants of any live fire activity are Firefighter 1 certified.
All participants have met all other required prerequisites as identified in the Monmouth County Fire Academy training catalog for this requested class.

I understand that:

This is a request for a course only — budgetary and staffing constraints, as well as extreme weather, may preclude the course from being run.
Due to extensive costs and logistics, Firefighter 1 and 2, Fire Instructor 1 and 2, and Fire Officer 1 and 2 are only taught on-site at the Fire Academy unless other arrangements are made.
All Fire Academy classes require a minimum of 15 students, otherwise the class will be canceled.

I agree to the certification statement above and confirm all conditions are met.

Department / Company Chief Signature

Chief Name (Print) *

Chief Phone Number *

Date *

Department / Company Chief Signature (Type Full Legal Name)

Typing your name above constitutes an electronic signature of certification.

If you are human, leave this field blank.

🏛️Facility Use Request

For non-Fire Department agencies wishing to use the Monmouth County Fire Academy facility for classes, training events, or meetings. See the on-form fee schedule for Private and "For Profit" agencies.

🏛️

Online Application

Facility Use Request Form

Reserve classroom, auditorium, or cafeteria space for your event — includes live fee calculator

⏱️ ~6 min📧 → MCFMRegistration@MCFMNJ.org💰 Live fee calculator

Open Form▼

📋 Information You'll Provide

Event details: organization, event name, date(s), set-up to breakdown time
Primary contact: name, phone, email
Day-of-event contact: separate name & phone
Facility selection: Classroom / Auditorium / Cafeteria (live cost shown)
Attendee count and number of classrooms requested
AV needs: projector, WiFi, other equipment
Special accommodations or additional details

Facility use request form

Monmouth County Fire Academy

Request for Use of Facility

Reserve classroom, auditorium, or cafeteria space for your event

1027 Highway 33 East · Freehold, NJ 07728 · 📞 732-683-8857
Submit completed forms to: MCFMRegistration@mcfmnj.org

📋 Request Details

Section 1

Today's Date *

Organization & Event

Organization Making Request *

Name of Event *

Event Date(s) *

Single date or date range

Time — Set-up to Breakdown *

Include set-up and breakdown time

📞 Contact Information

Section 2

Primary Contact

Contact Person *

Contact Phone *

Contact Email Address *

Day-of-Event Contact

If different from primary contact above. This is the person we'll reach during the event itself.

Day-of-Event Contact Name *

Day-of-Event Phone *

🏛️ Facility Requested

Section 3

Select all that apply for your event:

📚

Classroom

$300/day (1) · $500/day (2+)

🎭

Auditorium

$500/day

🍽️

Cafeteria

+$200/day with Auditorium

Expected # of Attendees *

# of Classrooms Requested

Leave 0 if not requesting classrooms

💰

Estimated Daily Fee

For Private & "For Profit" Agencies — updates as you make selections

Select a facility above to see fee estimate

Total Per Day
$0

⚠️ Estimate only. Final pricing confirmed by the Fire Academy upon application review.

📋 Fee Schedule — Private & "For Profit" Agencies

1 Classroom: $300 per day
2 or More Classrooms: $500 per day
Auditorium: $500 per day
Auditorium + Cafeteria: $700 per day

💻 AV & Technology Needs

Section 4

Use of Projector / Computer / Screen Needed? *

✅ Yes

❌ No

WiFi Access for Students Requested? *

✅ Yes

❌ No

Any Other AV Requests

📝 Special Accommodations & Additional Details

Section 5

Special Accommodations Requested / Additional Details About Event

If you are human, leave this field blank.

🇺🇸FEMA Application

Download the FEMA application, complete it, and send it in. This form is provided as a downloadable PDF — fill it out manually and submit per the instructions on the application.

📄

FEMA Application Form

📥 Download

📧 All Form Submissions Go To

📋 Information You'll Provide

Advanced Class Registration

👤 Applicant Information

🆔 Credentials & Medical Documentation

🎓 Course Details

🚒 Emergency Services Affiliation

✅ Authorized Signature Block

📋 Information You'll Provide

Departmental Course Request

Form Purpose

📋 Request Information

🎓 Course / Activity Requested

✅ Department Authorized Signature Block

📋 Information You'll Provide

Request for Use of Facility

📋 Request Details

📞 Contact Information

🏛️ Facility Requested

📋 Fee Schedule — Private & "For Profit" Agencies

💻 AV & Technology Needs

📝 Special Accommodations & Additional Details

Location & Phone Numbers

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