TRANSFER REQUEST

TRANSFER REQUEST

Complete form to apply for a TRANSFER to White Marsh, Baltimore County Station 20.

Transfers are welcome from all jurisdictions and stations. Firefighter I is a minimum requirement for Suppression Personnel. EMT is a minimum requirement for EMS.

Additional training can be provided to obtain Baltimore County prerequisites. A physical will be required where a current Baltimore County Physical is absent.

Upon completion of the Transfer Request, you will be contacted by White Marsh staff personnel via email.

First Name*

M.I.

Last Name*

DOB*

Email*

Address (Include Number, Street, City, State, Zip)*

Phone number*

Phone

Education*

Select

Current Jusisdiction*

Select

Current Station*

LOSAP (Baltimore County only)

Fire Certs

Select or enter value

EMS Certs

Select or enter value

Years of Experience*

Have you ever been suspended or dismissed from any other fire/EMS company?*

Select

If you answered yes above, please explain.

Why do you wish to transfer?*

Will you also be staying at your current station?*

Select or enter value

By signing this form, I acknowledge that all information contained within this application is correct and accurate to the best of my abilities. I understand that omission of facts or misrepresentations may nullify my application. Type name for electronic signature.*

Send me a copy of my responses

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