By Kyle Smith / December 16, 2024 Home > Kent County > Gaines Charter Township Fire Department Group Leader Enrollment Form Price: Free First Name:* First Name Required Last Name:* Last Name Required Email (for notifications and certificates):* Email (for notifications and certificates) is Required License Type (Select From Dropdown Menu):* License Type (Select From Dropdown Menu) is Required EMREMTEMT-1EMT-BEMT-DEMT-IntEMT-2EMT-CCEMT-PParamedicPCPACPAEMTCFROther State Issued (Select From Dropdown Menu):* State Issued (Select From Dropdown Menu) is Required AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingOther State EMS # (Required for CAPCE and State CE): State EMS # (Required for CAPCE and State CE) is not valid Date of expiration (Month day, year)(Required with State EMS #): Date of expiration (Month day, year)(Required with State EMS #) is not valid NREMT # (Leave blank if none. Required for CAPCE if State EMS # above is NOT provided.): NREMT # (Leave blank if none. Required for CAPCE if State EMS # above is NOT provided.) is not valid Date of NREMT Re-registration (Leave blank if none. Required with NREMT #): Date of NREMT Re-registration (Leave blank if none. Required with NREMT #) is not valid Your City of Residence:* Your City of Residence is Required State of Residence (Select From Dropdown Menu): State of Residence (Select From Dropdown Menu) is not valid AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginaWashingtonWest VirginiaWisconsinWyomingNone Zip Code:* Zip Code is Required Username:* Invalid Username Email:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match Password Strength Password must be "Medium" or stronger This site collects names, emails and other user information and never sells user information. By agreeing to this policy, you consent to the terms set forth in the Privacy Policy. If you are taking CAPCE accredited courses, you additionally understand that American CME will submit a record of your CAPCE course completions to the CAPCE AMS. You further understand that course completion records may be accessed by or shared with such regulators as state EMS offices, training officers, and NREMT on a password-protected need-to-know basis. In addition, you understand that you may review your record of CAPCE accredited course completions by contacting CAPCE. No val Please fix the errors above Login
