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
jobs@centerpointfire.com
.
* Required
Email address
*
Your email
First Name
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Your answer
Last Name
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Your answer
What is your date of birth?
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MM
/
DD
/
YYYY
What is the best phone number for us to contact you? (xxx)xxx-xxxx
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Your answer
What is your address? Street number and name:
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Your answer
What is your address? City:
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Your answer
What is your address? State:
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Choose
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
What is your address? Zip Code
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Your answer
Do you currently have a valid driver's license?
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Yes
No
Do you have Alabama Fire Firefighter I/II?
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Yes
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?
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Paramedic
Advanced EMT
EMT
I have no current licenses
What is your Alabama EMS license number?
Your answer
What is your NREMT certification number?
Your answer
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
Other:
What is your highest level of education?
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High school diploma or GED
Some college with no degree.
Associate's degree
Bachelor's degree
Graduate degree
None
What type of employment are you seeking?
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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?
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A Shift
B Shift
C Shift
Any shift is acceptable
Required
Do you have a CPAT (Candidate Physical Ability Test) certificate?
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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?
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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.
Required
How many years of professional (paid) firefighting experience do you have?
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None.
Less than 1 year
1-5 years
5-10 years
More than 10 years
What certifications do you have from the Alabama Fire College?
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Firefighter 160 (Volunteer Firefighter)
Firefighter I/II (Professional Firefighter)
RIT
AO Pumper
AO Aerial
Hazmat AO
Rope I
Rope II
Hazmat Technician
Fire Instructor I
Fire Instructor II
Fire Officer I
Fire Officer II
Fire Investigator I
Fire Inspector I
Safety Officer
Structural Collapse
Confined Space
SCBA Specialist (Smoke Diver)
Other
None
Required
Are you currently or have you ever served in the U.S. Armed Forces?
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Yes
No
Have you ever been convicted of a crime? A criminal background check is performed on all new employees.
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Yes
No
If you answered "yes" to the previous question, please explain.
Your answer
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.
*
Your answer
Send me a copy of my responses.
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