Before you get started, please read the agency information for each department for their requirements at

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1 2016 Open enrollment for Firefighter/EMT Recruitment Please read this information carefully. Welcome to the Bates Technical College joint recruitment testing process. Bates has teamed up with a consortium of Western Washington fire districts and cities to assist them in their hiring needs. There are no requirements of previous experience in the fire service field; however, there are some minimum requirements for each individual department. You must be at least 18 years of age on or before Feb. 5, 2016 to test. Before you get started, please read the agency information for each department for their requirements at General Information The non-refundable written exam fee: $75 The non-refundable CPAT fee: $119, only due if you pass the written test. DO NOT submit résumés or any other certificates, except for the following: IFSAC FF1 Washington state EMT or Paramedic, or National Registry EMT DD214, if claiming veteran s preference, points will be added to your scores by the departments. Getting Started Step 1: Read the agency information for each department s requirements: Step 2: Complete the application, make sure your s are correct, print, sign and send it in. Step 3: Attach only the certifications (not diplomas or completions) that are asked for (see above.) All résumés and extra certifications will be discarded. Step 4: Make sure your credit card information is complete or send cashier s check or money orders (no personal checks are accepted) for your non-refundable $75 testing fee. Step 5: Turn in your application packet by Feb. 5, It must be postmarked no later than 5 p.m. on Feb. 5. (Do not wait until the last minute. Act early and submit your application packet in advance of the deadline.) Applications will not be accepted at the Fire Departments. Please return your application packet to: Bates Technical College Fire Service Testing Bldg A 2201 S. 78 th St. Tacoma, WA You can also drop off your application packet during our office hours: Monday- Friday, 7:30 a.m.- 4:30 p.m. If you have any questions about this application please read the FAQ at ( before contacting Bates Fire Service Testing Department.

2 Test Information Order a study guide here: The written exam is scheduled for March 12, 2016 Test times are 8 a.m., 11:30 a.m., and 3 p.m. Bates will add additional test times or dates if needed based on the total number of applicants. (Please clear your schedules to attend the times listed above) Test times are NOT guaranteed, once your time is set it can t be changed due to the high volume of test takers. Applicants must pass the test and have a score of 80 percent to be considered to move forward in the application process. A CPAT orientation will be scheduled for all candidates the same day of the test, March 12. If you do not want to attend the orientation or practice please sign the waiver in the application. Testing Timelines Jan. 4 Feb. 13 By Feb. 27 March 1 March 12 March 13 By March 25 March 31 By April 1 April 16 April 17 By April 22 By May 1 May June 17 Application process opens. Application process closes. Bates will letters to applicants with written test times, location and CPAT orientation times and location. If you do not receive your by this date, it is your responsibility to call Bates at to request your letters. Written Test and CPAT Orientation. CPAT Orientation Make-up. Bates will test scores to applicants If you did not receive your test scores by this date it is your responsibility to call Bates at to request your scores. Bates will send out s with the practice test schedule. CPAT Practice Test. CPAT Practice Test Make-up. Bates will schedules for the CPAT test and payment reminder of $119 CPAT Payments due. CPAT Test. Bates will test scores and applicant information to the Fire Departments.

3 TEST APPLICATION 2016 Bates Technical College conducts joint recruitment in cooperation with the following cities and districts: *FIREFIGHTER *FIREFIGHTER/EMT *FIREFIGHTER I BREMERTON FIRE DEPARTMENT SOUTH KITSAP FIRE AND RESCUE SOUTH KING FIRE AND RESCUE APPLICANT FEE (non-refundable): $75 CPAT FEE: $119 Attached a copy of current EMT certification. Attached a copy of Firefighter I certification. Attached a copy of Paramedic certification. DD214 (See Veteran s Preference Information) If you choose to print the application rather than use the fillable form fields, please WRITE LEGIBLY. Name Last First Middle Address City State Zip Contact Phone (with area code) Last four digits of your SSN Address Are you 18 years or older? Yes No Are you a United States Citizen? Yes No WORK HISTORY: Beginning with your present or most recent employment, list your work experience/history. Be sure to include any non-paid experience that is related to the job for which you are applying. Employer Name From To Address Phone Supervisor Position Hours worked per week Starting Salary Last Salary Number of employees you supervised Reason for leaving Primary Duties

