HUMAN RESOURCES
5024 Broadway Ave., Haltom City, TX 76117  (817) 222-7742

Job Interest Form for Firefighter/Paramedic Applicants

All fields must be completed. If "not applicable" applies enter "NA" in that field.

Name
Address
 Zip Code
Phone

 Social Security #
                                         Veteran:

Certified Firefighter/Paramedic
Texas Licensed/Certified Paramedic
Paramedic Student (within six months of graduation)

Click SUBMIT and write down the confirmation number that appears. If you do not get a confirmation number, your registration was not received. All applicants must provide proof of current level of all certifications on the day of the test. Students must also provide enrollment information, verified by the course coordinator on p;official letterhead. The verification letter shall include:
1)Location of course, 2)Date of course completion, 3)Contact phone number of course coordinator, 4)Verification of good standing in the course
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