Fire Fighter / Medic ApplicationWhitestown Fire Department WFD is accepting applications for Firefighter Paramedics. Applicants must be a licensed PARAMEDIC with IDHS. All firefighter training will be provided by WFD. Name(Required) First Last Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code ReferencesPlease enter at least three (3) references.Please enter at least three (3) referencesNameAssociationEmail AddressPhone Number Add RemoveAdditional InformationBy checking each I affirm that I am legally qualified and meet the application minimums as posted. Proof of all documentation will be required.I will present upon request, the following documents.:(Required) Drivers License Birth Certificate High School Diploma or GED DD-214 (if applicable) Indiana BMV Driving Record Limited Criminal History from Indiana State Police Paramedic Licensure(Required) I am a currently licensed paramedic with IDHS I am currently in a paramedic program I am an out-of-state paramedic and will be seeking reciprocity with IDHS Paramedic Program Location(Required) Indiana Another State Paramedic Program Date of Completion(Required) Date of Birth(Required) IDHS PSID Number(Required) SignatureBy entering my digital signature I swear and affirm that all of the above information is truthful and accurate under penalty of forfeiture from this application process.Signature(Required)NameThis field is for validation purposes and should be left unchanged.
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