Part-Time Firefighter/Paramedic 2016 Application Process

Transcription

1 Part-Time Firefighter/Paramedic 2016 Application Process The Woodstock Fire Rescue/District, an Equal Opportunity Employer, is conducting an application process for non-commissioned Part-Time Firefighter/Paramedic. The application must be completed in full and submitted with the required documentation prior to the deadline. After a review of the submitted applications, select applicants will be contacted for an interview. Thank you for your interest in Woodstock Fire/Rescue District. Ralph Webster Chief Application Requirements Applications must be postmarked by August 20, 2016, and mailed with all required documents to: Woodstock Fire/Rescue District Part-Time Firefighter/Paramedic 435 E. Judd Street Woodstock, IL No phone or office inquiries will be taken regarding the application process. Applications dropped off to the Business Office will not be accepted. Required Documentation The following list of documents must accompany the completed application Social Security Card Emergency Medical Technician Paramedic License (EMT P) Firefighter II or Basic Operations Firefighter Certificate Class B Non-CDL Drivers License must be obtained within six months of employment **Copies of the above documents are acceptable

2 Woodstock Fire/Rescue District DATE Name Last First Middle Maiden Present address Number Street City State Zip Telephone ( ) Social Security No. Position applied for TYPE OF SCHOOL NAME OF SCHOOL LOCATION (Complete mailing address) High School NUMBER OF YEARS COMPLETED MAJOR & DEGREE College Bus. or Trade School Professional School HAVE YOU EVER BEEN CONVICTED OF A CRIME? Yes No If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation.

3 DO YOU HAVE A DRIVER S LICENSE? Yes No What is your means of transportation to work? Driver s license number State of issue Operator Commercial (CDL) Chauffeur Expiration date Have you had any accidents during the past three years? Have you had any moving violations during the past three years? How many? How Many? Please list two references other than relatives or previous employers. Name Position Company Address Name Position Company Address Telephone ( ) Telephone ( ) An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

4 MILITARY HAVE YOU EVER BEEN IN THE ARMED FORCES? Yes No ARE YOU NOW A MEMBER OF THE NATIONAL GUARD? Yes No Specialty Date Entered Discharge Date Work Experience Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. Your last job title Your Last Job Title

5 Work experience Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. Your last job title Your last job title May we contact your present employer? Yes No Did you complete this application yourself Yes No If not, who did?

6 APPLICATION FORM WAIVER The information submitted in this application is true and complete to the best of my ability. I understand that errors, omissions or misrepresentations may result in the rejection of this application. Signature of applicant Date: Woodstock Fire/Rescue District is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure you that your opportunity for employment with Woodstock Fire/Rescue District depends solely on your qualifications. Thank you for completing this application form and for your interest in Woodstock Fire/Rescue District.