Registration First Name Last Name Address City/Town ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandQuébecSaskatchewanPostal Code Work Address Work City/Town ProvinceAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundlandNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandQuébecSaskatchewanWork Postal Code Department AffiliationFire RescueGOA Forestry Division First ResponderEMSLaw EnforcementSearch and Rescue AlbertaChaplaincyMental Health ProfessionalHospital BasedRank/TitleEmergency Medical Responder EMRPrimary Care Paramedic PCPAdvanced Care Paramedic ACPCritical Care Paramedic CCPMedavie Health ServicesAssociated AmbulanceAlberta Health ServicesRank/TitleCorrectional OfficerParole OfficerProgram OfficerMunicipal Police OfficerProvincial Police OfficerSheriffSpecial ConstableRCMPRank/TitleFirefighter: Captain, Lieutenant, Frontline FirefighterDispatch: Comms Operator, Emergency Call Centre OperatorLeadership: Platoon Chief, Deputy Chief, Station Chief, Regional Chief, Director of Emergency Services, OFCChaplaincyMental Health ProfessionalFire Rescue Department Affiliation ListAcme Fire DepartmentAgrium RedwaterAirdrie Fire DepartmentAlberta Emergency Management AgencyAlberta Health Services EMSAlliance Fire DepartmentAlliance Volunteer Fire DepartmentAndrew Fire DeparmentAnselmo Fire DepartmentAnzac Rural Volunteer Fire DepartmentArdmore Fire DepartmentAshmont Fire DepartmentAthabasca Fire DepartmentBanff Fire DepartmentBaptiste Lake Fire DepartmentBarons Fire DepartmentBarrhead Fire ServicesBeaumont Fire ServicesBeaverlodge Fire DepartmentBentley District Fire DepartmentBerwyn Fire DepartmentBESC Station 5, VikingBezanson Fire DepartmentBig Lakes County Fire ServiceBig Valley Fire DepartmentBlack Diamond Fire & RescueBlackfalds Fire DepartmentBlood Tribe Emergency ServicesBlue Ridge Fire DepartmentBonnyville Regional Fire AuthorityBow Island & District Emergency ServicesBowden Fire DepartmentBoyle Fire RescueBreton Fire DepartmentBrooks Fire DepartmentBruce Fire DepartmentBruderheim Fire DepartmentBuffalo Lake Metis SettlementBusby Fire DepartmentCadogan Fire & RescueCalgary Fire DepartmentCalling Lake Fire DepartmentCamrose Fire DepartmentCanmore Fire RescueCardston County Emergency ServicesCarstairs Fire DepartmentCaslan Fire DepartmentCastor Fire DepartmentCentral Peace Fire & Rescue CommissionCereal Fire DepartmentChauvin Fire DepartmentChipman Fire DepartmentChipman Rural Fire DepartmentCity of Chestermere Fire ServiceCity of Red Deer Emergency ServicesClearwater Regional Fire Rescue ServicesClive Fire DepartmentCoaldale and District Emergency ServicesCoalhurst Fire DepartmentCochrane Emergency ServicesCold Lake Fire RescueColinton Fire DepartmentCondor Fire DepartmentConklin Fire DepartmentConsort Fire & RescueCoronation Fire RescueCounty of 40 Mile Fire DepartmentCounty of Grande Prairie Fire ServiceCounty of Two Hills Fire ServiceCremona & District Emergency ServicesCrossfield Fire DepartmentCrowsnest Pass Fire RescueCypress County Emergency ServicesCypress County Fire DepartmentDaysland Fire DepartmentDebolt Fire DepartmentDelburne Fire DepartmentDevon Fire DepartmentDewberry Fire Department & C of V.R.Didsbury Fire DepartmentDrayton Valley / Brazeau County Fire ServicesDriftpile Cree NationDrumheller Fire DepartmentEaglesham Volunteer Fire DepartmentEdberg Fire DepartmentEdgerton Emergency Services DepartmentEdmonton Fire Rescue ServicesEdmonton Regional Airports AuthorityEdson Fire DepartmentElk