Georgetown Fire Protection District Employment Application

We are an Equal Opportunity Employer and committed to excellence through diversity.

The application must be fully completed to be considered. Please complete each section, even if you attach a resume.
Georgetown FPD Application for Employment
Personal Information
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number
e.g. (530) 555-1234Format: (000) 000-0000.
Email address
example@example.com
Are you legally eligible to work in the US?
Are you a veteran?
If selected for employment, are you willing to submit to a background check?
Position
Position you are applying for
Position you are applying for
Available start date

MonthDayYear
Date
Employment desired
Have you attended an Academy?
Location of Academy
Graduation Date of Academy

MonthDayYear
Date
Education

List all educational institutions attended

References (business and professional only)

Employment History
How many previous employers do you have?
Employer 1
Employer
Job title
Dates employed

MonthDayYear
Date
Work phone
e.g. (530) 555-1234Format: (000) 000-0000.
Address

Address

Street Address Line 2

CityState

Zip
Employer 2
Employer
Job title
Dates employed

MonthDayYear
Date
Work phone
e.g. (530) 555-1234Format: (000) 000-0000.
Address

Address

Street Address Line 2

CityState

Zip
Employer 3
Employer
Job title
Dates employed

MonthDayYear
Date
Work phone
e.g. (530) 555-1234Format: (000) 000-0000.
Address

Address

Street Address Line 2

CityState

Zip
Employer 4
Employer
Job Title
Dates employed

MonthDayYear
Date
Work phone
e.g. (530) 555-1234Format: (000) 000-0000.
Address

Address

Street Address Line 2

CityState

Zip
Employer 5
Employer
Job title
Dates employed

MonthDayYear
Date
Work phone
e.g. (530) 555-1234Format: (000) 000-0000.
Address

Address

Street Address Line 2

CityState

Zip
Upload Supporting Documents

provide appropriate documentation
- Cover Letter
- Resume
- CPR Card
- Paramedic License
- Fire Related Certifications
Supporting Documentation
Cancelof
Signature Disclaimer
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated.
Name (please print)
Signature
Date

MonthDayYear
Should be Empty:

Personal Information