Chief or Training Officer:

In this packet you will find eight (8) forms. The first four (4) forms need to be completed and returned to NIPSTA. The last four (4) forms contain information for you and your candidate.

1. Fire Department Attestation Form 2. Participant Acknowledgment and Release Of Claims Form 3. Candidate information Form 4. Emergency Information Form 5. OSFM Roster Notice 6. Candidate Equipment and Apparel Checklist 7. Required Textbook Notice 8. Physical Fitness Preparation and Expectation

All departments must complete the first four (4) forms and return them to NIPSTA no later than one (1) week prior to the start of the program. These forms should be submitted to District Chief and Program Coordinator Orlando Diaz at [email protected].

Please be advised that we maintain an “open campus” philosophy, which means that you and any member of your staff are invited to visit our training grounds at any time to see our operations first-hand. You will also receive weekly progress reports designed to help you track the progress of your personnel, and monitor day-to-day activities. Additionally, you be invited to a Chiefs Luncheon with your Candidate, which will be scheduled mid-way through the nine-week academy program.

We thank you for the opportunity and privilege to train your personnel. Please do not hesitate to contact us if you have any questions, or need more information.

Sincerely,

Ken Koerber Fire & Technical Rescue Program Director Northeastern Illinois Public Safety Training Academy Cell: 847-567-6976 Email: [email protected]

NIPSTA FIRE ACADEMY 2300 Patriot Boulevard Glenview Illinois ★ Phone: (847) 998-8090 ★ Fax: (847) 998-8091

Fire Department Attestation Form

Candidate Name:

Candidates Fire Department:

Fire Academy Session Dates:

The undersigned individual attests that the above named participant is enrolled in the NIPSTA Fire Academy on the dates listed above, and:

. Is an employee of the fire department named above and is authorized to participate in the NIPSTA Fire Academy

. Have received medical clearance form a supervising physician to participate in the NIPSTA Fire Academy and engage in the related physical training including use of a self-contained breathing apparatus (SCBA).

. Has completed an SCBA fit test within the past 12 months and satisfied the fit test requirements.

. Has been issued NFPA 1852 compliant SCBA equipment that is in good working order, free of defects, has been certified by the employer as serviceable for training, and has met all current hydrostatic, flow testing, and visual inspection requirements as identified by the department and manufacture.

. Has received training in the proper use, cleaning and maintenance of SCBA, pursuant to the manufacturer

. Has been issued NFPA 1851 compliant protective clothing that is not more than 10 years old and is in good condition, free of defects and is suitable for use in the NIPSTA Fire Academy.

Furthermore, the undersigned individual confirms that sufficient records of evidence exist to confirm all of the statements above and are available to NIPSTA upon request.

Fire Chief Name (print): Department:

Fire Chief Signature: Date:

NIPSTA FIRE ACADEMY 2300 Patriot Boulevard Glenview Illinois ★ Phone: (847) 998-8090 ★ Fax: (847) 998-8091

Candidate Participant Acknowledgment of Conditions and Release of Claims

The Northeastern Illinois Public Safety Training Academy (NIPSTA) conducts its training programs in a safe and responsible manner. However, it is not possible to eliminate all potential hazards to participant safety. Before any individual participates in a NIPSTA training program involving live fire instruction, he/she should be familiar with the physical stress and hazards involved.

NIPSTA participants are required to read the following explanations of the physical and mental effects of this training. Thereafter, signatures on this form are required as Acknowledgement of Conditions and Release of Claims. Participants who cannot comply with these requirements will not be allowed to participate in any training that involves physical exertion or the use of personal protective equipment. However, these individuals may participate in lecture activities and observe live fire training exercises from a safe distance. This is necessary to provide for the personal well-being and safety of all participants.

