List the names of any firefighters that you know that are currently on or have been a member of this department:
List four persons who are NOT related to you and who have definite knowledge of your qualifications and fitness for the position for which you are applying. Do not repeat names of supervisors listed under Work Experience.
PLEASE READ CAREFULLY AND SIGN. The above information is true and complete, and I understand that any false information or omissions will be grounds for a refusal to hire me, or immediate discharge if hired. The MO Task Force 1 may review my previous employment, driving and criminal records, and other background data as it may relate to the position(s) for which I am applying.
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