Employee Application- Lost River Fire Management

Full Name

First NameMiddle NameLast NameSuffix

Birth Date

MonthDayYear

Do you have a valid driver's license?

Permanent Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Format: (000) 000-0000.

Email Address

example@example.com

Why do you believe you would be an asset to a wildland fire crew?

Who should we contact in case of an emergency?

Do you have previous wildland fire experience or training certificates?

If yes, when was your last wildland fire assignment or training course?

If your last wildfire assignment or training course was less than five years ago, please provide the name, address, phone, or email of the last organization you worked with.

Organization Name

Street/Mailing Address

CityState / Province

Postal / Zip Code

Phone Number

Format: (000) 000-0000.

Email Address

example@example.com

Will you need assistance with purchasing a tent, sleeping bag, or boots?

If yes, please indicate which items from above you will need.

What size boots do you wear?

With my signature, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand I will be required to follow all written or verbal company policies at all times while under hire without exception.

Recruitment Application