Volunteer Firefighter Application

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Please correct the field(s) marked in red below:

Instructions - Please read carefully:

This application is the initial part of the examination process. Read the Announcement thoroughly and apply only if you feel reasonably certain that you meet the requirements. Clearly state your qualifications. Incomplete or illegible applications may be DISQUALIFIED. If a question does not apply to you, write N/A. Do not mention religion, politics or any other non-job related traits. Notify us promptly if you have a change of address, phone or employer. Fill out this application completely. 

Please note:  When applying for this position, all fields marked with an * are required. 

Personal Information

1

First Name

 *
2

Middle Name

3

Last Name

 *
4

Phone

 *
5

Alternate Phone

6

Email

 *
7

Address

 *
8

City

 *
9

State

 *
10

Zip Code

 *
11

Do you live within the Station 9 or Station 11 response areas as indicated by the shaded area on the map?

Station 9 (PDF)

Station 11 (PDF)

Stations 9 and 11 Boundaries (PDF)

 *
Do you live within the Station 9 or Station 11 response areas as indicated by the shaded area on the map? Station 9 (PDF) Station 11 (PDF) Stations 9 and 11 Boundaries (PDF)
12
Can you commit to 4 to 8 hours of volunteer training per month?
 *
Can you commit to 4 to 8 hours of volunteer training per month?
13
If you do not live within the Station 9 or Station 11 response areas, are you able to commit to 128 hours of volunteer staffing annually in addition to the aforementioned training hours?
 *
If you do not live within the Station 9 or Station 11 response areas, are you able to commit to 128 hours of volunteer staffing annually in addition to the aforementioned training hours?
14
Do you have a valid driver's license?
 *
Do you have a valid driver's license?
15

Driver's License Number

16

Driver's License Expiration

17

Driver's License State

18

List any languages spoken other than English

19
Are you related to any current employee or official with this organization?
 *
Are you related to any current employee or official with this organization?
20
Have you ever been employed by this organization?
 *
Have you ever been employed by this organization?
21

Have you ever been convicted of a felony or misdemeanor?

Conviction of a Felony will not necessarily result in automatic disqualification for the position, nor will conviction of a misdemeanor.

 *
Have you ever been convicted of a felony or misdemeanor? Conviction of a Felony will not necessarily result in automatic disqualification for the position, nor will conviction of a misdemeanor.
22

If you answered "Yes" to being convicted of a felony or misdemeanor, please describe the situation.

It is the PFA policy to provide equal employment opportunity to all applicants for employment without regard to race, color, religion, national origin, sex, age, sexual orientation, veteran status or disability. We, therefore, invite all applicants to identify themselves as indicated below. COMPLETION OF THE REMAINING QUESTIONS ON THIS PAGE IS VOLUNTARY AND HELD CONFIDENTIAL AND IN NO WAY AFFECTS THE DECISION REGARDING YOUR APPLICATION FOR EMPLOYMENT.
23

Gender

Gender
24
Are you at least 18 years of age?
Are you at least 18 years of age?
25
If you require a reasonable accommodation, please provide a brief description of the request below.

Education Information

26

Highest Education Level

 *
Highest Education Level
27

High School Name

 *
28

High School City

 *
29
High School State
 *
30

High School Zip Code

 *
31

Year Graduated

 *
List any colleges, universities, business or trade schools that are applicable to this position.
32

School Name

 *
33

School City

 *
34
School State
 *
35

School Zip Code

 *
36

Major Subject

 *
37

Year Graduated

 *
38
Degree/Diploma Achieved
 *
Degree/Diploma Achieved

Work Experience

Start with your present/most recent position and work backwards and list the two most recent positions you have held that relate to this job application.  List volunteer, part-time or military positions if applicable.  It is critical that you provide complete information.  Utilize the Attachments Upload section later in this process to list additional work experience.

