EMT-B Application

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Do you have a Facebook account?
Do you have a Twitter account?
Do you belong to any other social networking sites?
Interview
Approved
Ethnicity
Do you wear contact lenses or glasses?
Are you a native born or naturalized citizen?
Child Support
Have you been arrested for violating this order, or any warrants?
Have you ever been arrested for domestic violence?
Domestic Violence Restraining Order
Paternity Proceeding
Have you ever served in an active military organization of the United States?
Have you served in a foreign government military organization?
Are you now engaged in any business as an owner?
Has your name been submitted or uses as a trustee, etc.?
Were you ever discharged or asked to resign from employment?
Were you ever subjected to disciplinary action in connection with any employment?
Have you ever been arrested for or charged with JV in this state or any other state?
Have you ever been summoned, suboenaed, etc.?
Have you even been arrested for anything in this state or any other state?
Have you ever been arrested for or charged with a violation of the disorderly persons act?
Have you ever been arrested for any violation?
Have you ever had a criminal or arrest record expunged?
Have you ever been held as a material witness?
Have you ever been held as a suspicious person or investigated by any law enforcement?
Have you ever been fingerprinted?
MV Laws summons or violations
MV Certificate revoked
Was your MVR Certificate Revoked
If the answer is yes, has it been restored?
Have you ever been involed in a mva?
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Additional Signatures Required