ENMU-Ruidoso First Responder Programs Interest Form
Please complete your information. ENMU-Ruidoso advisors will be able to assist you with additional information and application process.

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com

Select the program(s) that interest you!
Wildland Fire Science Certificate of Completion(20-23 hrs)
Wildland Fire Science Associate of Applied Science (61-65 hrs)
Structural Fire Science Certificate of Completion (39 hrs)
Structural Fire Science Associate of Applied Science (61-65 hrs)
Emergency Medical Service Certificate of Occupational Training (9-15 hrs)
Emergency Medical Services Associate of Applied Science (61-66 hrs)
When is the best time for you to start your program?
Summer / Fall 2018
Spring / Summer 2019
Fall 2019
2020 or after
Other  
I am currently attending a:
2-Yr College
4-Yr College
Academy
Other  
Institution/Location
 

50 characters left.