Please fill out our application form below. We look forward to hearing from you! Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 4Applicant Info Name *FirstLastPhone * License If of Home Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate of Birth *Last 4 Digits of SSN *Next Employment Employer *City *Does your employer know of your decision to apply for a membership? *YesNo Driver's License Driver's License Number *DL State *Expiration *Restrictions *Endorsements *Do you have any records of arrests or traffic violations? *YesNoIf yes, please explain:Next Health Physician *Address *Do you have any health conditions or limitations that may affect your safety or performance? *YesNoIf yes, please explain:Emergency Contact Name *FirstLastAddressAddress Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeRelationshipPhoneNextAgreements As a member of De Soto Fire & Rescue, you will be required to maintain a good standing within the Fire Department. With that, you will need to respond to at least 10% of the calls within a year, and maintain the state minimum training requirements of 24 hours. Will you be able to meet these requirements? *YesNoYou are hereby notified that your driving record and criminal history will be investigated by the City of DeSoto. Individual character and community standing will also be considered in the application process. All background checks will be completed in accordance with the DeSoto Fire & Rescue Department bylaws. Your driving record will be examined for traffic violations and/or accidents, on and off the job, before you may operate the city’s equipment, and annually thereafter. Verification *I am applying for membership in the DeSoto Fire & Rescue Department. I agree to abide by the Constitution, Bylaws, and rules set forth by the Fire Chief and Members.Applicant Name *Date / Time *Signature * Clear Signature Captcha *What number should you call in an emergency? PreviousSubmit