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2. If you are between the ages of 14 and 20 and are interested in a career in fire or emergency services, please complete the form below for more information on the Greenville City Fire Explorers program. Applicants will be notified by email.
4. First Name*
5. Last Name*
7. Address1*
9. Address2
11. City*
12. State*
13. Zip*
15. Telephone Number*
16. Date of Birth*
18. Email*
19. Confirm Email*
21. Gender

    1. Male
    2. Female
22. Are you a U.S. citizen?

    1. Yes
    2. No
23. Race
    -- Select One --American Indian/AlaskanAsianBlack/African AmericanHawaiian/Pacific IslanderHispanicTwo or More RacesWhite
24. How did you hear about us?
    -- Select One --Job/career fiarGCFD recruitersFlyerWebsiteFamily/FriendsSocial MediaOther
26. Parent/Guardian Name*
28. Parent/Guardian Email*
30. Parent/Guardian Telephone Number*
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field