Raymond Fire & Rescue Department Employment Application

RAYMOND FIRE & RESCUE DEPARTMENT APPLICATION FOR EMPLOYMENT

An Equal Opportunity Employer

We do not discriminate based on race, color, religion, national origin, sex, age, disability, or other status protected by law or regulation. We intend that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors.
Which Job Are You Applying For?*
First Name & Middle Initial*
Last Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone #*
E-mail*
This will be the primary means of communication, ensure you check your spam folder.
Upload Your Resume*

Upload a File

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Have you ever been applied or been employed by RFRD?*

YesNo
If yes, provide dates.
Have you ever been convited of a felony?*

YesNo
If yes, explain
Do you have a valid Driver's License?*

YesNo
Driver's License Number*
State*
Military Service:
List Branch, Dates of Service, Rank at Discharge. If discharge other than honorable, please explain

Employment History

List employment history, in order from most recent
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
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
Please describe how your past employment responsibilities may relate to the Fire and EMS service responsiblities:
How did you hear about RFRD?*

BrochureVillage HallRFRD Member (please fill in member name)Other
RFRD Member Name?

References