If you have any questions on your W-9 form, please contact Beverly Jinkins and she will help you get it completed correctly. Once you have finished filling out the W-9 form, make sure it is signed and e-mail the completed form to Beverly (beverly.jinkins@wayne.k12.in.us) and CC Director Brown. If you do not feel comfortable emailing your W-9, you may drop it off with Beverly on the second floor of 700 North Highschool Rd, Suite 200. All personnel information can be found under the directory on the WebApp
Please upload your instructor certification and/or your fit test to this form. If your department does not use a 3M Scott AV3000 mask, you will need to schedule a time with us to get a fit test conducted.
ESEC's Code of Conduct Agreement form
Please save this WebApp to your phone
When filling out the background check, please select “Contractor” under volunteer type and under Contractor Type Company Name please enter “Emergency Services Education Center.”