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2. First Responder Employment Information Request
6. First Name*
7. Last Name*
9. Phone Number
11. Your Email Address*
    Please enter your email address for a reply.
13. I prefer to be contacted by:*

    1. Email
    2. Phone Call

    1. Text Message
    2. Any Method
17. I would like more information on careers in:*

    1. Corrections
    2. Dispatching (Communications Officer)
    3. Emergency Medical Service (EMS)

    1. Firefighting
    2. Law Enforcement
19. I have previously worked as a first responder.*

    1. Yes
    2. No
21. My experience as a first responder is:*

    1. Less than 1 Year
    2. 1 to 5 Years
    3. 6 to 10 Years

    1. 10 to 15 Years
    2. More than 15 Years
23. Do you have any certifications in your field? (Examples include having a POST certification or having an Emergency Medical Technician certification.)*

    1. Yes
    2. No
25. Have you ever worked for the Camden County Board of Commissioners or the Camden County Sheriff's Office?*

    1. Yes
    2. No
29. Comments
33. Disclaimer: Information submitted on this form will be sent via email. To protect sensitive information, do not send the following information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, medical information, passport numbers, and passwords.
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35. 1. Receive an email copy of this form.
36. Email address

    This field is not part of the form submission.

37. Submit Submit and Print

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