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South Santa Clara County
Fire District
www.ssccfd.org
Paid Called Firefighters
 Interest Form
The South Santa Clara County Fire District/Paid Call Firefighters are a professional group that
strives for the best in everything they do. If you feel that you can meet the challenge and want to
join the best, fill out this form completely. Should we have an opening, we’ll send you an
application package and then, maybe you’ll become one of us, a Paid Call Firefighter

Listen to audio CAPTCHA
Birth date:

Do you possess a class A, B, or C license?

First Name:

Street Address:

City:

E-mail address:
State:
Zip Code:

Are you a current First Responder, EMT, or Paramedic?

Important Please Read, Then Submit:
I understand, by filling out this interest form, I am in no way guaranteed
employment by the South Santa Clara County Fire District, Paid Call
Firefighters. This form is only to express interest in applying for a possible
firefighter position. I also understand that this interest card will be
maintained by the PCF for no more than 2 years.
If you have firefighting experience, how many years have you been a firefighter, or have you been to a Fire Academy or Fire Technology college?
Are you interested in becoming a Firefighter Associate?:
(Associates assist PCF with no medical or fire experience needed)
Do you posess a tanker endorsement?

Last Name:

Home Telephone:

Cellular Telephone:

Yes

No

No

Yes

How did you hear about the opportunity of becoming a Paid Call Firefighter?

Please enter the letters in the box: