SOUTHWEST FIRE USE TRAINING ACADEMY
PROJECT REQUEST FORM

 

Project Name:

Agency/Location:

 

Project Complexity:

Project Size:

Fuel Types:

 

Project Description / Objectives:

 

 

Project Phase:

Planning (proposed dates) _______________________

Preparation (proposed dates) _____________________

Implementation (proposed dates) __________________

Number of personnel requested:

Will you take individual trainees? (without a module):

Training opportunities available: 

______ Burn Boss                                                           _______  Task Force Leader
______ Firing Boss                                                         _______   Strike Team Leader
______ Fire Effects Monitor (FEMO)                          _______   Engine Boss

                                                                                            _______   Others _____________________________

Are lodging facilities (barracks) available?

 

Project Fire Manager:

Primary and alternate contact names / numbers:

 

 

 

 

 

E-mail completed form to Travis Dotson at: tdotson@fs.fed.us or fax to: (505)842-3130.

 

If you have any questions, call Travis Dotson at (505) 842-3455 office or (505) 228-8298 cell.