Portland Community College | Portland, Oregon Portland Community College

Certification application

"*" indicates required fields

Personal information

If you don't have an order number, you need to register before submitting your application.

Certification category and level

For certification prerequisites, please refer to the certification guide for the level of certification for which you are applying.
* Indicates a level that requires verification of SCBA Fit Testing.

Test site registration

Identify the test site and date you would like to test. If you do not have a preference, leave blank.

Special accommodation

Do you need any special accommodations?
If you need special accommodation, please check the box and you will be contacted by a staff member.

Application verification

Applicant signature*
I verify that I have reviewed the certification guidelines as stated in the PCC Fire Protection Technology program's certification policy and procedure manual and agree to conform to those guidelines. I further verify that all information submitted on this form is accurate.

Fit test verification

Applicant signature*
I verify by marking this box that I have been fit tested as per OSHA 29 CFR Part 1910.134 within the past 12 months and, if requested, can provide documentation of my fit test. ( Only required for: Fire Fighter I, Fire Fighter II, and Haz Mat OPS)