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Firefighter Application

  1. St. Bernard Parish Fire Department Firefighter Application
  2. We consider applications for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, the presence of a non-job related medical condition or handicap, or any other legally protected status.
  3. (Please Note: All information must be supplied in order for application to be considered.)
  4. Have you taken the Firefighter entrance exam?
  5. Have you ever been convicted of a felony?
  6. Education
  7. Employment
    List your last two employers. (Starting with the last/present one first.)
  8. Still employed?
  9. Still employed?
  10. References
    Give the names of three (3) persons, not related to you, whom you've known for at least a year.
  11. Acknowledgment*
    By submitting this form, I understand that I am submitting to a background check by St. Bernard Parish Government.
  12. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  13. Leave This Blank:

  14. This field is not part of the form submission.