Registration: Maryland Fire & Rescue Institute

If you have already registered for access to our online scheduling system and you have already received your welcome email message with your temporary password, please sign in using that password. 

If you have not completed this form, thank you for taking a moment to complete and submit the following details.

Thank you for your patience, it might take a few hours or days until your registration has been processed.


* required field
APPLICANT INFORMATION
 

ADDITIONAL INFORMATION
* ACLS Instructor
 Yes  No
ACLS Instructor Certification Expiration Date
AHA Instructor #
NAEMT #
* AMLS Instructor
 Yes  No
AMLS Instructor Certification Expiration Date
* PHTLS Instructor
 Yes  No
PHTLS Instructor Expiration Date
305
 Yes  No
TCCC Instructor
 Yes  No
TCCC Instructor Expiration
TECC Instructor
 Yes  No
TECC Instructor Expiration
* GEMS Instructor
 Yes  No
GEMS Instructor Certification Expiration Date
* EPC Instructor
 Yes  No
EPC Instructor Expiration Date
MICRB Certification
 Yes  No
MICRB Expiration Date
BLS Certification Expiration Date
NRP #
MIEMSS #
Advanced GEMS Instructor
 Yes  No
Advanced GEMS Instructor Expiration
All Hazards Instructor
 Yes  No
All hazards instructor expiration

Emergency Contact Information
Emergency Contact Name
Emergency Phone Number
Emergency Contact Notes



We appreciate your time and interest


 
 
College Park, Maryland 20742
(301) 226-9913
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