Greene County Fire Rescue
Applicant
Questionnaire
Yes No
Yes No
Yes No
Yes No
Yes No
N/A Yes No
1. Are you certified to the level of NPQ Firefighter 1?
2. Are you certified to the level of NPQ Firefighter 2?
3. Are you certified as a State of Georgia Firefighter?
4. Do you have an active Georgia EMT (Basic) license?
5. Do you have an active Georgia EMT-I, AEMT or Paramedic license?
6. If you answered “NO” to the above Georgia EMS license questions:
• Are you certified to the
level of First Responder/EMR?
7. Do you have a valid Class "F" Georgia driver's license or equivalent?
Yes No
8. Do you work a full time 24/48 hour shift rotation at another fire department? Yes No
9. Which of the following are you available to work considering an 8AM/8PM shift change?
Days Only Nights Only 24 Hours Varies
10. Do you have other employment obligations that would affect your availability?
Details:
11. What days wo
uld you typically be available to work?
Yes
No
Applicant Name:
Date:
