Hudspeth County ESD #2 Fire Service

Hudspeth County ESD #2 Fire Service

VOLLUNTEER APPLICATION
Part I. Applicant Information:
Applicant Full Name*
Date of Birth*

MonthDayYear
Date
Phone #*
Format: (000) 000-0000.
Email*
example@example.com
Physical Address*
Mailing Address if different than Physical Address
Beneficiary Emergency Contact*
Social Security # (Used for Background Check)*
TX drivers license #*
Drivers License Class
Have you ever been a member of another fire department or EMS agency*
If YES please list
Part II. Refferences

Please submit at least 2 refferences (you may submit a letter of recommendation from past department or other reffernce)

***If there is not at least 2, your application will be incomplete.
File Upload*

Cancelof
Part III. Signature

To be read and signed by the applicant By submitting my application for membership to the Hudspeth County ESD #2 Fire Service, I agree to abide by all the rules and regulations pertaining to the department set forth by its bylaws and Standard Operating Procedures. I realize that if accepted, I will be on probation for a period of one year to begin at the date of selection.
- Provide a DMV Driver License Record prior to being eligible for drivers list.
- Complete TEEKS EVO Course
- To be considered an active member:
  - (Attend minimum number of calls)
  - (Complete 15 hours of training)
  - (Attend at least one monthly training)
Applicant Signature*
Date*

MonthDayYear
Date
Part IV Department use only Orientation completed Y/N
ESD Board approval date
Should be Empty: