EMPLOYMENT APPLICATION
____________________________________________________________________________
SECTION ONE - PERSONAL INFORMATION
1.1) First Name:
1.2) Last Name:
1.3) Date of Birth:
1.4) Residential Address:
1.5) Contact Number:
1.6) Do you possess a valid drivers license?:
1.7) If yes, please provide an image:
1.8) Weight (lbs):
1.9) Height (F' IN''):
2.1) Do your currently possess a High School Diploma, or a G.E.D.?:
2.2) What High School did you attend?:
2.3) Have you completed any college classes?:
2.4) If yes, please list your completed classes, and degree level:
3.1) Have you ever been issued a traffic citation?:
3.2) If yes, for what?:
3.3) Have you ever been convicted of a crime?:
3.4) If yes, what crime(s)?:
4.1) Why do you want to become a Fire Fighter/EMT? (min. 100 words):
4.2) What does being a Fire Fighter/EMT mean to you? (min. 50 words):
4.3) What qualities and/or skills can you bring to this department? (min. 50 words):
4.4) Do you consider yourself a team player, or a lone wolf? Please explain your answer (min. 50 words):
I certify that the information given by me in this Application is true and correct. I understand and agree that if I provide any false or misleading information on this Application or in my pre-employment interviews, it may result in the revocation of an offer of employment or an immediate termination of my employment with the San Fierro Fire Department, regardless of when it is discovered. I hereby authorize my prior employers, all educational institutions that I have attended, and all individuals whom I have listed as references herein, to supply to San Fierro Fire Department Recruitment Staff, any and all information that they may have regarding my past employment, education, experience, and qualifications.
I hereby authorize the San Fierro Fire Department Recruitment Staff to investigate and obtain any and all oral and documentary information regarding my past employment, education, experience, and qualifications. I hereby release and agree to indemnify and hold harmless the San Fierro Fire Department and all such prior employers, educational institutions, and individuals from any and all liability for providing any information regarding my past employment, experience, and qualifications.
I also hereby authorize the San Fierro Fire Department to investigate and review my criminal records. I request, authorize, and consent to the release of any and all such information to San Fierro Fire Department consistent with state and federal laws and hereby release and agree to indemnify and hold harmless every person or entity that communicates such information to the San Fierro Fire Department from any and all liability for providing any information regarding my credit history or criminal records.
I understand and agree that, if I become employed by the San Fierro Fire Department I will be employed on an "at-will" basis. This means that my employment may be terminated by either the San Fierro Fire Department or me at any time, with or without cause, and with or without advance notice. I further understand and agree that the Department may demote or discipline me, or take other actions with respect to my employment, in its sole discretion, with or without cause, and with or without advance notice. I also understand that no person, other than the Chief of the San Fierro Fire Department, has the authority to modify the terms of my at-will employment and that any such modification will not be binding unless it is in writing and signed by the Chief or Assistant Chief. No one has made any promises or commitments to me contrary to foregoing. Please sign below that you are aware and understand all parts of the Applicants Statement.
Signature:
Date:
6.1) Country of Residence:
6.2) Current Timezone (UTC):
6.3) Date of Birth & Age (DD/MM/YYYY):
6.4) Forum Profile (BARP): ACCESS
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EMPLOYMENT APPLICATION
____________________________________________________________________________
SECTION ONE - PERSONAL INFORMATION
1.1) First Name:
1.2) Last Name:
1.3) Date of Birth:
1.4) Residential Address:
1.5) Contact Number:
1.6) Do you possess a valid drivers license?:
1.7) If yes, please provide an image: INSERT IMAGE URL
1.8) Weight (lbs):
1.9) Height (F' IN''):
SECTION TWO - EDUCATION
2.1) Do your currently possess a High School Diploma, or a G.E.D.?:
2.2) What High School did you attend?:
2.3) Have you completed any college classes?:
2.4) If yes, please list your completed classes, and degree level:
SECTION THREE - CRIMINAL BACKGROUND
3.1) Have you ever been issued a traffic citation?:
3.2) If yes, for what?:
3.3) Have you ever been convicted of a crime?:
3.4) If yes, what crime(s)?:
SECTION FOUR - MOTIVATIONAL SECTION
4.1) Why do you want to become a Fire Fighter/EMT? (min. 100 words):
4.2) What does being a Fire Fighter/EMT mean to you? (min. 50 words):
4.3) What qualities and/or skills can you bring to this department? (min. 50 words):
4.4) Do you consider yourself a team player, or a lone wolf? Please explain your answer (min. 50 words):
SECTION FIVE - DECLARATION SECTION
I certify that the information given by me in this Application is true and correct. I understand and agree that if I provide any false or misleading information on this Application or in my pre-employment interviews, it may result in the revocation of an offer of employment or an immediate termination of my employment with the San Fierro Fire Department, regardless of when it is discovered. I hereby authorize my prior employers, all educational institutions that I have attended, and all individuals whom I have listed as references herein, to supply to San Fierro Fire Department Recruitment Staff, any and all information that they may have regarding my past employment, education, experience, and qualifications.
I hereby authorize the San Fierro Fire Department Recruitment Staff to investigate and obtain any and all oral and documentary information regarding my past employment, education, experience, and qualifications. I hereby release and agree to indemnify and hold harmless the San Fierro Fire Department and all such prior employers, educational institutions, and individuals from any and all liability for providing any information regarding my past employment, experience, and qualifications.
I also hereby authorize the San Fierro Fire Department to investigate and review my criminal records. I request, authorize, and consent to the release of any and all such information to San Fierro Fire Department consistent with state and federal laws and hereby release and agree to indemnify and hold harmless every person or entity that communicates such information to the San Fierro Fire Department from any and all liability for providing any information regarding my credit history or criminal records.
I understand and agree that, if I become employed by the San Fierro Fire Department I will be employed on an "at-will" basis. This means that my employment may be terminated by either the San Fierro Fire Department or me at any time, with or without cause, and with or without advance notice. I further understand and agree that the Department may demote or discipline me, or take other actions with respect to my employment, in its sole discretion, with or without cause, and with or without advance notice. I also understand that no person, other than the Chief of the San Fierro Fire Department, has the authority to modify the terms of my at-will employment and that any such modification will not be binding unless it is in writing and signed by the Chief or Assistant Chief. No one has made any promises or commitments to me contrary to foregoing. Please sign below that you are aware and understand all parts of the Applicants Statement.
Signature:
Date:
(( SECTION SIX - OUT OF CHARACTER ))
6.1) Country of Residence:
6.2) Current Timezone (UTC):
6.3) Date of Birth & Age (DD/MM/YYYY):
6.4) Forum Profile (BARP): ACCESS
(( Application Title must be: "Firstname Lastname" ))