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Supplemental Questions
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You will be required to answer these questions as part of the application process.
  1. Are you a U.S. citizen? (Required)
  2. Yes
  3. Are you at least 18 years old? (Required)
  4. Yes
  5. Are you a high school graduate? (Required, GED accepted)
  6. Yes
  7. Do you have a valid Kansas Driver's License? (Required)
  8. Yes
  9. Do you live within 30 minutes lawful drive time from the closest Derby fire station? (Required)
  10. Yes
  11. Do you currently hold an IFSAC Firefighter I certificate? (Required)
  12. Yes
  13. Do you currently hold a Hazardous Materials Operations certificate? (Required)
  14. Yes
  15. Are you currently a member of the U.S. Armed Forces?
  16. Yes
  17. Have you, in the past, or are you currently involved in civil litigation?
  18. Yes
  19. Have you ever been convicted of a felony?
  20. Yes
  21. If you answered "yes" to the above question, please explain. If you answered "no", put n/a.
  22. Have you received a traffic citation in the last 36 months?
  23. Yes
  24. If you answered "yes" to the above question, please list the traffic citations you have received. It you answered "no", put n/a.
  25. Why do you want to become a member of Derby Fire Volunteer?
  26. Describe your background, or experience, in fire or any other related field which would be helpful in serving as a Derby Volunteer Firefighter?
  27. List any education or certification as it relates to the field of firefighting. If none, put "n/a".
  28. List qualities you feel you possess that are necassary to be a successful Volunteer Firefighter.
  29. What hours would you most be availabe for calls, during work hours?
  30. Will your employer allow you to respond to calls during work hours?
  31. Yes
  32. If you are late for work because of an emergency call will this be a problem with your employer?
  33. Yes