Olympic Valley Fire Department

Olympic Valley Fire Department
P.O. Box 2522

305 Olympic Valley Rd.

Olympic Valley, CA 96146
Employment Application Form
Personal Information :
Full Name *

First NameMiddle NameLast Name
Mailing Address:*

P.O. Box or Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Physical Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*
Please enter a valid phone number.
E-mail*
example@example.com
Birth Date

MonthDayYear
Date
After employment, can you submit verification of your legal right to work in the United States?*

YesNo
Employment Desired:
Position Applying For:*
Date You Can Start

MonthDayYear
Date
Have You Worked Here Before?

YesNo
Have You Applied Here Before?

YesNo
Do you need reasonable accommodations to perform the essential functions of the position for which you are applying? *

YesNo
If you answered yes to either of the 3 questions above, please explain.
Are you related to any current OVFD employees?

YesNo
If yes, whom and their relation.
How did you hear about us?

IndeedDaily DispatchFacebookOther*
*If you selected other, please tell us how you heard about us.
Education:
High School
Graduated?

YesNo
College/Trade/Technical School
Degree?

YesNo
Area of Study/Degree:
College/Trade/Technical School
Degree?

YesNo
Area of Study/Degree
Supplemental Materials and Information:
Languages
List any languages other than English, Indicate of you can: speak, read or write
Describe your specialized training, apprenticeships, skills, military training, licenses and certifications not required for the position your applying for and extra-curricular activities you enjoy.
Paramedic Certification (Lateral/Full-Time)-check all that apply.

State of CaliforniaNational RegistrySierra-Sacramento Valley EMSA Accreditation
Paramedic License #
Exp Date
S-SV EMS Accreditation #
Exp Date
PALS or PEPP

YesNo
Exp Date
Valid CPR Certification

YesNo
Exp Date
Valid CPAT Card

YesNo
Exp Date
EMT Basic Certification (Part-Time and Seasonal Applicants only)- check all that apply.

State of CaliforniaNational RegistryEnrolled in Paramedic Program *
* Name of Paramedic Program enrolled in.
EMT Basic #
Exp Date
S-SV EMS Accreditation #
Exp Date
Firefighter I Certification:*

State of CaliforniaIFSAC / ProBoardCalifornia Firefighter Academy *
* If Academy List School and date completed
Copies of required Licenses and Certifications will be required at the time of Interview.
Please provide a concise overview of your relevant work experience in relation to the position you are seeking and explain why you believe you are the ideal candidate. Alternatively, you can attach a cover letter and resume for further details (as mentioned in the next item).
Please Submit a Cover Letter and/or Resume

Cancelof
Employment History:

All Applicants
Current Employer
Position
Supervisor
Phone Number
Please enter a valid phone number.
Reason for Leaving?
Start Date

MonthDayYear
Date
May We Contact?

YesNo
Previous Employer
Position
Supervisor
Phone Number
Please enter a valid phone number.
Reason for Leaving?
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Previous Employer
Position
Supervisor
Phone Number
Please enter a valid phone number.
Reason for Leaving?
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
References:
Reference 1
Name of Reference
Relationship
Years Acquainted
Phone Number
Please enter a valid phone number.
Email
example@example.com
Reference 2
Name of Reference
Relationship
Years Acquainted
Phone Number
Please enter a valid phone number.
Email
example@example.com
Reference 3
Name of Reference
Relationship
Years Acquainted
Phone Number
Please enter a valid phone number.
Email
example@example.com
Pre-Employment Physical Examination:
In accordance with applicable laws and regulations, all individuals seeking permanent or temporary employment will be required to undergo a physician's examination and drug screening, which will be covered by the District.

No commitment of employment will be made until a negative drug screen result is obtained and a qualified physician has certified that the applicant is capable of performing the required duties associated with the position being applied for.

Applicants who refuse to cooperate with the examination and testing process will not be further considered for employment.

Any applicant who tests positive for drugs will be ineligible for employment.

Upon arriving at the designated medical facility for the scheduled examination and drug testing, the applicant must provide identification, including a photograph and a verifiable signature.

All test results will be treated as confidential. The applicant may be informed if they did not pass the test, but only the Fire Chief and Human Resources will have access to the actual test results.

Prior to undergoing drug testing, all job applicants are required to complete a Consent and Release Form, which will be kept on file in the District's Office.
Authorization:
By submitting this application, I grant authorization to the Olympic Valley Fire Department to thoroughly investigate my references, work history, driving record, educational background, consumer credit check, and any other relevant matters pertaining to my suitability for employment. I also authorize my previous employers to disclose all letters, reports, or additional information about my work records without my prior notice.

Furthermore, I release the Olympic Valley Fire Department, my former employers, and any other individuals involved from any claims, demands, or liabilities arising from or related to such investigation or disclosure.

I understand that neither the completion of this application nor any subsequent interviews if granted, are intended to create an employment contract between myself and the Olympic Valley Fire Department. I acknowledge that the Fire Chief is solely responsible for making employment decisions within the District and that no promises made by anyone other than the Fire Chief are valid or binding.

By clicking the submit button below, I confirm that I have read and understood the job description, including the expectations for this position. I certify that all the information provided on this application is accurate and complete. I am aware that any false information, omissions, or misrepresentations discovered may result in the rejection of my application.

Olympic Valley Fire is an equal opportunity employer committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, age (40 or older), or any other protected characteristic as outlined by federal, state, or local laws.This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, and training. OVFD makes hiring decisions based solely on qualifications, merit, and business needs.
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Olympic Valley Fire Department

Employment Application Form

Personal Information :

Employment Desired:

Education:

Supplemental Materials and Information:

Copies of required Licenses and Certifications will be required at the time of Interview.

Employment History:

References:

Pre-Employment Physical Examination:

Authorization: