Garland Fire Department Employment Application

Garland Fire Department Employment Application
Personal Information
Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Residence Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Emergency Contact*

First NameLast Name
Contact's Phone Number
Please enter a valid phone number.
Contact Relation to you.
Basic Requirements
Are you legally entitled to work in the United States?*
Are you 18 years of age or older?*
Date of Birth*

MonthDayYear
Date
Do you possess a valid driver’s license and a good driving record?*
Do you understand that applicants will agree to a Background Check?*
Do you believe you are free of medical conditions that may preclude your participation as a firefighter or EMT?*
Are you willing to participate in a medical check required of potential firefighters?*
Do you understand that volunteer firefighters are expected to be in good physical condition, and do you feel you are physically able to participate in a physical fitness related test as part of the selection process?*
Do you understand that successful applicants are required to remain without facial hair to ensure a self-contained breathing apparatus mask will form a positive seal on the face?*
Driver's License Number*
Social Security Number*
Availability
Please select your most likely availability to respond to emergency calls.*

Weekday DaysWeekday EveningsWeekend DaysWeekend EveningsAvailability can varyOther
Employment
Current Employer*
Business or Company
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Phone Number
Phone Number
Past Employer*
Business or Company
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Supervisor Phone Number
Skills and Experience
Have you ever or do you currently work for any fire departments?

NoYes
If yes to the above question, what fire department(s) have you or do you currently work for?
Previous Firefighter or EMS Experience – Explain:
Please indicate if you have any of the following certifications or licenses you may have*

CPRFirefighter 1 certificationFirefighter 2 certificationHazmat Awareness certificationHazmat Ops certificationEMT License (current)Advanced EMT License (current)Paramedic License (current)Wildland Firefighter certification
References
References - Please provide 3 personal references.*
Background Check
I understand that by affixing my signature to this form, I am giving Garland City full consent to conduct a background check to confirm my identity, current address, and previous employment. I also understand that this is necessary if I wish to meet all of the criteria for the position of firefighter and/or EMT at Garland Fire Department and that a successful background check is not a guarantee of employment.

Also, by signing below, I certify all information in this application is true and correct to the best of my knowledge.
Date*

MonthDayYear
Date
Signature*
Should be Empty:

Garland Fire Department Employment Application

Personal Information

Emergency Contact

Basic Requirements

Availability

Employment

Skills and Experience

References

Background Check