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National Fire Select Test Application Form

Please complete the form below. When you click 'Submit' your credit card will be charged $24.95 for the test fee.
RED indicates REQUIRED fields that must be filled out before your registration will be processed. We strongly encourage you to read the FAQs on the NFST website prior to submitting your payment and registering for the online test. Once your credit card request is processed, there will be no refunds for any reason.
APPLICANT INFORMATION  
Name:
Address 1:
Address 2:
City:
State/Province:    Zip/Postal Code:
Phone #:
Cell Phone #:
  Your e-mail address will be used as your unique identifier, therefore, only one e-mail address can be associated with one individual.
E-mail Address:
Confirm E-mail Address:
Date of Birth:   
(Note: Most departments require applicants to be 18-40 years of age at the time of hire.)
Are you a U.S. citizen? Yes No
Are you available to work immediately? Yes No
If no, please enter the date you will be available to start work? (MM/DD/YYYY)
Are you willing to take an on-site confirmatory test, if a department required? Yes No

If 'Yes' please specify region(s) you're willing to travel to re-test:
[Ctrl-Click to select more than one]
Are you willing to relocate, if the job required? Yes No

If 'Yes' please specify region(s) you're willing to relocate:
[Ctrl-Click to select more than one]
Class of Drivers License(s): A B C None
(Note: Class should be listed on your driver's license)
What is your highest level of Emergency Medical certification? None AHA or ARC CPR Medical First Responder
EMT-1 or EMT-B EMT-Paramedic
What level of Firefighter certification(s) do you possess? None
IFSAC Firefighter Academy
Firefighter-I in (type State abbreviation)
Firefighter-II in (type State abbreviation)
Do you have a current Physical Ability Test certification card? Yes No
If 'Yes' please specify provider:
Please specify your highest level of education completed:
Volunteer Experience:
Part-Time Experience:
Paid-Call Experience:
Seasonal Experience:
Full-Time Experience:
Other Certifications/Training EVOC HazMat FRO
Driver Operator Pump Operator Rescue Systems I
Are you bi-linqual or multi-lingual? Yes No

If 'Yes' please select languange you are fluent in other than English:
[Ctrl-Click to select more than one]
STATISTICAL INFORMATION In order to regularly evaluate the National Fire Select Test for fairness across all ages, genders, and ethnicities, we monitor scores and any occurrences of adverse impact. The following information is collected for statistical purposes only.
Gender: Male Female
Ethnic Origin:
SPECIAL OFFER:

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NOTE: No payment information will be shared! You will not be required to cancel this trial at the end of the FREE period. Only your subscription information will be shared with FireRecruit.com. FireRecruit.com will offer an extension if you wish to continue the membership. This is a "no strings attached" trial offer.
PAYMENT INFORMATION (We accept American Express, Visa, MasterCard, and Discover)
Type of Credit Card:
Credit Card Number:
Expiration Date:    
3- or 4-Digit Verification Code:  What is this?
Coupon Code (if any):   
CARDHOLDER INFORMATION  
Name on Card:
Billing Address:
City:
State/Province: Zip/Postal Code:
Phone #:

Terms and Conditions: I certify that the information above is correct and true to the best of my knowledge. By checking the box below and submitting this form electronically, I authorize Fire & Police Selection, Inc. (FPSI) or any of its authorized agents to obtain and verify any of the information submitted. Any maliciously false information submitted will be grounds for dismissal from the examination process. I also authorize FPSI to charge the $24.95 application fee for permission to take this test. I understand that refunds are not offered if I opt to not take this test.

IMPORTANT: Click the 'Pay Now' button to submit your payment. You will receive an e-mail containing a unique PIN and instructions on how to proceed to the online National Fire Select Test site. If you do not receive this e-mail within a few minutes of clicking the 'Pay Now' button, please check your junk or spam folder first. If you still cannot locate the e-mail, please e-mail us at info@fpsi.com


By clicking the "Pay Now" button, you are authorizing FPSI to charge your credit card $24.95 to cover your National Fire Select Test and Application fees.

Click the "Pay Now" button only once. Multiple clicks may result in multiple charges to your credit card. National Fire Select is not responsible for and will not refund any extra charges if an applicant clicks on the Submit button more than once.

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