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South Iredell Fire-Rescue Inc.
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Position applying for
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Volunteer Firefighter/EMT
Live In Firefighter/ EMT
Volunteer EMT
Part Time Firefighter/EMT
Junior Firefighter
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Applicant Information
First Name
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Your answer
Last Name
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Your answer
Home Address (city,state,zip)
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Your answer
How long have you resided at this address
Your answer
Cell Phone
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Your answer
Home Phone
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Email Address
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Your answer
Birthday
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MM
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DD
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YYYY
Last 4 of Social Security Number
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Your answer
Driver License Number (Class/State)
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Your answer
Are you a citizen of the United States
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Yes
No
Are you authorized to work in the United States
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Yes
No
Have you ever been convicted of a felony
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Yes
No
Marital Status
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Married
Single
Divorced
Sex
Male
Female
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