2025-2026 Westlake Fire Department Employment Application

Westlake Fire Department

Travis County ESD#9
1301 S. Capital of Texas Hwy, STE B-123 West Lake Hills, TX 78746

careers@westlakefd.org // (512) 539-FIRE
Name*

First NameMiddle NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Are you 18 years or older?*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Emergency Contact
Emergency Contact Name*

First NameLast Name
Relationship*
Phone Number*

Area CodePhone Number
Emergency Contact Address*

Street Address

Street Address Line 2

CityState

Zip Code

Background Information
Has your Driver's License ever been revoked?*
If YES, explain the circumstances, including dates:
If YES, explain the circumstances, including dates:*
Are you related in any way to any member of the Westlake Fire Department Board of Commissioners or its Fire Chief?*
Have you ever applied to Westlake Fire Department before? If YES, when?*
Have you ever been a member of the Westlake Fire Department before? If YES, when?*
Have you ever served with another fire department, EMS agency, rescue squad, or other emergency services agency before? If YES; where, when and what position(s) held?*

Education and Training
High School*
Name of High school
College
Name of school, Dates attended, Field of study and did you graduate
Other
Name of school, Dates attended, Field of study and did you graduate
Fire and EMT Certifications
List any current Texas Commission on Fire Protection Certifications (TCFP).
List any other Fire/EMS training, experience, college courses, or certificates that you possess.
Select what level of Texas Department of State and Health Services or National Registry of EMTs you currently hold.*
Military Service
Have you served in the Military?*

YesNo
Branch of Service blanks Grade/Rank blank
Dates of Enlistment blanks Year Discharged blank

Certification of Application

READ THE FOLLOWING STATEMENTS CAREFULLY AND INDICATE YOUR UNDERSTANDINGAND ACCEPTANCE BY SIGNING AND DATING IN THE SPACE PROVIDED BELOW.
1. I certify that all information provided by me in connection with my application, whether on this document or not, is true and complete, and I understand that any misstatement, falsification, and/or omission of information shall be grounds for dismissal from the department.

2. I authorize any persons or organizations referenced in this application to give you any and all information, personal, and/or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from furnishing such information to you.

3. (Applies to Firefighter Applicants) I understand the physical requirements of a firefighter. I can physically meet the requirements of the position. I understand that if I have a preexisting medical condition, illness, or injury that it is recommended by Travis County ESD#9 that I receive approval to participate in fire department activities.
Signature of Applicant*

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Westlake Fire Department