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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. Do you have a High School diploma or equivalent? (This is required)
  2. Yes
    No
  3. Are you an IFSAC certified Firefighter I, or have you completed Firefighter I course meeting NFPA 1001 standard from an accredited educational facility?
  4. Yes, I am an IFSAC certified Firefighter I
    No, I am not an IFSAC certified Firefighter I, or have not completed Firefighter I courses meeting NFPA 1001 standard from an accredited educational facility.
    Yes, I have completed Firefighter I and Hazardous Materials Operations courses meeting NFPA 1001 standard from an accredited educational facility.
  5. Do you hold a certificate for Hazardous Materials Operations or have you completed Hazardous Materials Operations courses meeting NFPA 1001 standard from an accredited educational facility?
  6. Yes, I hold a certificate for Hazardous Materials Operations.
    No I do not hold a certificate for Hazardous Materials Operations or have not completed Hazardous Materials Operations courses meeting NFPA 1001 standard from an accredited educational facility.
    Yes, I have completed Hazardous Materials Operations courses meeting NFPA 1001 standard from an accredited educational facility.
  7. Do you have Firefighter II certification from any IFSAC approved organization?
  8. Yes
    No
  9. Are you certified as an EMT (minimum), AEMT, or Paramedic through the State of Kansas Board of EMS (BEMS)? (This is required)
  10. Yes
    No
  11. Are you currently CPAT certified?
  12. Yes
    No
  13. What is your highest level of education completed?
  14. High School
    Associates Degree in Fire Science
    Bachelor's Degree
    Master's Degree
    None of the above (A HS Diploma is required)
  15. Do you have a valid Kansas Driver's License and a good driving record?
  16. Yes
    No
  17. If you answered "no" to the question above, please explain. If you answered yes, put n/a.
  18. Are you currently a volunteer or paid part-time member of Derby Fire & Rescue Department?
  19. No
    Yes, 0-5 years
    Yes, more than five years
  20. How many years of experience (full-time, part-time, or volunteer) do you have with an organized fire department?
  21. I have less than one year of experience.
    I have between one and three years of experience.
    I have between three to five years.
    I have more than five years of experience.
  22. Please describe your previous fire service experience. (Provide position title and name of employer).
  23. Do you fluently speak any language in addition to English? If so, which language(s)? (Use n/a if you only speak English).
  24. Do you have a family relationship (include in-laws and all relatives) with any current employee of the City of Derby?
  25. Yes
    No
  26. If you answered "yes" to the above question please provide the employee's name. If none, use n/a.
  27. How did you hear about this open position?
  28. Are you currently drawing money from a KPERS retirement benefit?
  29. Yes
    No