The undersigned individuals acknowledge:

1. Firefighter training is a physically and mentally stressful activity that involves: physical exertion; exposure to toxic atmospheres, high temperatures and humidity levels; working at heights and in confined spaces; elevated body temperatures; increased pulse rates, respiration and blood pressures; and reactions to emergency situations. 2. Participants who are pregnant or have heart disease, lung disease, hypertension or other medical or mental conditions that may affect their health and safety under live fire conditions are required to consult with a physician before participating in any live fire training activity at NIPSTA. Evidence of the ability to meet the Illinois Department of Labor Respirator Wearers physical evaluation may be required. 3. Participants must utilize protective clothing and self-contained breathing apparatus that satisfy NFPA standards. 4. Participants with facial hair, jewelry or any other impediment to the proper seal of the face- piece on self-contained breathing apparatus will not be allowed to participate in training evolutions where the atmosphere is toxic or may become so. 5. Participant use of alcohol or any other drug that affects mental or physical reactions immediately preceding or during training is prohibited. 6. NIPSTA may use the image or likeness of any participant, as contained in a photograph or digital format, in advertising, promotional or instructional materials without compensation. 7. Participants agree that the work to be performed under this Agreement will be performed entirely at their own risk. Furthermore, participants agree to indemnify and hold harmless NIPSTA and its members, including the Village of Glenview, for any and all injury, liability or loss arising in any way out of the performance of this Agreement.

Candidate Signature: Print Candidate Name:

Fire Chief Signature: Print Fire Chief Name:

NIPSTA FIRE ACADEMY 2300 Patriot Boulevard Glenview Illinois ★ Phone: (847) 998-8090 ★ Fax: (847) 998-8091

Candidate Information Form

Date this form was CANDIDATE INFORMATION completed Candidate Name Drivers License # State Birth Date:

Social Security # (Last 4 Digits Only) XXX-XX- Cell Phone Number ( ) - Email Address HOME ADDRESS (Do not list a P.O. Box) Address Apartment/Unit # City State Zip Home Phone Number ( ) - DEPARTMENT INFORMATION Department Name Department Address City State Zip Department Phone Department Fax FDID# Department Chief Department Chief’s Email OSFM CERTIFICATIONS (Circle all that apply) BASIC FF FIREFIGHTER II ADVANCED HAZMAT OPS TRA

OTHER OSFM CERTIFICATIONS

CPAT CARD (Circle one) YES NO

CURRENT STATUS (Circle one) PAID PT POC VOL What date did you start in the Fire service? ______/______/______

EMT-B? _____ EMT-P?_____

COLLEGE GRADUATE: YES___ NO___ TYPE OF DEGREE______

MEMBER OF MILITARY: YES___ NO___ ACTIVE___RESERVE___

NIPSTA FIRE ACADEMY 2300 Patriot Boulevard Glenview Illinois ★ Phone: (847) 998-8090 ★ Fax: (847) 998-8091

Emergency Information Form

The information provided will be used only in the event you are seriously injured or become ill while attending the NIPSTA Fire Academy. Please take the time to fill the form out accurately, and legibly, as this information may benefit you, your department, or your family in the event of an emergency.

EMERGENCY CONTACT INFORMATION Name Cell Phone Work Phone Home Phone Relationship Special circumstances

Any health conditions that bad news may affect? Yes No Not that I know of If yes, what is the general condition?

Is there a need for an interpreter? If yes, what language?

HOME CONTACT INFORMATION Home address City, State, Zip Code Home phone number Pager/Cell Phone Number WORK CONTACT INFORMATION Name of Employer Work address

City, State, Zip Code Work phone number

NIPSTA FIRE ACADEMY 2300 Patriot Boulevard Glenview Illinois ★ Phone: (847) 998-8090 ★ Fax: (847) 998-8091

Office of State Fire Marshal Roster Notice

Training Officer,

In order for NIPSTA to guarantee your candidate will be scheduled for the OSFM Basic Firefighter, TRA, and Haz-mat Operations exams you must add your candidate to your OSFM department roster no later than Week 1 of the Fire Academy.

Directions for adding your candidate to your department’s OSFM roster:

1. Log on to the OSFM website at: www.sfm.illinois.og

2. Select “Fire Service”

3. Select “Fire Equipment Exchange”

4. Select “PSE Web Update System”

5. Enter your departments email address and password to access your department information page, then “log in”

6. Select “Roster”, and add your new employee’s information

If you have questions regarding the OSFM roster, please contact the OSFM Division of Personnel Standards and Education. Contact information is on the website.

