BCNY and The FDNY Present the FDNY Youth EMS Academy Registration Form
New York City’s Fire Department will present on November 16th & 17th about the opportunity of joining the Youth EMS Academy. Youth EMS Academy prepares people between the ages of 17 and 28 for EMT classes through a stipened program
Participant's Name
*
First Name
Last Name
How do you indentify?
Please Select
Male/Masculine/Man
Female/Feminine/Woman
Gender Non-Conforming
Trans/Transgender
Gender Fluid
Other
Prefer not to answer
Participant's Email
*
example@example.com
Are you a BCNY member?
*
Please Select
Yes
No
Which Clubhouse
*
Please Select
Abbe
Gerry
Which location and date will you be attending?
*
Please Select
Gerry Clubhouse: November 16th at 4:30
Abbe Clubhouse: November 17th at 4:30
Submit Application
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