Government
Departments
Residents
Visit Nassau
Business & Investor Relation
e-Services
Nassau A-Z
Nassau County Fire Marshal
Crowd Manager Training Course: Register
First Name:
*
Last Name:
*
Address:
*
Apt/Suite:
City:
*
State:
*
Please select...
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Zip Code:
*
Email Address:
*
Phone
*
Height (inches):
*
Weight:
*
DOB:
*
Last 4 of SSN:
*
Do you hold valid drivers license?
*
Please select...
Yes
No
Licence State:
*
Please select...
Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Vermont
Washington
Wisconsin
West Virginia
Wyoming
License No.
*
Have you ever had any license denied, cancelled, revoked or suspended?
*
Please select...
Yes
No
If yes, explain:
*
Have you ever been convicted of a crime?
*
Please select...
Yes
No
If yes, explain:
*
Name of Employer:
*
Years Employed:
*
Employer Address:
*
Employer Phone:
*
Password:
*
Confirm Password:
*
I am familiar with all of the ordinances, laws and regulations pertaining to the certificate of fitness for which I am applying. Any false statement(s) made herein are punishable as a Class A misdemeanor pursuant to Section 210.45 of the Penal Law.
*
Register
Already have an account?
Log in here.