Firefighter Application Packet

Please provide the following information. Once your EMT-B Certification is verified, you will be sent an application packet by electronic mail. It is important that you double-check your E-mail address for accuracy. Alternately, you can pick up an application packet at the City's Human Resources Department or at the Fire Department at 222 3rd Street NW, Cedar Rapids, Iowa.

First Name:

Last Name:

Address:

Address Line 2:

City:

State:
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Zip Code:

Daytime Phone Number:

Evening Phone Number:

E-Mail Address:


Choose your EMT-B Certification (required)
State of Iowa
National Registry