Superior Fire Dept. Application

Please fill out this application. It will be forwarded to Chief Toms

Your Name

Address

City

Phone

Birthdate

Social Security Number

Drivers License Number and Expiration

List any Fire training below

Any Medical or EMT training?

Have you had Haz Mat training

Current employer

List References

Signature ( Typed name will indicate your signature)


Any information collected and processed is treated with the utmost respect and confidentiality. We will not sell or rent out any personal information gathered from applicants.