Phone: 208 -715-5201 Firefighter Applicant Questionnaire Name ___________________________________________________ Address ___________________________________________________ ___________________________________________________ Phone ___________________________________________________ Email ___________________________________________________ How did you hear about this opportunity? _______ ____________________ (Please be specific, e.g., newspaper, web page, social media, friend?) How are you interested in serving? Local volunteer Active reserve (living locally) Active reserve (living outside the Valley) Full-time Career Do you have any Fir e and/or EMS certifications? IFSAC or ProBoard Firefighter I IFSAC or ProBoard Firefighter II NREMT EMT or EMT -P Idaho State EMT or EMT -P Wildland Fire Experience Other : ____________________________ Do you have any firefighter experience ? _____________________________ ________________ _______________________________________________________________ _______________ Why do you want to be a firefighter ? _________________________________ ______________ _______________________________________________________________ _______________ How does firefighter training work into your near -term (5 year) goals ?_______________________________ __________________________ _______________ _______________________________________________________________ _______________ When we call your references what will we hear? __________________ _____ ______ _________ _______________________________________________________________ _______________ _______________________________________________________________ _______________
