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Please fill out the following application.  When done- click on the Submit button at the bottom and we will contact you.  If you are not contacted within 48 hours, please leave a message at 281-675-3600.

Thank you!

Home                Employee Requirements    Volunteer Requirements

Is this application to become a Volunteer, or a part time  Employee?

Volunteer      Part Time Employee 

Personal Information:

Name
Address 1
Address 2
City, State, Zip
Age
E-mail
Tel
FAX
Drivers License
SSN
Education

What is your current Certification / Licensure Level?

Other:

Do you Currently Run with a 911 or transfer EMS service?

No        Yes: Firm Name:

I understand that (please check as appropriate):

        I will take a drug screen Urine / Blood test
        My driving record will be checked
        My background will be checked.

I am interested in getting more information only, not in applying directly.

For Employee applicants:

Previous / Current Employer:

Name:    
Address: 
Please  Do    Do not   contact my employer.

References we may contact with phone number or address:

           

Home                Employee Requirements    Volunteer Requirements
Revised: April 25, 2008 .
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