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Application for Employment

Position of Interest (required)

Fire TRAQ ID # (required)

Full Legal Name (required)

Email (required)

Street Address (required)

City (required)

State (required)

Zip (required)

Phone Number (required)

Best time to contact you (required)

Have you ever filed an application with us before? If yes, give date (required)

Have you ever been employed with us before? If yes, give date (required)

Do you have any friends or relatives, other than a spouse, work here? (required)

If yes, state name and relationship

Are you currently employed? (required)

May we contact your present employer? (required)

Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? (Proof of citizenship or immigration status will be required upon employment) (required)

Date available for work? (required)

Are you available to work: (required)

If Part-time, what shifts are you available?

Are you currently on "lay-off' status and subject to reccall? (required)

Can you travel if job requires it? (required)

Education

High School- Name, Location & Number of Years attended (required)

Did you graduate? (required)

College or Trade School- Name, Location & Number of Years attended (required)

Did you graduate (required)

Type of Degree (required)

Special Training Certifications (required)

Employment History

Name of Present or Most Recent Employer (required)

Phone Number (required)

Supervisor's Name (required)

May we contact? (required)

Address (Street, City, State, Zip) (required)

Start Date (required)

Leave Date (required)

Job Title (required)

Work Performed (required)

Salary/Hourly Wage (required)

Reason for Leaving (required)

Name of Previous Employer #2 (required)

Phone Number (required)

Supervisor's Name (required)

May we contact? (required)

Address (Street, City, State, Zip) (required)

Start Date (required)

Leave Date (required)

Job Title (required)

Work Performed (required)

Salary/Hourly Wage (required)

Reason for Leaving (required)

Name of Previous Employer #3 (required)

Phone Number (required)

Supervisor's Name (required)

May we contact? (required)

Adress (Street, City, State, Zip) (required)

Start Date (required)

Leave Date (required)

Job Title (required)

Work Performed (required)

Salary/Hourly Wage (required)

Reason for Leaving (required)

References

Reference Name (required)

Phone number (required)

Relationship (required)

Reference Name #2 (required)

Phone number (required)

Relationship (required)

Reference Name #3 (required)

Phone number (required)

Relationship (required)

Documents

Please upload documents here: examples certifications, resume, or other supporting documents

I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer.

Your Name (required)

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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