Fire Recruit Information Form

Best time to call: SelectAMPMAnytime

1. Confidentiality is imperative between you the recruit / probationary, and your mentor.
Barring any safety issue to recruit/probationary/mentor/other crew members – will you be able to maintain confidentiality? SelectYesNo


I have read and signed the Confidentiality Agreement. Initial_____ SelectInitial YesInitial No


2. I have read the Mentor Program Guidelines. Initial_____ SelectInitial YesInitial No


3. I understand that the DFD probationary period, all JPR's, any requirements provided by the Training Division, and final Probationary Exam and MY responsibility to successfully complete probation. Initial_____ SelectInitial YesInitial No

Your mentor will NOT be held responsible for you not meeting your required responsibilities.

4. If at any time you are unsatisfied with your assigned mentor, it is YOUR responsibility to contact the Mentor Program Coordinators and request appropriate consultation to resolve any issues or reassignment. Initial_____ SelectInitial YesInitial No

5. Please list specific skills you foresee yourself needing assistance with:

6. Please select ALL that apply: (used only to try to best pair Mentors w/ Mentee)

Are you a Cadet? SelectYesNo

Do you have family on DFD? SelectYesNo

Did you have a Lateral Transfer? SelectYesNo

Do you have Military Experience? SelectYesNo

Did you move from out of state for employment with DFD? SelectYesNo

Did you work for another Fire Dept. before hired with DFD? SelectYesNo

Do you have kids?" SelectYesNo

What is your Marital Status? SelectSingleMarriedDivorced