Also, attach any certificates, etc. that you want to be considered with your application. List last two employers or employer for past 5 years. If accepted as a member it will be necessary to supply the fire department with my Social Security number and Driver's License number. Further, I certify that all of the information furnished on this form is true, complete, and correct to the best of my knowledge. I understand that all information is subject to verification by the Donald Wescott Fire Protection District.
False information is cause for rejection of application.