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Course Coordination Plan

Course: Shaping the Future (F0602)
Dates: 7/26/2016 - 7/27/2016

Classroom site

Name of building Timber Mesa Fire and Medical
Address 1 2922 W. White Mountain Blvd
Address 2
City Lakeside
State Arizona
ZIP code 85929-6152
Emergency phone 928-205-9892
This classroom site has PowerPoint Yes

State/regional contact

Name Jeff Johnston
Job title Certification Coordinator
Organization AZCFSE
Work phone 623-333-6502
Mobile phone
Fax 623-333-0600
Email jeff.johnston@azcfse.org

Alternate state/regional contact

Name
Job title
Organization
Work phone
Mobile phone
Fax
Email

Local contact

Name Richard Wallace
Job title Assistant Chief
Organization Pinetop Fire Department
Work phone 928-367-2199
Mobile phone
Fax 928-367-2220
Email rwallace@pinetopfire.com

Sponsoring host

Name of organization Timber Mesa Fire & Medical
Type of event (e.g. fire school) NFA Class
Remarks

Instructor lodging

Name of hotel/motel
Address 1
Address 2
City
State
ZIP code
Rate per night
Credit card confirmation required No
Nearest commercial airport Phoenix/Sky Harbor

Off-campus shipping information

Recipient name Richard Wallace
Job title Assistant Chief
Organization Pinetop Fire Department
Address 1 1845 S Pine Lake Rd
Address 2
City Pinetop
State Arizona
ZIP code 85935-8064
Phone 928-205-9892
Email rwallace@pinetopfire.com