Priority Nomination Form – Eastern Idaho Fire Chiefs Association

Employee Full Name*

Home Unit Identifier*

Local Dispatch Office Unit ID*

Work Number*

Cell Number*

Trainee Position*

Date of First PTB Assignment*

Date of Last PTB Assignment*

Percentage of PTB Completed*

Need Assignment for Recertification?*

Yes

Is the qualification needed for career or organization development?*

Yes

Is this position needed to fill critical incident management capacity shortage at the local unit level?*

Yes

Is this position required for your position description qualification?*

Yes

Have you completed the required training for the position?*

Yes

If not, what course(s) do you need?

Comments/Justification*

By submitting this form, you agree to adhere to the following rules of responsibility to participate in the Eastern Idaho Interagency Priority Trainee Program: 1. Maintain accurate reflection of your availability in ROSS. If you are available, your ROSS status should be listed as unavailable. If you have on how to status yourself, contact your local dispatch center. If you fail to do this, your participation in the program may be terminated. 2.Keep your contact information in ROSS current. If we cannot contact you, you will miss the assignment. 3. Work with your Training Officer at your local FSO or Department level to document your experience. 4. Upon return from an assignment, let your Training Officer know about the progress you made in your PTB and review supporting documentation. 5. Assignment will be local to the Eastern Idaho Interagency Dispatch area only. All other priorities MUST go through the Eastern Idaho/Great Basin priority nomination and prioritization process.*

I agree

Name of Supervisor*

Supervisor Contact Number*