Point Fire DepartmentElnora Voulnteer Fire DepartmentEmpress Volunteer Fire DepartmentEnoch Fire DepartmentExshaw Fire DepartmentFairview Fire DepartmentFishing Lake Metis SettlementFlagstaff Regional Emergency ServicesFoothills Fire DepartmentForestburg Fire DepartmentFort Assiniboine Fire DepartmnetFort Chipewyan Fire DepartmentFort Kent Fire DepartmentFort Macleod Fire DepartmentFort McMurray Fire DepartmentFort Vermilion Fire RescueFox Creek Fire & Rescue DepartmentGhost River Fire DepartmentGibbons Fire DepartmentGift Lake Metis Settlement Fire DepartmentGlendon Fire DepartmentGoodridge Fire DepartmentGoose Lake Fire DepartmentGrande Cache Fire DepartmentGrande Prairie Fire DepartmentGrassland Volunteer Fire DepartmentGrimshaw Fire DepartmentGrovedale Fire RescueHanna Protective ServicesHardisty Fire DepartmentHay Lakes Fire DepartmentHeisler Fire DepartmentHigh Level Fire DepartmentHigh Prairie Fire DepartmentHigh River Fire DepartmentHines Creek Volunteer Fire Dept.Hinton Fire RescueHolden Fire DepartmentHorse Lake First Nation Fire DepartmentHussar Fire DepartmentHythe Fire DepartmentInnisfail Protective ServicesIrma Fire DepartmentIron River Fire DepartmentIrvine Fire DepartmentJasper Fire DepartmentKananaskis Emergency ServicesKearl Lake Emergency ServicesKillam Fire DepartmentKinsella Fire DepartmentKinuso & District Fire DepartmentKitscoty Fire DepartmentLa Crete Fire & RescueLac La Biche County Fire Rescue ServicesLac Ste Anne County - Station 3Lacombe County Fire ServiceLacombe Fire DepartmentLacorey Fire DepartmentLamont County Emergency ServicesLamont Fire DepartmentLeduc County Fire ServicesLeduc Fire ServicesLesser Slave Regional Fire ServiceLac Ste Anne County Fire ServicesLethbridge Fire and Emergency ServicesLinden Fire DepartmentLloydminster Fire DepartmentLodgepole Fire DepartmentLomond Fire DepartmentLoon River First Nation Fire DepartmentLouis Bull Fire DepartmentLSAC Fire Services - Stn 7 CherhillMagrath Fire DepartmentMallaig Fire DepartmentManning Fire DepartmentMannville Fire DepartmentMayerthorpe Fire DepartmentMD of Taber Regional Fire ServicesMedicine Hat Fire ServiceMillet Fire DepartmentMorinville Fire DepartmentMundare Fire & RescueMunicipal District of Acadia Fire DepartmentMunicipal District of Smoky RiverMunicipal District of Spirit River Fire DepartmentMunson Fire DepartmentMyrnam Fire DepartmentNakoda Fire and Emergency Services DepartmentNampa Fire DepartmentNanton Fire DepartmentNobleford & District Emergency ServicesNorth West Fire RescueNorthern Sunrise County Protective ServicesOkotoks Fire DepartmentOlds Fire DepartmentOyen Fire DepartmentParkland County Fire ServicesPeace River Fire DepartmentPeigan Fire DepartmentPembina Pipeline CorporationPenhold Fire DepartmentPickardville Fire DepartmentPicture Butte & District Emergency ServicesPincher Creek Emergency ServicesPonoka County East District Fire DepartmentPonoka County Regional Fire ServicePonoka County West District Fire DepartmentProvost Fire DepartmentRaymond Fire DepartmentRed Deer County Fire DepartmentRed Deer Emergency ServicesRed Earth Creek Fire DepartmentRedcliff Fire DepartmentRedwood Meadows Emergency ServicesRegional Municipality of Wood BuffaloRichmond Park Fire DepartmentRochester Fire DepartmentRocky View Fire ServiceRolling Hills Fire DepartmentRound Hill/Kingman District Fire DepartmentRyley Fire DepartmentSaddle Hills County Fire DepartmentSaddle Lake Cree Nation Fire DepartmentSandy Lake Fire DepartmentSaprae Creek