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Document Greenecountyga_doc_b9fa43c850

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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 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 would you typically be available to work? Yes No Applicant Name: Date: