Please list three Professional references.
FIREFIGHTER / EMS CERTIFICATION OR LICENSE
COMPLETE ALL THAT ARE APPLICABLE
(Please list where and when you received your License/Certificates)
SPECIAL SKILLS AND INTERESTS
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING
I certify that all of the information provided in this employment application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.
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 employer and organizations to provide relevant information and opinions that may be useful in making a hiring decision. I release such person and organizations that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.
I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physician examination. I consent to the release of any or all medical information as may be deemed necessary to judge my capability to do the work for which I am applying.
I understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre-employment drug screen as a condition of employment. If required.
I UNDERSTAND THAT THIS APPLICATION OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE A CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINATE PERIOD OF TIME. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERNINATED AT ANY TIME, WITH OR WITHOUT CAUSE AND WITH OR WITHOUT NOTICE.