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2. First Name*

   Please enter your first name. Required field.

3. Last Name*

   Please enter your last name. Required field.

5. Phone Number*

   Format: 123-456-7890. Required field.

6. Email Address*

   Enter a valid email address (e.g., name@example.com). Required field.

8. Is there anything you’d like to know about working for the City of Battle Creek Fire Department?

   Please enter your question about working for the City of Battle Creek Fire Department. Optional field.

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10. 1. Receive an email copy of this form.
11. Email address

    This field is not part of the form submission.

12. Submit

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