4 Employer Name From To Address Phone Supervisor Position Hours worked per week Starting Salary Last Salary Number of employees you supervised Reason for leaving Primary Duties Employer Name From To Address Phone Supervisor Position Hours worked per week Starting Salary Last Salary Number of employees you supervised Reason for leaving Primary Duties List three (3) references not related to you: Name Address Day phone VETERAN S PREFERENCE INFORMATION Veterans will be accorded a credit as provided by RCW In order to be eligible you must be a veteran as defined in RCW and claim preference within fifteen years of the date of release from active service. Under Washington State Law, veteran s preference may be claimed if you received a discharge under honorable conditions. I certify that I am a veteran as defined in RCW Dates of service: From To Branch of Service: Did you retire from military service? Yes No Do you claim veteran s preference? Yes No Have you ever used veteran s preference to obtain employment? Yes No If claiming veteran s preference, you must attach a copy of your DD214.

5 EDUCATION: Type of School School and Location Major Course Degree High School / G.E.D. Business / Technical Undergraduate Graduate Studies Other courses, training professional licenses HOW DID YOU LEARN OF POSITION OPENING? Department/Station Newspaper Friend Website Other County Fire Protection Cities and Districts are mindful of their obligations to employ qualified persons and its entitlement under law to consider an applicant s conviction record as it relates to job performance. A CONVICTION RECORD WILL NOT DISQUALIFY YOU FOR EMPLOYMENT UNLESS SUCH RECORD WOULD REASONABLY AFFECT YOUR FITNESS FOR THE JOB FOR WHICH YOU HAVE APPLIED. Have you been convicted of a felony or released from prison within the last seven (7) years, or have you been convicted of a misdemeanor other than minor traffic offenses the past three (3) years? Yes or No If yes, please explain: APPLICATION PACKETS MUST BE COMPLETE WHEN RETURNED Applicants will not be notified of an incomplete application packet. All certifications need to be turned in with application packets. To the best of my knowledge, the information herein is true and complete. I understand that falsification of this application will be grounds for elimination from further consideration or, if employed, for dismissal at any time. Further, I understand that at time of hire I will be required to provide documentation showing authorization to work in the United States and may be required to provide proof of United States citizenship. Signature of Applicant Please print and sign to verify the accuracy of this information. Date

6 METHOD OF PAYMENT for WRITTEN TEST ($75): CHECK OR MONEY ORDER Your Name: VISA OR MASTERCARD EXPIRATION DATE: VPN (3 digits): Signature (Please print and sign if you plan to use a credit card for payment.) Date WRITTEN TEST: Saturday, March 12, 2016 Please Choose One Test Time: 8 a.m. 11:30 a.m. 3 p.m. (Test times are not guaranteed. Once set, you cannot change it unless it s an emergency.) CANDIDATE PHYSICAL ABILITIES TEST (CPAT) March 12 and March 13: CPAT Orientation April 16 and April 17: CPAT Practice May 21 and May 22: CPAT Test All applicants must take the CPAT test through Bates Fire Service to complete the application process. The orientation and practice are not mandatory; however, we highly encourage your participation. If you want to waive the orientation and practice you must sign the waiver below. We will you with your scheduled date and time for the orientation, practice test and test. Please keep your calendars open for these dates and times. We will send out payment requests for your test fee of $119 with your CPAT test form. It is required that you arrive 30 minutes prior to your scheduled time to watch a video. Once you are assigned a specific date and time, we will not be able to change it unless it s an emergency. If you have questions or concerns, please contact the CPAT Testing Office at If you would like to waive the CPAT orientation and practice test, please sign the waiver below. I would like to WAIVE the CPAT orientation and practice test. Signature: Please print and sign if you are waiving your CPAT and practice test. Date:

