Entrance PAT Application

Our Mission


To Educate...Facilitate...Motivate


and prepare our students to proudly serve the community and continuously uphold our


"Commitment to Excellence"

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Description


PLEASE READ THIS CAREFULLY


You are completing the online application for the Coral Springs Regional Institute of Public Safety's Entrance PAT.

When you proceed to the PAT selection screen (screen 2), please look carefully. There may be Entrance PAT's and Practice PAT's listed. Be sure you select the correct PAT.

If you are a returning student, you will enter your email and name and the system will send you an email link to confirm your identity. Please go to your email and click on the provided personal link (do NOT share this link). This link will return you back to the application and will auto-populate any relevant fields from your student record. If you do not follow these instructions and complete a new application, you will create a duplicate student record and that may delay the processing of your application.

This application is 3 pages and the student is required to complete all three.
Page 1: PAT Application (this page).
Page 2: Select the PAT date.
Page 3: Application payment.

All students are required to complete this application along with paying the non-refundable PAT tuition.

You will be asked to upload several multipage documents. Partial uploads will be considered incomplete and the application will not be approved.

Please be advised that you are entering into a binding contract with the Coral Springs Regional Institute of Public Safety.

Applications will not be reviewed without a paid tuition. If the tuition is not paid, your application will be set to incomplete and you will risk the class being sold out.

The email you identify in this application will be used as the primary means of communication, including informing you of your application status. Check your email regularly!

All applications are pending until they have been reviewed for accuracy and the student is notified of acceptance. This will take approximately 1 business day.




IMPORTANT!

Registering and successfully completing the Entrance PAT does NOT guarantee you a spot in the Firefighter I & II program.

Each term has an Entrance PAT as outlined on the Academic Calendar. You MUST complete the Entrance PAT for that term/class.

Thank you for choosing the Coral Springs Regional Institute of Public Safety as your educational provider.


Student Information


If you are a returning student, please enter the primary email you have on record. A different email will cause a duplicate record to be created and may delay your application in being processed.

You will need to create an FCDICE account and receive an FCDICE number if you do not already have one. Please Click here for instructions on how to obtain an FCDICE number.

Emergency Contact Information


In the event of an emergency, who should we notify?

Basic Requirements


All medicals must be current and valid on the first day of your intended fire class. Medicals are only good for 6 months.

Must be signed and box 1 or box 2 signed also

Must be signed

Release and Waiver


FOR CORAL SPRINGS REGIONAL INSTITUTE OF PUBLIC SAFETY TRAINING, TESTING, AND/OR EDUCATION


In consideration for my acceptance to a training, testing, and/or educational program at the City of Coral Springs, I agree to sign this Release and Waiver. Accordingly, I agree to unconditionally release, waive, and discharge the City of Coral Springs, its Commission members, employees, agents, and servants, all hereafter referred to as “releases,” from all claims and causes of action, that I, my personal representatives, assigns, heirs, and next of kin, may have for any loss, damage, or injury to person or property, whether caused by the negligence, or otherwise of the releases in connection with my participation in any training, testing, and/or educational program at the City of Coral Springs. In addition, I agree to indemnify completely, the releases against all claims, demands, made by or on behalf of me in relation to my participation in any training, testing, and/or educational program and all causes of actions arising out of my own actions or involvement with the City of Coral Springs.

The physical requirements for the training, testing, and/or education program that I want to participate in have been explained to me and I certify and warrant that I am in good health and physical condition and able to participate in all activities that may be required. I also understand that I may come into contact with hazards, including but not limited to, blood borne pathogens, fire, and hazardous chemicals that may cause great bodily injury or death. I fully realize and appreciate the foregoing risks and freely and voluntarily accept those risks. Additionally, I agree to adhere to the applicable rules and regulations of the City of Coral Springs.

In addition, I authorize the City of Coral Springs or its agent to conduct a required criminal background check. I understand and authorize the City of Coral Springs to disclose this information to any and all clinical sites I may be involved with during my education at the City of Coral Springs. I understand and agree that I may be denied entry into the program, or removed from the program, due to an unacceptable criminal background, as determined by the City of Coral Springs, in their sole discretion.

I HAVE CAREFULLY READ THE FOREGOING RELEASE AND WAIVER AND KNOW THE CONTENTS THEREOF AND HAVE SIGNED THIS RELEASE AND WAIVER AS MY OWN FREE ACT.

I expressly agree that this Release and Waiver is intended to be as broad and as inclusive as permitted by the laws of the State of Florida, and that if any portion thereof is held invalid, it is agreed that the balance shall notwithstanding, continue in full force and effect.


Thank You


Thank you for completing your online application for the PAT.

You will move to the class selection and then application payment screen. Your non-refundable application fee is required to process your application. As a reminder, your application will not be reviewed and you will risk the class selling out if you do not make payment right away.



YOU HAVE NOW COMPLETED PAGE 1 OF 3. SELECT SUBMIT APPLICATION TO AUTOMATICALLY PROCEED TO PAGE 2 TO SELECT THE PAT DATE.

4180 NW 120th Avenue ♦ Coral Springs, Florida 33065