Firefighter/Engineer - Firefighter/Engineer/Paramedic Supplemental Questionnaire Required

• The Minimum Qualification Questionnaire will be used to determine if you meet the minimum qualifications for this position. Be sure to follow the directions very closely.
• It is your responsibility to ensure you are accurate in your responses and that you answer each part of the question completely. Many questions are multi-part and incomplete answers to the questionnaire will not be considered qualifying.
• The City is not able to answer questions about whether individuals meet the minimum qualifications during the application process.
• If a question does not apply to you, you may leave it blank or type N/A.

1. Are you on the Firefighter Candidate Testing Center’s (FCTC) Statewide Eligibility List (SEL)?

Yes

2. If you answered “no” to question 1, what date are you scheduled to take the FCTC test?

3. Do you have a valid Paramedic License?

Yes

4. If you answered “yes” to question 3, list the Paramedic License number.

5. Do you have a valid Emergency Medical Technician certificate?

Yes

6. If you answered “yes” to question 5, list the EMT certification number.

7. Do you possess a valid Candidate Physical Ability Test (CPAT) dated within 12 months?

Yes

8. Do you possess, or have the ability to obtain, a valid California driver’s license?

Yes

9. Check each option below where the statement accurately applies to your qualifications. If A, B, or C do not accurately apply to your qualifications, select option D.

A) Minimum of 30 semester college units. Completion of college credits in the study of Fire Science or similar field.

B) High School Diploma OR equivalent (G.E.D. or California Certificate of Proficiency).

C) Successful completion of a Firefighter 1 equivalent training program, OR possession of a California State Fire Training Firefighter 1 certificate.

D) None of the above options apply to me.

10. If you answered A for question 9, list the institution(s) you attended, the number of units, the type of units (semester or quarter), and describe whether you took courses in the study of Fire Science or similar field.

11. If you answered B for question 9, list which you obtained (options to list include: a High School Diploma, a G.E.D, or California Certificate of Proficiency).

12. If you answered C for question 9, list whether you have a California State Fire Training Firefighter 1 Certificate, OR list details about the Firefighter 1 equivalent training program you attended.

13. If you answered D for question 9, describe in detail the experience and training which demonstrates you possess the required knowledge and ability for the position.

14. Supplemental Qualification Question (optional): If you are currently in progress to obtain or complete any of the above certifications/licenses, please describe, and include the expected date of completion.

15. Supplemental Qualification Questionnaire (optional): If you are currently an accredited Paramedic, in what State and County are you accredited?

16. Supplemental Qualification Question (optional): If you are currently an accredited Paramedic, do you have a valid Pediatric Advance Life Support (PALS) certificate? If yes, please attach.

Yes

17. Supplemental Qualification Question (optional): If you are currently an accredited Paramedic, do you have a valid Prehospital Trauma Life Support (PHTLS) certificate or International Trauma Life Support (ITLS) certificate? If yes, please attach.

Yes

18. Supplemental Qualification Questionnaire (optional): If you’re an accredited Paramedic, do you have a valid Advance Cardiac Life Support (ACLS) certificate? If yes, please attach.

Yes

For any minimum qualifications that have licenses, certificates, diplomas, degrees, or transcripts, it is required that you upload corresponding attachments for your application to be considered complete. These documents will be reviewed and verified as part of the minimum qualification screening, and will include some combination of the following:
A. Valid Paramedic License
B. Valid EMT Certificate
C. Candidate Physical Abilities Test (CPAT)
D. College transcripts or diploma being used to satisfy 30 semester unit / 45 quarter unit qualification
E. High school diploma, G.E.D, or California Certificate of Proficiency
F. Proof of completion of a Firefighter 1 equivalent training program, or California State Fire Training Firefighter 1 Certificate