Department Questionnaire

    Contact Phone
    OfficeCell


    Staffing (check all that apply) CareerPart-TimeVolunteer
    Shift Type 12-Hour24-Hour


    Entry Level Position Career FF/EMTPart-Time FF/EMTVolunteer/EMT
    National Testing Required YesNo
    CPAT Required YesNo


    Required Shifts per Month 1234567
    Amount of reimbursement every 6 months $200$300$400$500$600$700
    Maximum Reimbursement Payout
    List other requirements for reimbursement