After adding your candidate to the OSFM roster, NIPSTA will register your candidate for the OSFM Basic Firefighter, TRA, and Haz-mat Operations exams. Your candidate will receive information on exam dates after the start of the program.

Thank you,

NIPSTA Fire Academy

NIPSTA FIRE ACADEMY 2300 Patriot Boulevard Glenview Illinois ★ Phone: (847) 998-8090 ★ Fax: (847) 998-8091

Candidate Equipment and Apparel Checklist

Each participant will be required to provide the following items on Day 1:

MINIMUM EQUIPMENT:

q NFPA 1851 Compliant Turnout ensemble (less than 10 years old). Ensemble includes coat, pants, hood, boots, firefighting gloves (2), and firefighting helmet with chinstrap, ear flaps, and eye protection q SCBA harness and fit tested face piece q SCBA air cylinders (2), with current hydrostatic test dates q Spare batteries for heads-up displays and PASS alarms q Flashlights (1) Charged q Work gloves or extrication gloves (2) q Work safety glasses (2) q 25’ section of 1” webbing q Carabiner locking or non-locking (min 22.2 kN rating) q Heavy-duty wire cutting tool (must be able to fit in bunker gear pocket) q Folding pocket spanner wrench q Fire Fighter Decontamination wipes. Enough for 8 live fire sessions.

MINIMUM APPAREL:

q Department uniform shirt and pants (Class B) q Department tee-shirts (3). Department job-shirt or sweatshirt (1) q Black work shoes or boots (polished) q Belt (Black) q Pairs of black socks (2) / Personal towels (2) q Physical fitness training (PT) clothing: department issue or navy blue - Athletic shorts, shirts, and underwear - Running shoes and athletic socks

CLASSROOM and MISC. SUPPLIES

q Pens (2) / Pencils (2) q Notebook paper, note-pad, etc q Duffel bag for PT gear

NIPSTA FIRE ACADEMY 2300 Patriot Boulevard Glenview Illinois ★ Phone: (847) 998-8090 ★ Fax: (847) 998-8091

Textbook Requirements

Training Officer,

Beginning in 2018, NIPSTA students will be required to purchase textbook(s) prior to the beginning of each course.

This change is a result of a partnership between NIPSTA and Jones & Bartlett Learning designed to enhance the student learning experience, providing multiple tools, and ultimately improve academic standards. Benefits to the student include:

• Multiple interactive on-line learning resources. • Access to interactive and collaborative learning features on computers, tablets and mobile devices. • Additional learning resources such as videos, animations and related documents to help reinforce key concepts. • Preparatory and educational tools designed to improve test taking success. • Personalized user support and training.

By allowing students to purchase their own textbooks, each student will receive an “Advantage Access code” which will allow students to take advantage of Jones & Bartlett’s new eBook, study center, course assessment, and analytic features.

The required textbook(s) for Basic Operations Firefighter are as follows:

Fundamentals of Fire Fighter Skills and Hazardous Materials Response, Jones & Bartlett Learning, 4th Edition

ISBN: 9781284151336

This new combined textbook includes all the resources needed to challenge the Illinois OSFM Basic Operations Firefighter and Hazardous Materials Operations exam. NIPSTA students will receive 25% discount on this textbook. A shopping cart link is provided on your invoice, and again here. http://www.jblearning.com/cart/Default.aspx?bc=15133-6&ref=psg&coupon=NIPSTA25

The NIPSTA Fire Academy remains committed to improving academic standards, and improving student success. If you have questions or concerns about textbooks, please feel free to contact me at [email protected]

Thank you,

Ken Koerber

Ken Koerber, Fire & Technical Rescue Program Director

NIPSTA FIRE ACADEMY 2300 Patriot Boulevard Glenview Illinois ★ Phone: (847) 998-8090 ★ Fax: (847) 998-8091

Physical Fitness Program: Preparation & Expectations

The NIPSTA Fire Academy promotes an active physical fitness and conditioning program with the goal of establishing a life-long commitment to a healthy fire service career. In an effort to prepare Fire Academy Candidates for a successful start to the program, the following information provides an overview along with essential information for physical preparation.

