Salado Fire Department Application
TX DL#: ______________________________________________________
Social Security #: ______________________________________________
Date of Birth: __________________________________
Home Address: _________________________________________________________________________________________
Cell Phone #: _____________________________________________________
Work #: ______________________________________________________
Present Employer: ___________________________________________________________________
Job Title / Description: ______________________________________________________________
Previous Employer: _____________________________________________________________________________
Highschool/Year Graduated: __________________
College/Year Graduated: _______________________________
How long have you lived in the Salado area: __________________________________________
Do you rent____or own______a house?
How far do you live from the fire station? ____________________________________________
How long would it take you to get to the station? _____________________________________
Do you have any previous firefighting experience? (Military?, Civilian?)____________________
Height: ___________ Weight: ___________ Natural Vision: ___/___ Corrected: ___/___
Do you have or have you had any problems with the following?
Respiratory difficulties_______ Cardiac problems_______ Ulcers_______ Hernia______
Are you presently under any medication? ____________________________________________
Have you had any surgery or medical treatment that may cause partial disability? ___________
If you have answered yes to any of the above please explain on separate sheet of paper.
What do you expect from or why do you want to join the fire department?
Please include a criminal background check with your application.