User Profile

You may edit your profile at any time.  * indicates required fields.
  • You must complete the form below in order to login and register for courses.
  • Passwords must be at least 6 characters long.
  • An * indicates required fields.
Username: *
Email: *
Password: *
Confirm Password: *
Please input your name exactly as you would like it to appear on any certificates earned.
First Name: *
Middle Initial:  
Last Name: *
Fema ID:  
Job Title:  
Employer / Agency:  
Work address:  
Work address 2:  
City: *
State: *
Zip Code: *
Work Phone: *
Government Level: *
Student Discipline: *
U.S. Citizen: * Yes, I am a U.S. Citizen.  
Country: * If not a US citizen please select your country of origin:

Confidentiality of Information

Your responses and all personal information will remain confidential. Any reporting of data will be done anonymously in an aggregated fashion, without names or identifiers.

Public Reporting Burden

Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it dislays a currently valid OMB control number. Forms are created and instructions are provided so that they are accurate and can be easily understood while imposing the least possible burden on you to provide the requested information. The estimated average time to complete and file this application is 15 minutes per form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this burden to Information Collections Management, DHS/FEMA, 500 C Street SW, Washington DC 20472.

OMB Control Number: 1660-NEW

Privacy Act Statement

This information is provided pursuant to Public Law 93‐579 (Privacy Act of 1974), Title 5 United States Code (U.S.C.) Section 552a, for individuals applying for admission to FEMA training . AUTHORITY: Federal Fire Prevention and Control Act of 1974, as amended, Title 15 U.S.C., Sections 2201 et. seq.; Robert T. Stafford Disaster Relief and Emergency AssistanceAct, as amended, Title 42 U.S.C., Sections 5121 et. seq.; Title 44 U.S.C., Section 3101; ExecutiveOrders 12127, 12148, and 9397; Title VI of the Civil Rights Act of 1964; and Section 504 of the Rehabilitation Act of 1973; Sections 403 and 430 of theHomeland Security Act of 2002. Public Law 107‐296. 116 Stat. 2135 (codified at 6 U.S.C. §§ 203 and 238); Section 611 of the Post‐ Katrina Emergency Management ReformAct (PKEMRA) of 2006. Public Law 109‐295. 120 Stat. 1355; Section 1204 (c) of the ImplementingRecommendations of the 9/11 Commission Act of 2007. Public Law 110‐53, 121 Stat. 266 (codified at 6 U.S.C. §1102). Public Law 111‐83; U.S. Department of Homeland Security Management Directive 0450.1. PURPOSE: To determine eligibility for participation in FEMA training. Ancestral heritage is used for statistical purposes only. USES: FEMA may release information to: FEMA training agency staff and partners to analyze application and enrollment patterns; a physician providing medical assistance to students during training; Board of Visitors members to evaluate programmatic statistics; State, local , tribal agencies to provide FEMA training statistics; Members of Congress; and FEMA training programcontractors. EFFECTS OF NONDISCLOSURE: Though voluntary, failure to provide personal information on this formmay delay application processing and course completion certification.