Get Form Di4 1022

Filling out Form Di4 1022 online is a crucial step for individuals seeking to engage in firefighter training. This guide provides step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to fill out Form Di4 1022 online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Review the Applicant Information section. Fill in your full name, application date, address, phone number, Social Security Number, email, and driver's license information. Ensure that you provide accurate and current details, especially regarding your residence.
3. In the Emergency Contact Information section, enter the full name, relationship, and phone number of your emergency contact. This should be a person who can be reached in case of an emergency.
4. Complete the Education & Certifications section by circling your highest level of education and attaching copies of any relevant certifications. Make sure to include any certifications for Firefighter I, Firefighter II, EMT, or Paramedic.
5. Provide details in the Personal References section by listing two professional references, including their full names, relationships to you, and contact information.
6. Fill in your Employment History, detailing your current and previous employers. Include the names, addresses, phone numbers, supervisors, positions held, years of employment, and responsibilities.
7. Answer the Criminal History questions honestly, providing explanations as needed. This includes any pled of guilty, convictions, or current legal violations.
8. Complete the Relative or Family Firefighter Information section if applicable, mentioning any family members currently employed with the Palm Beach County Fire Rescue.
9. Provide a brief explanation of your reason for joining the reserve membership in the section provided. Highlight any skills or experiences that you believe would benefit the organization.
10. Choose your desired position in the Reserve Membership Selection section. Be mindful of the minimum requirements listed for each position.
11. Read and sign the Applicant Signature section to confirm all information is accurate. Ensure you understand the implications of your signature and the risks associated with being a reserve member.
12. Lastly, complete the Tobacco Affidavit portion if required and provide necessary signatures, including that of a witness.
13. After ensuring all sections are filled accurately, you can save your changes, download, print, or share the completed form.

Start filling out your Form Di4 1022 online now to join the Palm Beach County Fire Rescue team.