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Employment Application
Please answer all of the questions thoroughly in an effort to help us learn about your qualifications
1.
Please list your personal data
Name
Company
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
2.
Are you legally authorized to work in the United States?
Yes
No
3.
HAVE YOU SINCE THE AGE OF 18 EVER BEEN CHARGED AND/OR CONVICTED OF A MISDEMEANOR OR FELONY? (CONVICTION WILL BE JUDGED ON ITS OWN MERIT WITH RESPECT TO TIME, CIRCUMSTANCES, AND SERIOUSNESS) IF YES, PLEASE DESCRIBE
Yes
No
Other (please specify)
4.
Do you have a valid drivers licence? If so, please list your drivers licence number.
Yes
No
Valid drivers licence number
5.
Please list your educational background
Name and address of school
Dates attended
Field of study degree or certificate
Graduated year
6.
Please list your military service
Branch
Dates
Duties-Special Training
Type of discharge
Rank at discharge
7.
Please list any special skills and activities you may possess that will help evaluate your qualifications?
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
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
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
11.
Please list three personal references
Name, address, and contact information
Name, address, and contact information
Name, address, and contact information
12.
Any additional information you would like to provide
13.
The following information MUST be uploaded in a single PDF file order to complete your application:
Personal resume, copy of valid drivers licence, copy of highest educational diploma or degree, a certified 5 year driving record, Fire Officer II Cert., and CFAI Quality improvement through accreditation workshop certificate
Choose File
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