7 This optional section will need to be completed after you print it out. Applicant Data Name Birth date Circle one: Male Female Your response to this form will assist us in the evaluation of our recruitment efforts. Bates Technical College is committed to increasing the diversity of our students, faculty and staff. We continually assess successful recruitment sources and seek new sources to enhance these efforts. Your response will remain confidential. This form will be removed from your application and will not be forwarded to the screening committee. Ethnic Origin: Please indicate the group with which you identify yourself. See protected group definitions below. Black/African-American (870) White/Caucasian (800) American Indian/Native American (597) (Please name enrolled or principal tribe.) Eskimo (935) Aleut (914) Mexican, Mexican-American, Chicano (722) Puerto Rican (727) Cuban (709) Other Hispanic/Latino (a) Spanish (Print one group, such as Columbian, Dominican, Nicaraguan, Spaniard, etc.) Other Asian or Pacific Islander (API): Choose only one Chinese (605) Vietnamese (619) Filipino (608) Asian Indian (600) Hawaiian (653) Japanese (611) Korean (612) Cambodian (604) Samoan (655) Laotian (613) Guamanian (660) Other API If you are more than one race, please also check Multi-Racial below and indicate your preference for Affirmative Action purposes. Multi-Racial DISABILITY Do you have a physical, sensory, or mental condition that substantially limits any of your major life functions, such as working, caring for yourself, walking, doing things with your hands, seeing, hearing, speaking, learning? Yes No Do you have a physical, mental, or other health condition that has lasted six or more months and limits the kind or amount of work you can do at a job? Yes No VETERAN STATUS Have you ever been on active duty in the U.S. Armed Forces? Yes No Vietnam-era Veteran Disabled Veteran % (Percent of disability) PROTECTED GROUP DEFINITIONS American Indian or Alaskan Native. A person with origins in any of the original peoples of North America and who maintains cultural identification through documented tribal affiliation or community recognition. Asian or Pacific Islander. A person with origins in any of the original peoples of the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands. Black/African-American. A person with origins in any of the Black racial groups of Africa. Hispanic. A person of Mexican, Puerto Rican, Cuban, Central or South American, or other Spanish culture or origin regardless of race. For example, persons from Brazil, Guyana, or Surinam would be classified according to their race and would not necessarily be included in the Hispanic category. This category does not include persons from Portugal, who should be classified according to their race. White/Caucasian. A person with origins in any of the original peoples of Europe, North Africa, or the Middle East. Disabilities. For Affirmative Action purposes, people with disabilities are persons with a permanent physical, mental or sensory impairment which substantially limits one or more life activities. Physical, mental or sensory impairment means: (a) any physiological or neurological disorder or condition, cosmetic disfigurement, or anatomical loss affecting one or more of the body systems or functions; or (b) any mental or psychological disorders such as mental retardation, organic brain syndrome, emotional or mental illness, or any specific learning disability. The impairment must be material rather than slight, and permanent in that is seldom fully corrected by medical replacement, therapy or surgical means. Disabled Veteran. A person entitled to disability compensation under laws administered by the U.S. Department of Veteran Affairs for disability rated at 30 percent or more, or a person whose discharge or release from active duty was for a disability incurred or aggravated in the line of duty. Vietnam-era Veteran. A person who served on active duty for a period of more than 180 days, any part of which occurred between August 5, 1964, and May 7, 1975, and was discharged or released from duty with other than a dishonorable discharge. Bates Technical College offers nearly 50 associate degree and certificate options in a variety of fields, providing a rich complement of technical/professional, basic skills, and continuing education programs. Degree or certificate seeking students must apply for program admission and register in the degree or certificate program. Bates Technical College reaffirms its policy of equal opportunity and does not discriminate on the basis of race, ethnicity, color, national origin, creed, religion, sex, sexual orientation, gender identity, age, marital status, disability, or status as a disabled veteran or Vietnam era veteran in its programs and activities in accordance with college policy, and applicable federal and state statutes and regulations. Bates publications are available in alternate formats upon request by contacting the Disability Support Services Office at Inquiries regarding Bates' non-discriminatory policies, including Title IX and ADA, should be directed to: For student matters, the Executive Dean of Institutional Effective and Student Success at or lzhou@bates.ctc.edu. For employee matters, the Director of Human Resources at or gkaufman@bates.ctc.edu.