2022 - 2023 LFPD HR Generalist Application

LOUISVILLE FIRE PROTECTION DISTRICT

APPLICATION FOR EMPLOYMENT

An Equal Opportunity Employer

We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. It is our intention that all qualified applicants be given equal opportunity and that selection decision are based on job-related factors.
Answer each question fully and accurately. NO action will be taken on this application if the questions are not answered. In reading and answering the following questions, be aware that none of the questions are intended to imply illegal preferences or discrimination based upon non-job-related information.
Which Job Are You Applying For?*
Please Select
Personal Information
Title
First Name*
Last Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Country*
Please select
Phone #*
E-mail*
This will be the primary means of communication, ensure you check your spam folder.
Upload Your Resume*
Our minimum age requirement is 21 years of age. Are you 21 years or older? If your answer is no, please do not proceed.*

YesNo
If selected to continue in the process, can you furnish proof you are eligible to work in the U.S.?*

YesNo
What is your certification or license level?*
SHRM-PHR, SHRM-SPHR, SHRM-CP or SHRM-SCP
How long have you had the above certification or license?*
You will need to provide a current certification

List names of employers in consecutive order with the present or last employer listed first. Account for all periods of time including military service and periods of unemployment.

Note: If selected to move forward in the process a job offer will be contingent upon acceptable references from current and former employers
Name of Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Job Title
Dates of Employment
From

MonthDayYear
To

MonthDayYear
Supervisor
Phone Number

Area CodePhone Number
Email
example@example.com
Reason for Leaving
Name of Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Job Title
Dates of Employment
From

MonthDayYear
To

MonthDayYear
Supervisor
Phone Number

Area CodePhone Number
Email
example@example.com
Reason for Leaving
Name of Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Job Title
Dates of Employment
From

MonthDayYear
To

MonthDayYear
Supervisor
Phone Number

Area CodePhone Number
Email
example@example.com
Reason for Leaving
Name of Employer
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Job Title
Dates of Employment
From

MonthDayYear
To

MonthDayYear
Supervisor
Phone Number

Area CodePhone Number
Email
example@example.com
Reason for Leaving

Have you worked or attended school under any other names?*

YesNo
If Yes, give names
Have you ever been fired or asked to resign from a job?*

YesNo
If yes, please explain
PLEASE READ EACH STATEMENT CAREFULLY BEFORE SIGNING
I certify that all 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 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 understand I may be required to successfully pass a drug screening examination. I hereby consent to a pre- and/or post-employment drug screen as a condition of employment, if required. I understand that if I am extended an offer of employment it may be conditioned upon my successfully passing a complete pre-employment physical 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 THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE LFPD BOARD OF DIRECTORS HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AGREEMENT MUST BE IN WRITING, SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT OR VOLUNTEER STATUS MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE.
I have read, understand, and by my signature consent to these statements.
Signature*

Clear
Date*

MonthDayYear
Should be Empty:

Personal Information