Fremont Fire Explorers

Fremont Fire Explorer Online Application

Last, First, M.I.

Email Address

Home Address

City, State, Zip

Home Phone

Cell/Pager

Date Of Birth (XX/XX/XXXX)

Fathers Name/Phone Number

Fathers Address

Mothers Name/ Phone Number

Mothers Address

High School Attended

Current Grade Level

9
10
11
12
Graduated

GPA

Please List Any other Schools you have Attended

Lisences and Certificates

Do you Currently posess a valid CA drivers Lisence?

Yes
No

Have you ever been discharged, fired or forced to resign?

Yes
No

Have you ever received a traffic violation?

Yes
No

Have you ever been convicted of any violation of the law?

Yes
No

If you answered YES to any of the above 3 questions please expla

Work Experience

I certify that the information shown on this application is true

Yes
No

Image Verification
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