FCTC Online

Name

First name:*

Middle Name:

Last name:*

Maiden Name:

Email & Password

Email address:*

Password:*

Password (again):*

Address

Address 1:*

Address 2:

City:*

State:*

Zip:*

Phone Number:* (10-digit US numbers only, do not include dashes or country code):

Date of Birth:*

Drivers License Number:*

Drivers license state:*

Last 4 of Social Security Number:*

Gender & Ethnicity

FCTC requests the following information to comply with federal equal opportunity requirements. Information is kept confidential and is used for statistical purposes only. This information is voluntary. Applicants are not required to fill this out and can select "Decline to state".

Gender:*

Ethnicity:*

Questions

Currently or Previously in US Military:*

US Citizen:*

* Required Fields

Captcha:

I confirm that all information provided in My Profile and My Firefighter Qualifications, including any uploaded documents, is true and correct.

I authorize Cal-JAC and FCTC to provide any and all information from my FCTC profile to any potential hiring agency.

I agree to receive informational and/or promotional messages regarding my account and announcements via autodialer, and this agreement is not a condition of any purchase. I also agree to the Terms of Service and Privacy Policy. Max 5 msgs/Month. Msg & Data rates may apply. Reply STOP to end or HELP for help

After signing up, you'll receive an email with a link you need to click, in order to activate your account.

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