Western Piedmont Community College
Western Piedmont Community College

Burke County Fire College Registration Form

2025 Burke County Fire College Registration Form

The following information is mandatory for all students. If this information is not provided, the student cannot be registered for requested classes.

Name(Required)
Address(Required)
Employment Status:(Required)
Highest level of education that you have completed(Required)
Please Select One

Course Selection

Please list your 1st, 2nd, & 3rd choice of classes. Please note that we will make all attempts to register you for the selected class choices: however; if the class/es are full or cancelled, we will automatically register you for the next listed choice and notify you of the change.
Please select from the Drop Down
Please select from the Drop Down
Please select from the Drop Down
PUBLIC SAFETY AND TRAINING PROGRAMS(Required)
WPCC and/or the North Carolina Community College System Compliance Office reserves the right to ask for verification of fee exemption eligibility from the student and/or agency. If the information within this area is excluded, or not fully completed, the fee waiver will not be given and the cost of the class will be the responsibility of the student. If not paid, further registrations will be restricted until balance Is paid in full.
Please Select One(Required)
Please do not list abbreviate job titles. Examples To List: Firefighter, Police Officer, Paramedic
With my signature, I certify that the information provided on this registration form is true and accurate. The college has my permission to release pertinent information on this form to appropriate College staff and, in the event of an emergency or illness, I give permission for them to call a local physician or emergency services. Please be advised that WPCC cannot register you for any class if you have an outstanding debt with the College. If this class is for certification, by affixing my signature above, I grant permission to release the appropriate course information to the certifying agency.
Information in the space below is for record keeping purposes only and will not be used in a discriminatory manner. However, this information is required for federal reports, state reports and OSFM certifications. After registration is completed, this information will be destroyed.
Gender(Required)
Information in the space below is for record keeping purposes only and will not be used in a discriminatory manner. However, this information is required for federal reports, state reports and OSFM certifications. After registration is completed, this information will be destroyed.
Ethnic Origin: (Check One)(Required)
Information in the space below is for record keeping purposes only and will not be used in a discriminatory manner. However, this information is required for federal reports, state reports and OSFM certifications. After registration is completed, this information will be destroyed.
Race: (Choose One)(Required)
Information in the space below is for record keeping purposes only and will not be used in a discriminatory manner. However, this information is required for federal reports, state reports and OSFM certifications. After registration is completed, this information will be destroyed.
Please type your shirt size below.