Holtville/Slapout Fire & Rescue Inc.
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Holtville/Slapout Fire & Rescue Inc. Application Form
(This form is sent directly to Chief Gregg.)
First Name: Last: MI:
Name Preferred To be Called:
Gender: Male Female
Race:
Date Of Birth:
Home Address: (Please Include City & Zip)
Spouses Name:
Have you ever been in a Fire or Rescue Department? YesNo
If So, Where?
Do you have any training related to the fire or rescue services? YesNo
If So, What?
Have you ever been Dismissed from a Fire or Rescue Department? YesNo
If So, Why?
Do you have any physical limitations that would limit your role in the Department? YesNo
Are you on any Medication? YesNo
Have you ever been Convicted of A Crime? YesNo
Tell us how to get in touch with you:
What field would you most be interested in?
Mailing Address: 5615 Ceasarville Road Wetumpka, Alabama 36092
Phone: 334-569-2461
E-mail Chief Gregg
NEW RESCUE 625 PHOTOS Now Online
625 Drawings-PDF
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Mt. Hebron Property Burn -Fire Training
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FIRE ALERT LIFTED
Fire Alert Lifted for Remaining 17 Alabama Counties ....ALBAMA FORESTRY COMMISSION For Immediate Release September 21, 2007- View More Here
Chief: Forrest B. Gregg Assistant Chief: Jason Culpepper Captain: Dale Grimes Lieutenant:
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Merchandise Here»
Merchandise featuring HSFD Patch, Fire Photos, & Station 6 Bulldog can be purchased from our cafepress stores!
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