Paramedic Application 2024-2025

BUDA FIRE DEPARTMENT PARAMEDIC JOB APPLICATION
Today's Date*

MonthDayYear
Date
Last Name*
First Name*
Birth Date*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Best Phone Number:*
Best Email Address - EMAIL will be the main way we will get information to you during the application process.*
example@example.com
Education Level*
What was your degree in?
Technical, Vocation, or Business Schools Name and Location of School
Name and Location of School
Hours Completed
Trade?
BUDA FIRE DEPARTMENT FIREFIGHTER AND PARAMEDIC JOB APPLICATION
Drivers License*

Cancelof
TCFP Certification

Cancelof
EMS Certification*

Cancelof
Have you ever served in any branch of the military?*
Do you have a DD 214? (If hired, we'll need a copy of your DD 214 for your file.)*
How is your discharge listed? (Honorable, General, etc.)?
CRIMINAL AND CONVICTION HISTORY:

*A Criminal History Record will be required before employment. NOTE: If you are not sure whether or not you were actually convicted, contact the Business Office, explain the situation, and get a ruling on this. The excuse, "I didn't realize I was convicted" will not be accepted if questions arise later in the hiring process. 1) Have you ever been detained, arrested, or charged with any offense greater than a Class C misdemeanor (if yes, please list all instances)?
Have you ever been detained, arrested, or charged with any offense greater than a Class C misdemeanor (if yes, please list all instances)?*
As part of the hiring process, we will be doing an extensive background investigation. Is there anything in your past that you would like to discuss or explain to this panel?*
If "Yes" to either above question, please explain.
BUDA FIRE DEPARTMENT FIREFIGHTER AND PARAMEDIC JOB APPLICATION
EMPLOYMENT HISTORY
This information will be the official record of your employment history and must accurately reflect all significant duties performed. Summaries of experiences should clearly describe your qualifications.

1. Begin with your current or last position and work back your last four positions. 2. Employment history should include each position held, even those with same employer.
Current Employer*
Position Title*
Address*

Business Address

Street Address Line 2

City, State/ZipState / Province

Postal / Zip Code
Employer's Telephone No*
Immediate Supervisor*
Dates Employed: Starting Date*

MonthDayYear
Date
Ending Date

MonthDayYear
Date
Summary of Experience
Specific reason for leaving/ Still Employeed*
Previous Employer
Position Title
Address

Business Address

Street Address Line 2

City, State/ZipState / Province

Postal / Zip Code
Employer's Telephone No
Immediate Supervisor
Dates Employed: Starting Date

MonthDayYear
Date
Ending Date

MonthDayYear
Date
Specific reason for leaving
Resume With 3 References (applications without resume and references will not be accepted)*

Cancelof
Signature*

Clear
Should be Empty:

BUDA FIRE DEPARTMENT PARAMEDIC JOB APPLICATION

BUDA FIRE DEPARTMENT FIREFIGHTER AND PARAMEDIC JOB APPLICATION

BUDA FIRE DEPARTMENT FIREFIGHTER AND PARAMEDIC JOB APPLICATION

EMPLOYMENT HISTORY