Garner Fire-Rescue Firefighter Employment Application Please answer all of the questions thoroughly in an effort to help us learn about your qualification Question Title * 1. Please list your personal data Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Email Address Phone Number Question Title * 2. Are you legally authorized to work in the United States? Yes No Question Title * 3. HAVE YOU SINCE THE AGE OF 18 EVER BEEN CHARGED AND/OR CONVICTED OF A MISDEMEANOR, FELONY, OR TRAFFIC VIOLATION? (CONVICTION WILL BE JUDGED ON ITS OWN MERIT WITH RESPECT TO TIME, CIRCUMSTANCES, AND SERIOUSNESS) IF YES, PLEASE DESCRIBE Yes No Other (please specify) Question Title * 4. Do you have a valid drivers licence? If so, please list your drivers licence number. Yes No Valid drivers licence number Question Title * 5. Please list your highest level of completed education Name and address of school Dates attended Field of study degree or certificate Graduated year Question Title * 6. Please list your military service Branch Dates Duties-Special Training Type of discharge Rank at discharge Question Title * 7. Please list any special skills and activities you may possess that will help evaluate your qualifications? Question Title * 8. Employment History (Please list your work history starting with your present or last employer) Company name Company address Position or title Description of duties Dates of employment (Hire and end) Immediate supervisor Final rate of pay Reason for leaving Question Title * 9. Employment History (Please list your work history starting with your present or last employer) Company name Company address Position or title Description of duties Dates of employment (Hire and end) Immediate supervisor Final rate of pay Reason for leaving Question Title * 10. Employment History (Please list your work history starting with your present or last employer) Company name Company address Position or title Description of duties Dates of employment (Hire and end) Immediate supervisor Final rate of pay Reason for leaving Question Title * 11. Please list three personal references Name, address, and contact information Name, address, and contact information Name, address, and contact information Question Title * 12. Any additional information you would like to provide Question Title * 13. Please attach personal resume PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please attach personal resume Question Title * 14. Please attach a copy of driver's license PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please attach a copy of driver's license Question Title * 15. Please attach a copy of high school diploma or GED. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please attach a copy of high school diploma or GED. Question Title * 16. Please attach all relevant firefighter certifications and or transcript. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please attach all relevant firefighter certifications and or transcript. Question Title * 17. Please attach a copy of your EMT Certification PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please attach a copy of your EMT Certification Question Title * 18. Please attach a copy of your Hazardous Materials Operations Certification PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please attach a copy of your Hazardous Materials Operations Certification Question Title * 19. Please attach a copy of your NIMS 100, 200, 700 and 800 Certification or transcript as one document. PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please attach a copy of your NIMS 100, 200, 700 and 800 Certification or transcript as one document. Question Title * 20. Please attach your TR or TR Vehicle Certifications PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please attach your TR or TR Vehicle Certifications Question Title * 21. Please attach any additional information PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only. Choose File Choose File No file chosen Remove File Please attach any additional information Done