1. Virginia Department of Fire Programs Training Course Request Form Tutorial

2. Training Course Request Form Guidelines for form completion Course request must be completed by Chief or Training Officer of the host jurisdiction Course request must be completed by Chief or Training Officer of the host jurisdiction Funded course requests must be completed a minimum of 60 day prior to start of course Funded course requests must be completed a minimum of 60 day prior to start of course Non-funded and Reimbursable course request forms must be completed a minimum of 30 days prior to start of course Non-funded and Reimbursable course request forms must be completed a minimum of 30 days prior to start of course

3. Components of the Course Request Form Area’s of interest to be completed by Host Authority Section “A” of the course request form must be completed prior to submittal Side two (2), Instructor(s) names and course topic information must be completed with purposed hours to be taught.

4. The form objectives Place a check in the appropriate box for; Funded Funded Non-funded Non-funded Reimbursable Reimbursable Begin form with identifying Host Agency Name

5. Body of the Course Request Form Identify County/City/Town Identify County/City/Town Class to be taught Class to be taught Location where training will be held Location where training will be held If you would like the course advertised on the VDFP Website If you would like the course advertised on the VDFP Website All Funded courses will be listed All Funded courses will be listed

6. Body of form continued Proposed start date Proposed start date Proposed end date Proposed end date Including testing if applicable Including testing if applicable Number of students expected Number of students expected 12 students minimum for Funded training 12 students minimum for Funded training Estimated hours for training expected. Estimated hours for training expected.

7. Host Authority Contact Information Name of Person initiating request Name of Person initiating request Street address Street address City/State/Zip Code City/State/Zip Code Daylight contact telephone number you can be reached Daylight contact telephone number you can be reached

8. Reverse side Instructor Information List of participating Instructor(s) that hold current Train-the-Trainer List of participating Instructor(s) that hold current Train-the-Trainer Number of hours Instructor(s) will be teaching Number of hours Instructor(s) will be teaching After action hours are to be completed at end of course After action hours are to be completed at end of course Any hours over minimum on funded courses must be pre-approved by VDFP Division Chief Any hours over minimum on funded courses must be pre-approved by VDFP Division Chief

9. Accompanying paperwork If course has multiple modules a copy of the schedule listing module names, dates, locations, and instructors must be submitted with course request form to enable Division Office staff to process request form Example of Firefighter I course syllabi

10. VDFP Division Office contact If additional information is needed to assist you with the completion of this form contact your VDFP Division Office by the contact information listed on the Website @ www.vafire.com www.vafire.com *** Please note – when requesting HTR courses, requests must be submitted by June 1, for the fall teaching semester and December 1, for the spring. All Funded requests must comply with current VDFP disbursement policies