Reserve Application

Thank you for your interest in becoming a Reserve Firefighter for the Eureka Fire Protection District.   For an application to be fully processed, a Criminal Background Records Check and Drivers License Check will be run on you at your expense from Goodhire. The cost for these checks is $50.00 payable at the time of your interview.

If Present Address is less than 3 years, please list previous address.

Are you at least 18 years of age?
Are you a citizen of the U.S.?
EMERGENCY CONTACT INFORMATION
EDUCATION
EMPLOYMENT RECORD

Please list present and past employment from the most current to last. 

MILITARY SERVICE RECORD
REFERENCES

Please list names of three persons not related to you, whom you have known for at least 3 years.

TERMS & CONDITIONS

Please acknowledge the statements below by checking each box. 

Your application has been sent. One of our staff members will contact you soon. If you need immediate assistance, please call us at 636-938-5505.​