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PER$©NA.L; <br /> <br />Do you hold a valid Minnesota Drivers' License? Yes. <br /> <br />If yes, what drivers' license class? <br /> <br />Have you ever taken any first aid training classes? 5'es. ,/ <br />If 5'es, what classes? O_._,{)~,. <br />Have you ever been part of a fire department or rescue squad? Yes <br /> <br />No. <br /> <br />No, <br /> <br />No <br /> <br />If yes, where and when? <br /> <br />List any special skills or hobbies that you have that may pertain to the fire service: <br /> <br />Have you ever been convicted of a felony? <br />If yes, explain' <br /> <br />Yes No <br /> <br />Do you consent to a character investigation? <br />In case of emergency, notify: <br /> <br />Yes v/' No <br /> <br />Phone No. 323-qOg 3 <br /> <br />I hereby certify that all statements are complete and true to the best of my knowledge. <br /> <br />Signature ~k_~l Date <br /> <br /> <br />