Active Shooter and Medical Emergency Preparedness Training Course Registration

To register online for this class, please have a credit card, name of candidate(s), their home address and a copy of their FSD/EAPD COF. A copy of the COF is REQUIRED to be uploaded during this registration process. For candidates that do not currently hold a FSD or EAPD COF, a COF will not be required to be uploaded for registration.
Course Name*
Number of Registrants*
Total
$0.00

Candidate's Name*
As it currently appears on the Certificate of Fitness (COF). If no COF, list as you wish it to appear on your certificate.
Email*
Enter Email Confirm Email
Home / Cell Telephone*
Residential Address*
NOTE: For Active Shooter and Medical Emergency Preparedness Training Course ONLY the FDNY requires confirmation of an accurate “Residential Address” of each candidate as this will be the home address listed on the COF and used by the FDNY to mail the new COF. For candidates that do not hold a COF, Croker will use this address to mail the "Pass" letter upon successful completion of the course.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Certificate of Fitness *
FDNY REQUIREMENT: A copy of candidate's existing COF upon registration.
How many buildings is candidate FSD or EAP certified?*
Note: If candidate is certified in two (2) different locations, COF is required to be uploaded for both buildings (1 for each building).
- Candidate is NOT currently FSD or EAP certified
- 1 Building
- 2 Buildings
Building 1*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.
Building 2*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.

Second Candidate's Name*
As it currently appears on the Certificate of Fitness (COF). If no COF, list as you wish it to appear on your certificate.
Email*
Enter Email Confirm Email
Home / Cell Telephone*
Residential Address*
NOTE: For Active Shooter and Medical Emergency Preparedness Training Course ONLY the FDNY requires confirmation of an accurate “Residential Address” of each candidate as this will be the home address listed on the COF and used by the FDNY to mail the new COF. For candidates that do not hold a COF, Croker will use this address to mail the "Pass" letter upon successful completion of the course.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Certificate of Fitness *
FDNY REQUIREMENT: A copy of candidate's existing COF upon registration.
How many buildings is candidate FSD or EAP certified?*
Note: If candidate is certified in two (2) different locations, COF is required to be uploaded for both buildings (1 for each building).
- Candidate is NOT currently FSD or EAP certified
- 1 Building
- 2 Buildings
Building 1*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.
Building 2*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.

Third Candidate's Name*
As it currently appears on the Certificate of Fitness (COF). If no COF, list as you wish it to appear on your certificate.
Email*
Enter Email Confirm Email
Home / Cell Telephone*
Residential Address*
NOTE: For Active Shooter and Medical Emergency Preparedness Training Course ONLY the FDNY requires confirmation of an accurate “Residential Address” of each candidate as this will be the home address listed on the COF and used by the FDNY to mail the new COF. For candidates that do not hold a COF, Croker will use this address to mail the "Pass" letter upon successful completion of the course.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Certificate of Fitness *
FDNY REQUIREMENT: A copy of candidate's existing COF upon registration.
How many buildings is candidate FSD or EAP certified?*
Note: If candidate is certified in two (2) different locations, COF is required to be uploaded for both buildings (1 for each building).
- Candidate is NOT currently FSD or EAP certified
- 1 Building
- 2 Buildings
Building 1*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.
Building 2*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.

Fourth Candidate's Name*
As it currently appears on the Certificate of Fitness (COF). If no COF, list as you wish it to appear on your certificate.
Email*
Enter Email Confirm Email
Home / Cell Telephone*
Residential Address*
NOTE: For Active Shooter and Medical Emergency Preparedness Training Course ONLY the FDNY requires confirmation of an accurate “Residential Address” of each candidate as this will be the home address listed on the COF and used by the FDNY to mail the new COF. For candidates that do not hold a COF, Croker will use this address to mail the "Pass" letter upon successful completion of the course.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Certificate of Fitness *
FDNY REQUIREMENT: A copy of candidate's existing COF upon registration.
How many buildings is candidate FSD or EAP certified?*
Note: If candidate is certified in two (2) different locations, COF is required to be uploaded for both buildings (1 for each building).
- Candidate is NOT currently FSD or EAP certified
- 1 Building
- 2 Buildings
Building 1*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.
Building 2*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.

Fifth Candidate's Name*
As it currently appears on the Certificate of Fitness (COF). If no COF, list as you wish it to appear on your certificate.
Email*
Enter Email Confirm Email
Home / Cell Telephone*
Residential Address*
NOTE: For Active Shooter and Medical Emergency Preparedness Training Course ONLY the FDNY requires confirmation of an accurate “Residential Address” of each candidate as this will be the home address listed on the COF and used by the FDNY to mail the new COF. For candidates that do not hold a COF, Croker will use this address to mail the "Pass" letter upon successful completion of the course.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Certificate of Fitness *
FDNY REQUIREMENT: A copy of candidate's existing COF upon registration.
How many buildings is candidate FSD or EAP certified?*
Note: If candidate is certified in two (2) different locations, COF is required to be uploaded for both buildings (1 for each building).
- Candidate is NOT currently FSD or EAP certified
- 1 Building
- 2 Buildings
Building 1*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.
Building 2*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.

