Form FF 95-22 FF 95-22 National Fire Academy - Executive Fire Officer Applicati

FEDERAL EMERGENCY MANAGEMENT AGENCY NATIONAL FIRE ACADEMY – EXECUTIVE FIRE OFFICER PROGRAM APPLICATION FOR ADMISSION	O.M.B. NO. 1670-0002 Expiration Date: February 28, 2007
NAME OF APPLICANT	SOCIAL SECURITY NUMBER
SECTION 1 – GENERAL INFORMATION
1. Please describe your organization fully in terms of functions or services provided and its annual budget.
2. Please describe your specific duties and responsibilities within the organization at an executive level, the number of employees you supervise, and to whom you report.

FEMA Form 95-22, OCT 94 ALL PREVIOUS EDITIONS ARE OBSOLETE Page 1

SECTION 1I – BRIEF ESSAY QUESTIONS

3. Describe your most substantial professional achievement and explain why you view it as such?

4. What goals do you expect to realize by participating in the Executive Fire Officer Program and how might achieving those goals enhance your career?

FEMA Form 95-22, OCT 94 ALL PREVIOUS EDITIONS ARE OBSOLETE Page 2

SECTION 1I – BRIEF ESSAY QUESTIONS

5. How do you expect your background, experience, and capabilities will contribute to the Program and to your fellow participants?

6. Please describe briefly the two most challenging management problems facing you on your job, explaining how they affect attainment of your organization goals.

FEMA Form 95-22, OCT 94 ALL PREVIOUS EDITIONS ARE OBSOLETE Page 3