Online Employment Application

    WE ARE AN EQUAL OPPORTUNITY EMPLOYER

    We consider applications for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital, veteran stations, or any other legally protected status.

    Basic Information

    Name:

    Date of Birth:

    Drivers License #:

    Your Address:

    Telephone Number:

    E-Mail Address:

    Are you currently employed?

    YesNo

    May we contact your present employer?

    YesNo

    Are you available to work?

    DayNightAny

    Have you ever been convicted of a felony?

    YesNo

    If Yes, please explain:

    Certifications

    Please select your EMS certification level:

    EMTEMT-PNone

    LICENSE INFORMATION

    State: License #:

    Please select your firefighter certification level:

    Firefighter 1Firefighter 2None

    Location of fire training:

    References

    Reference One

    Name: Telephone#:

    Address:

    Reference Two

    Name: Telephone#:

    Address:

    Reference Three

    Name: Telephone#:

    Address:

    Work Experience

    Job One

    Present Employer:

    Occupation:

    Telephone#:

    Supervisor:

    Address:

    Job Two

    Present Employer:

    Occupation:

    Telephone#:

    Supervisor:

    Address:

    Job Three

    Present Employer:

    Occupation:

    Telephone#:

    Supervisor:

    Address:

    Additional Information

    List any special talents:

    List any hobbies which may be of interest:

    Applicant's Statement

    I certify that answers given herein are true and complete to the best of my knowledge.
    I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

    I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

    In the event of employment, I understand that false or misleading information given in my application or interview (s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.


    If applying for a volunteer position:

    I understand that I will receive no payment for my service to the Fire District. I further understand that I will be required to obtain Fire Fighter I certification within my first year of service. I understand that the Fire District will provide the class for me free of charge. The only exceptions to this requirement are personnel serving as support staff.


    Type your name to sign:

    Enter date: