Tell us about you and your fire department

NFPA is hosting a fire and life safety symposium on May 12 & 13, 2017 in the Boston area to bring together representatives from rural fire departments across North America. The purpose is to assess fire and life safety education needs, gain a clear picture of fire department challenges related to prevention, and receive input about how we can better serve rural and volunteer fire departments in their public education, prevention, and Community Risk Reduction efforts. Your input on this survey will help us invite the right mix of rural firefighters. For more information about the symposium, go to www.nfpa.org/rural or reach out to Karen Berard-Reed at kbreed@nfpa.org.

* 1. What is your name?

* 2. What is your email address?

* 3. What is your fire department rank?

* 4. Provide the following information about your fire department:

* 5. Which best describes your fire department?

* 6. How many people live in the service area of your fire department?

* 7. How many square miles does your fire department service area cover?

* 8. Which of the following activities do you fulfill in your fire department role?  (Check all that apply)

* 9. Think about your department's interest and activity around fire safety education in the community. Select the statement that best describes your fire department.

* 10. What challenges face your department that make it difficult to protect people from fire?

* 11. Up to 60 rural fire department members will be selected to attend the symposium on May 12 and 13. NFPA will cover travel expenses for each participant. If you are selected to attend the symposium, can you:

  Definitely No Maybe
Travel to Boston on May 11?
Attend the symposium for a full day on May 12 and a half day on May 13? 
Provide a letter of support from the Chief of your fire department?

* 12. If you are selected to attend the symposium, you will be notified by March 20, 2017. Please provide the following contact information so we can reach you:

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