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Firefighter Job Application

Firefighter Job Application
Fields marked with * are required.



Firefighter Job Application
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Applicant Information

First
Middle
Last
Current Address
Current Address
Street Address
Address Line 2
City
State / Province
ZIP / Postal Code
Country
Is your mailing address different from the above current address?
Mailing Address
Mailing Address
Street Address
Address Line 2
City
State / Province
ZIP / Postal Code
Country
(If different from current address)
Previous Address
Previous Address
Street Address
Address Line 2
City
State / Province
ZIP / Postal Code
Country
If applicable.
Position Desired
At which District do you prefer to be employed?
Are you authorized to work in the U.S.?
Are you 18 years of age or older?
Do you possess a valid Driver’s License?
Are you able to speak, read and write the English language?
Do you have the ability to meet the physical standards set by the Green Valley Fire District and/or the Drexel Heights Fire District for suppression personnel?
Do you have the ability to meet the insurability requirements set by the Green Valley Fire District and/or the Drexel Heights Fire District insurance carrier?
Have you ever been convicted of a felony or misdemeanor?
(Please explain the nature of the offense, date and location. A conviction will not necessarily disqualify an applicant.)