Yeshiva Services: D-20 Course - Agudath Israel of America

D-20 Certificate of Fitness Training Course 2025

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Name (Legal)*

First Name Middle Initial Last Name

School Name*

Position*

Phone Number*

Email*

The information in this section is for the FDNY.

School Address (where COF will be used)*

Street Address City State / Province / Region ZIP / Postal Code

Personal Mailing Address*

Street Address City State / Province / Region ZIP / Postal Code

Job Experience (in years)*

Social Security Number*

Please enter your 9-digit Social Security number

DOB*

Height*

Feet

Height*

Inches

Weight*

D-20 Application*

Max. file size: 100 MB.

Employee Recommendation Form*

Max. file size: 100 MB.

Government Issued Photo ID*

(State Issued Driver's License, Non-Driver's ID, Passport or IDNYC Municipal ID card)

Accepted file types: jpg, jpeg, png, Max. file size: 100 MB.

Headshot*

(2x2 clear color photo of your face, .jpg format (not pdf) taken in the past 6 months, no selfies, take off your eyeglasses, plain white background)

Accepted file types: jpg, jpeg, png, Max. file size: 100 MB.

D-20 Course*

I would like to attend the D-20 Course and receive my D-20 certificate-$75.00

($50 for the D-20 training course, $25 processing fee from the FDNY)

Billing Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Credit Card*

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