Employer #1 Information

39

Employer #1 Name

 *
40

Employer #1 Address

 *
41

Employer #1 City

 *
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Employer #1 State

 *
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Employer #1 Zip Code

 *
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Employer #1 Position Title

 *
45

Employer #1 Start Date

 *
46

Employer #1 End Date

 *
47

Employer #1 Type of Job

 *
Employer #1 Type of Job
48
Employer #1 Monthly Salary
49

Employer #1 Name of Supervisor

 *
50

Employer #1 Phone # of Supervisor

 *
51

Employer #1 Reason for Leaving

 *
52
Employer #1 Description of Duties
 *
53

Employer #1 - May we contact this Employer?

 *
Employer #1 - May we contact this Employer?

Employer #2 Information

54
Employer #2 Name
55
Employer #2 Address
56
Employer #2 City
57
Employer #2 State
58
Employer #2 Zip Code
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Employer #2 Position Title
60
Employer #2 Start Date
61
Employer #2 End Date
62
Employer #2 Type of Job
Employer #2 Type of Job
63
Employer #2 Monthly Salary
64
Employer #2 Name of Supervisor
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Employer #2 Phone # of Supervisor
66
Employer #2 Reason for Leaving
67
Employer #2 Description of Duties
68
Employer #2 - May we contact this Employer?
Employer #2 - May we contact this Employer?

Certifications & Licenses

69

Do you have any certifications or licenses that are relevant to the position?

 *
Do you have any certifications or licenses that are relevant to the position?
70
Do you hold a current certification as an Emergency Medical Technician?
 *
Do you hold a current certification as an Emergency Medical Technician?
71
Do you hold a current wildland firefighting red card?
 *
Do you hold a current wildland firefighting red card?
72
List your certifications or licenses here.  Also, please upload electronic copies of these later on in the application process.
73
In 100 words or less, please describe a challenge that you have faced and how you addressed it.

Attachments

74
Please upload a resume
75
Please upload a cover letter
76
Please upload a copy of any relevant professional licenses or certificates (1 of 3)
77
Please upload a copy of any relevant professional licenses or certificates (2 of 3)
78
Please upload a copy of any relevant professional licenses or certificates (3 of 3 - if you have additional documents, please merge them into a single PDF file prior to uploading)
79
Please upload any additional attachments relevant to applying for this position
80
How did you find out about this position opening?
How did you find out about this position opening?
81
If you chose On-line Job Board/Employment Site, Newspaper Ad, or Other in the previous question, please specify here:

Agree & Submit your Application

82

PLEASE READ EACH STATEMENT CAREFULLY BEFORE CHOOSING THE 'AGREE' BUTTON
 
I certify all information that is provided in this application is true and complete. I understand that any false information or omissions are grounds for disqualification for consideration for volunteering/employment or discharge from volunteering/employment.
 
I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I agree to hold the PFA harmless and in no event will the PFA be liable to me for special, indirect, or consequential damages for the refusal of employment due to information obtained during my background check.
 
If chosen to volunteer, I understand that I have been selected pursuant to the provisions of the PFA Personnel Code.
 
I understand that if I have any questions regarding any portion of the process, I may contact Human Resources for clarification.
 
I have read, understand, and by my clicking on the "Agree" button, consent to these statements.

 *
PLEASE READ EACH STATEMENT CAREFULLY BEFORE CHOOSING THE 'AGREE' BUTTON. I certify all information that is provided in this application is true and complete. I understand that any false information or omissions are grounds for disqualification for consideration for volunteering/employment or discharge from volunteering/employment. I authorize the investigation of any or all statements contained in this application. I also authorize, whether listed or not, any person, school, current employer, past employers and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements. I agree to hold the PFA harmless and in no event will the PFA be liable to me for special, indirect, or consequential damages for the refusal of employment due to information obtained during my background check. If chosen to volunteer, I understand that I have been selected pursuant to the provisions of the PFA Personnel Code. I understand that if I have any questions regarding any portion of the process, I may contact Human Resources for clarification. I have read, understand, and by my clicking on the "Agree" button, consent to these statements.
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