Employment Application-Firefighter

Please answer all of the questions thoroughly in an effort to help us learn about your qualification

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* 1. Please list your personal data

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Are you legally authorized to work in the United States?

Yes

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* 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

Other (please specify)

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* 4. Do you have a valid drivers licence? If so, please list your drivers licence number.

Yes

Valid drivers licence number

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* 5. Please list your educational background

Name and address of school

Dates attended

Field of study degree or certificate

Graduated year

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* 6. Please list your military service

Branch

Dates

Duties-Special Training

Type of discharge

Rank at discharge

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* 7. Please list any special skills and activities you may possess that will help evaluate your qualifications?

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* 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

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* 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

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* 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

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* 11. Please list three personal references

Name, address, and contact information

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* 12. Any additional information you would like to provide

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* 13. The following information MUST be uploaded in a single PDF file order to complete your application:

Personal resume, copy of valid drivers licence(NC Class B required within 12 months of employment), copy of highest educational diploma or degree, a certified 5 year driving record, Firefighter Level II Certification (IFSAC, ProBoard, DOD), NC EMT Certification, Hazardous Materials Operations Certification (IFSAC, ProBoard, DOD), NIMS 100, 200, 700, 800 Certifications, TR and TR Vehicle Certifications (IFSAC, ProBoard, DOD)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

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