Fire DepartmentSiksika Nation Emergency ServicesSmoky Lake County Fire DepartmentSmoky Lake Fire DepartmentSpruce Grove Fire ServicesSt. Albert Fire & Emergency ServicesSt. Isidore/Three Creeks Fire DepartmentSt. Paul Fire DepartmentStavely Fire DepartmentSte. Anne East StationStettler Regional Fire Rescue ServicesStirling Fire DepartmentStony Plain Fire DepartmentStrathcona County Emergency ServicesStrathmore Fire DepartmentStrathmore Rural Fire DepartmentSturgeon County Emergency ServicesSummer Village of Seba Beach Fire DepartmentSundre Fire DepartmentSwan Hills Fire DepartmentSylvan Lake Fire DepartmentTaber Emergency ServicesTangent Volunteer Fire DepartmentThorhild County Emergency ServicesThree Hills Fire DepartmentTilley Fire DepartmentTofield Fire DepartmentTorrington Fire DepartmentTown of Strathmore Fire DepartmentTrans Canada PipelinesTribal Chiefs VenturesTrochu Fire DepartmentTsuut'ina Nation Fire RescueTurner Valley Fire DepartmentTwo Hills County Fire Service - Hairy Hill DepartmentTwo Hills Fire RescueValleyview Volunteer Fire DepartmentVauxhall Regional Fire DeptartmentVegreville Emergency ServicesVermilion Fire DepartmentVermilion River Fire Department, County ofVeteran Fire DepartmentVilna Fire DeptartmentVulcan County Emergency ServicesWabasca Fire DepartmentWainwright Fire RescueWanham Volunteer Fire DepartmentWarburg & District Fire DepartmentWarner Fire DepartmentWaskatenau Fire DepartmentWembley Fire DepartmentWestend Fire ServicesWestlock County Fire ServicesWestlock Fire and Rescue DepartmentWetaskiwin County Fire DepartmentWetaskiwin Fire DepartmentWheatland CountyWhitecourt Fire DepartmentWillow Creek Emergency ServicesWinfield Fire DepartmentWorsley Volunteer Fire DepartmentYellowhead County Fire DepartmentZama Fire RescueOther Group 1Incident CommanderOfficerRangerTechnicianSpecialistGroup 2: Crew leader or memberWildfire - operations, fuels/inventoryForest ManagementJunior Forest RangerGroup 3: SupportDispatchLogisticsAdministrativeWarehouseProcurementITPatrolmanTanker Base (various)LookoutGroup 4ManagerGOA Forestry Division: Other MHP Professional AssociationLicensed PsychologistSocial WorkerPsychiatric NursePastoral CounsellingMental Health CounsellingTraining and certification as a physician who’s specializes in psychiatryOtherName of Professional Association (please specify)Employment/service provisionPsychological/psychiatric servicesSocial servicesCrisis intervention servicesPastoral counsellingPsychiatric nursingOther counselling servicesDepartment/WardStolleryEmergency DepartmentICU intensive care unitCardiologyNeurologyOncologyObstetrics and GynaecologyMaternity WardBurn CentrePsychiatric WardRehabilitation ServicesEndoscopyDepartment of NursingBehavioural health servicesDentistryDermatologyPathologyRadiologyUnitPICU or NICUCoronary Care UnitPost-anesthesia care unitAcute medical unitGeriatricCardiovascular Intensive Care UnitPhysical therapyCredentials-RT respiratory technician-OT Occupational TherapistSocial WorkerLicensed Practice NurseRegistered NurseRegistered Psychiatric NursePhysicianOther Credentials Rank/TitleSearcherTeam LeadSearch ManagerOtherOther ICISF CISM Training LevelsAssisting Individuals in CrisisAdvanced Assisting Individuals in CrisisGroup Crisis InterventionAdvanced Group Crisis InterventionOther Training (please specify and include year of completion)Primary Phone Number Secondary Phone Number E-mail Address Password Confirm Password Only fill in if you are not human
