Online Interest Card

 
* Name-First and Last
 
* Phone Number
 
* Email Address
 
* Street Address
 
* City
 
* State
 
* Zip Code
 
* Area of Interest
 
* How did you hear about us?(Check all that apply)
Recruitment Video
Movie Slides
Readerboard
From Another Firefighter
Newpaper Ad
Social Media
Special Event
Mailer
Other
If other, please specify 
* What Fire District are you in?
Aumsville
Jefferson
Lyons
Scio
Stayton
Sublimity
Turner
I Don't Know?
Other
 
 

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