Daily Schedule Each morning, Fire Academy Candidates perform forty (40) to sixty (60) minutes of physical fitness (except for days involving live burns). The goal of this daily program is to stress the body above and beyond routine academy training and evolutions. All workouts are guided by certified trainers and consist of a variety of exercises, including:

§ Cardiovascular Exercise Training § Weight Training § Bodyweight Strength Training § Plyometric Training § Callisthenic Training § Flexibility and Stretching

Pre-Academy Preparation A successful start to the Fire Academy physical fitness program is highly contingent upon personal preparation. Candidates should prepare by engaging in training involving each of the modalities listed above for at least three (3) to five (5) weeks before the first day. While the following is not a list of minimum requirements, the ability to perform the following skills may assist the Candidate in a successful transition to the Academy: § Running three (3) to five (5) miles/week § Thirty (30) body weight squats § Ten (10) pull-ups (without assistance) § Forty (40) crunches § Twenty (20) push-ups § Fifty (50) jumping jacks

Hydration and Electrolyte Replacement Daily hydration and adequate water intake are critical to a healthy fitness regimen. Candidates lacking proper hydration run the risk of losing consciousness during exercise along with a wide variety of other health issues. Attending to hydration and the replacement of electrolytes will promote superior daily function during all physical activities. The following is a list of recommendations for all Candidates:

§ During periods of strenuous activity, drink one (1) to two (2) liters of water per hour § The average adult should drink approximately two and one-half (2 ½) liters of water per day § Be aware that thirst is a late sign of dehydration § Electrolytes are lost through sweat and must be replaced for optimal physical functioning § The use of stimulants (e.g. coffee, nicotine, soda, energy drinks) causes dehydration and should be reduced or eliminated

§ Water is recommended for activities lasting less than forty (40) minutes § A combination of water and electrolyte replacements is recommended for activities lasting longer than forty (40) minutes Nutrition Proper nutrition is critical for the body to function. The following guidelines may increase performance and prepare the candidate for the increased physical and mental demands of firefighting:

§ Decrease or eliminate processed foods § Prioritize fruits, vegetables, nuts and other nutrient dense foods § Balance each meal with proper portions of protein, fats and carbohydrates § Control food portions and do not overeat; Excess calories of any kind contribute to weight gain Existing Injuries & Physical Limitations Beginning the NIPSTA Fire Academy with existing or past injuries does not necessarily preclude the Candidate from participating in full physical activity. Each individual should be aware of their own physical limitations. It is important that Candidates do not aggravate past injuries or overwork their bodies in preparation for the Academy; doing so will only leave them in a diminished state as the program begins. Candidates should not hesitate to inform instructors about any limitations, injuries or other conditions so that instructors may adapt workouts to ensure a safe environment. Rest and rehabilitation are critical for peak physical performance. The following suggestions may help to minimize injuries during the Academy: § Allow the body to rest when needed § Place an emphasis on both exercising the core of the body and performing proper lifting techniques § Perform both static and dynamic stretching for a minimum of ten (10) to twenty (20) minutes per day § Wear proper footwear for running and exercise; Consider professional fitting at a specialty shoe store Preparing for the First Day of the NIPSTA Fire Academy § Expect long periods of standing at attention § Expect many rounds of static exercises (e.g. planks, arm raises) § Consider the weather as a potential stress factor § At least two (2) days before arriving on campus: o Get plenty of rest; no heavy exercise or intense physical work o Perform both dynamic and static stretching, including an emphasis on range of motion o Initiate proper hydration strategies o Eat healthy foods in proper quantities o Mentally prepare yourself for a successful but challenging personal experience § On the first day of the Academy: o Wake up early and ensure a proper breakfast o Limit stimulants such as coffee and energy drinks o Prepare for poor weather conditions o Drink plenty of water o Re-check your required equipment to ensure it is accounted for, organized and ready