Center Point Fire District Job Inquiry
This form should be submitted by individuals who are interested in working as a firefighter and EMS provider for the Center Point Fire District. If you have difficulty submitting this form please email
What is your date of birth?
What is the best phone number for us to contact you? (xxx)xxx-xxxx
What is your address? Street number and name:
What is your address? City:
What is your address? State:
What is your address? Zip Code
Do you currently have a valid driver's license?
Do you have Alabama Fire Firefighter I/II?
No, but I have 160 volunteer training.
No, but I have firefighter training from another state.
No, I do not have any firefighter training.
What level of Alabama EMS license do you currently have?
I have no current licenses
What is your Alabama EMS license number?
What is your NREMT certification number?
If you are not a Paramedic, are you currently in Paramedic School?
Yes, I am currently enrolled in a Paramedic School
No, I am currently enrolled in Advanced EMT
No, but I would like to complete Paramedic School
No, I am not interested in becoming a Paramedic.
No, I have already graduated from a Paramedic School but I have not yet passed NREMT
I am currently a licensed Paramedic in good standing
What is your highest level of education?
High school diploma or GED
Some college with no degree.
What type of employment are you seeking?
Full Time (on 24 hours and off 48)
Part Time (work alternating 24 hour shift)
Full Time or Part Time is acceptable
What shift are you available to work?
Any shift is acceptable
Do you have a CPAT (Candidate Physical Ability Test) certificate?
Yes, I have CPAT within the last year
Yes, but it is older than a year
No, but I am willing to take CPAT prior to employment
No, I do not have CPAT and I am not willing to take CPAT
Have you ever served as a volunteer firefighter?
I have served as a Center Point Fire District volunteer.
I have served as a volunteer at another fire department other than Center Point.
I have been a member of the Center Point Fire Explorer Post.
I have been a member of a Fire Explorer Post other than Center Point.
I have never been a volunteer firefighter nor a fire explorer.
How many years of professional (paid) firefighting experience do you have?
Less than 1 year
More than 10 years
What certifications do you have from the Alabama Fire College?
Firefighter 160 (Volunteer Firefighter)
Firefighter I/II (Professional Firefighter)
Fire Instructor I
Fire Instructor II
Fire Officer I
Fire Officer II
Fire Investigator I
Fire Inspector I
SCBA Specialist (Smoke Diver)
Are you currently or have you ever served in the U.S. Armed Forces?
Have you ever been convicted of a crime? A criminal background check is performed on all new employees.
If you answered "yes" to the previous question, please explain.
Qualified candidates that can meet the staffing needs of the Center Point Fire District will be called for a structured interview. The Center Point Fire District maintains a list of interested individuals and it may be some time before you hear from us. If your information changes substantially, you can fill out and submit a new form. All candidates called for an interview will be required to bring documentation validating the qualifications that they have listed. The Center Point Fire District is an equal opportunity employer. Please type your initials below to attest that all of the information that you have entered is accurate.
Send me a copy of my responses.
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