2. 
3. Kinston Department of Fire and Rescue
   P. O. Drawer 339, 401 E Vernon Avenue Kinston, North Carolina 28502 Office Phone: 252-939-3164 Fax Phone : 252-939-3157
5. Kinston Department of Fire & Rescue Employment Interest Form
7. Candidate's Information
8. Date of Interest*
   Date of Interest
10. Name of Candidate:*
11. Middle Name:
12. Last Name:*
14. Preference name to be called by:
16. Date of Birth:*
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17. Day:*
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18. Year:*
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20. Age of Candidate:*
    -- Select One --504948474645444342414039383736353433323130292827262524232221201918
21. Gender:*
    -- Select One --MaleFemale
23. Address:*
25. City:*
26. State:*
27. Zip Code:*
29. Contact Phone Number:*
30. Email Address:*
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32. 1. Receive an email copy of this form.
33. Email address

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34. Submit Submit and Print

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