Sixth Candidate's Name*
As it currently appears on the Certificate of Fitness (COF). If no COF, list as you wish it to appear on your certificate.
Email*
Enter Email Confirm Email
Home / Cell Telephone*
Residential Address*
NOTE: For Active Shooter and Medical Emergency Preparedness Training Course ONLY the FDNY requires confirmation of an accurate “Residential Address” of each candidate as this will be the home address listed on the COF and used by the FDNY to mail the new COF. For candidates that do not hold a COF, Croker will use this address to mail the "Pass" letter upon successful completion of the course.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Certificate of Fitness *
FDNY REQUIREMENT: A copy of candidate's existing COF upon registration.
How many buildings is candidate FSD or EAP certified?*
Note: If candidate is certified in two (2) different locations, COF is required to be uploaded for both buildings (1 for each building).
- Candidate is NOT currently FSD or EAP certified
- 1 Building
- 2 Buildings
Building 1*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.
Building 2*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.

Seventh Candidate's Name*
As it currently appears on the Certificate of Fitness (COF). If no COF, list as you wish it to appear on your certificate.
Email*
Enter Email Confirm Email
Home / Cell Telephone*
Residential Address*
NOTE: For Active Shooter and Medical Emergency Preparedness Training Course ONLY the FDNY requires confirmation of an accurate “Residential Address” of each candidate as this will be the home address listed on the COF and used by the FDNY to mail the new COF. For candidates that do not hold a COF, Croker will use this address to mail the "Pass" letter upon successful completion of the course.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Certificate of Fitness *
FDNY REQUIREMENT: A copy of candidate's existing COF upon registration.
How many buildings is candidate FSD or EAP certified?*
Note: If candidate is certified in two (2) different locations, COF is required to be uploaded for both buildings (1 for each building).
- Candidate is NOT currently FSD or EAP certified
- 1 Building
- 2 Buildings
Building 1*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.
Building 2*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.

Eighth Candidate's Name*
As it currently appears on the Certificate of Fitness (COF). If no COF, list as you wish it to appear on your certificate.
Email*
Enter Email Confirm Email
Home / Cell Telephone*
Residential Address*
NOTE: For Active Shooter and Medical Emergency Preparedness Training Course ONLY the FDNY requires confirmation of an accurate “Residential Address” of each candidate as this will be the home address listed on the COF and used by the FDNY to mail the new COF. For candidates that do not hold a COF, Croker will use this address to mail the "Pass" letter upon successful completion of the course.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Certificate of Fitness *
FDNY REQUIREMENT: A copy of candidate's existing COF upon registration.
How many buildings is candidate FSD or EAP certified?*
Note: If candidate is certified in two (2) different locations, COF is required to be uploaded for both buildings (1 for each building).
- Candidate is NOT currently FSD or EAP certified
- 1 Building
- 2 Buildings
Building 1*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.
Building 2*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.

Ninth Candidate's Name*
As it currently appears on the Certificate of Fitness (COF). If no COF, list as you wish it to appear on your certificate.
Email*
Enter Email Confirm Email
Home / Cell Telephone*
Residential Address*
NOTE: For Active Shooter and Medical Emergency Preparedness Training Course ONLY the FDNY requires confirmation of an accurate “Residential Address” of each candidate as this will be the home address listed on the COF and used by the FDNY to mail the new COF. For candidates that do not hold a COF, Croker will use this address to mail the "Pass" letter upon successful completion of the course.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Certificate of Fitness *
FDNY REQUIREMENT: A copy of candidate's existing COF upon registration.
How many buildings is candidate FSD or EAP certified?*
Note: If candidate is certified in two (2) different locations, COF is required to be uploaded for both buildings (1 for each building).
- Candidate is NOT currently FSD or EAP certified
- 1 Building
- 2 Buildings
Building 1*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.
Building 2*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.

Tenth Candidate's Name*
As it currently appears on the Certificate of Fitness (COF). If no COF, list as you wish it to appear on your certificate.
Email*
Enter Email Confirm Email
Home / Cell Telephone*
Residential Address*
NOTE: For Active Shooter and Medical Emergency Preparedness Training Course ONLY the FDNY requires confirmation of an accurate “Residential Address” of each candidate as this will be the home address listed on the COF and used by the FDNY to mail the new COF. For candidates that do not hold a COF, Croker will use this address to mail the "Pass" letter upon successful completion of the course.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Certificate of Fitness *
FDNY REQUIREMENT: A copy of candidate's existing COF upon registration.
How many buildings is candidate FSD or EAP certified?*
Note: If candidate is certified in two (2) different locations, COF is required to be uploaded for both buildings (1 for each building).
- Candidate is NOT currently FSD or EAP certified
- 1 Building
- 2 Buildings
Building 1*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.
Building 2*
Note: If you hold a COF and do not upload, the FDNY will not process the new COF. Croker will be forwarding the required COF to the FDNY for processing. If the wrong COF is provided, the FDNY may issue an incorrect COF in return.
- If candidate is EAP certified, upload ONLY EAP (F-59) COF
- If candidate is NOT EAP certified, but is FSD certified, upload FSD (F-25 or F-58) COF
Drop files here or

Accepted file types: jpg, jpeg, png, pdf.

Company Name*
If not currently employed, fill in as "N/A"
Business Telephone
Fax Number
Comments

Total
$0.00
Credit Card*

American Express
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Credit Card Billing Address*
Street Address Address Line 2 City State ZIP Code
Name
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