Phone___________________ Years Known ____________
Have you ever been arrested? Y__ N __ if yes explain where and why? ______________________________________________________________________________________________________________________________________________________________
Have you had your driver’s license suspended or revoked? Y___ N____ If yes explain where and why?________________________________________________________________________________________________________________________________________________________
List all traffic citations received in past 3 years _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
I ___________________ , in return for recognition with the Florida State Fire Marshals Office and to maintain my reserve status as a member of the South Bay Fire Department, will do the following
A: Complete all training and assignments assigned to me in a proficient manner.
B: Will complete a minimum 48 hours of scheduled shift time each month (consisting of at least two 24 hour periods) to gain recognition as a Firefighter with the City of South Bay.
C: Will represent the City in the most up most and professional manner at all times.
By signing this I agree with and understand what is expected of me and will do my best to fulfill theses expectations.