Whitman County Fire District #7 Volunteer Application

Whitman County Fire District #7

Volunteer Firefighter/EMT Application Form
Whitman County Fire District #7 is a volunteer department that provides fire suppression, emergency medical services, technical rescue services and other community services. Volunteers are the backbone of the Fire District and their services are a valuable asset to the Fire District and the community. In making application to join the Fire District as a volunteer, there are requirements that must be met by every applicant.

Description/Expectations
- Candidates must fill out this application.
- Each applicant must pass a physical ability test, oral interview, and a pre-employment packet (drug test, background check, doctor's physical) in order to be accepted as a volunteer. You will be disqualified if you do not pass one or more of the above.
- Training is held on the second, third and fourth Mondays starting at 7pm. Each volunteer needs to attend a minimum of 12 trainings in a calendar year to remain in good standing with the District.
- All new volunteers are on a one-year probation period and can be terminated at any time during that year.
- Volunteers are asked to answer all alarms in their respective station areas and in other areas inside and outside the district when needed. Sometimes the firefighter/EMT will not be able to answer all alarms as outlined due to work and demands made on the firefighter/EMTs time but an average turnout is expected.
- Volunteers are sometimes called upon to perfrom certain civic duties over and above the required training, such as stand-by at celebrations, school functions, public events, etc. This duty is voluntary but highly reccomended.
- Volunteers will be assigned to station areas and will respond to emergency calls within their designated areas or as the situation directs.
- Volunteers will be responsible to see that all equipment used at the scene of an emergency is returned to it's proper apparatus and is in a ready state for the next emergency.
- The volunteer will aquire and maintain a First Aid/CPR certification. This training is provided by the Fire District at no cost to the volunteer.
- Volunteers shall notify the Fire Chief of any changes in address, phone number, drivers license status or criminal charges.
- Training in firefighting, EMS and other topics will be provided by the District. New applicants should complete a task book within one year of joining the department.
Personal Information
Name*

First NameMiddle NameLast Name
Phone Number*

Area CodePhone Number
Home/Work Phone

Area CodePhone Number
Email*
example@example.com
Residence Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Basic Requirements
Are you 18 years of age or older?*
Date of birth*

MonthDayYear
Date
Do you posess a valid Washington State Drivers License*
Driver's License Number*
Do you understand that applicants will be required to complete a background check?*
Do you understand that applicants will need to have a medical exam completed?*
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 in good standing with the District by parcipating in the minimum required trainings as listed in the expectations?*
Education
Highest level of education
List schools/colleges you have attended
Any other education you would like us to know about?
Employment
Are you currently employed?
Current Employer Name/Company
Job Title/ Duties
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please list any previous employeers with job titles
References

Please list three professional references
Reference 1*

First NameLast Name
Phone Number*

Area CodePhone Number
City and State*
Relation*
Reference 2*

First NameLast Name
Phone Number*

Area CodePhone Number
City and State*
Relation*
Reference 3*

First NameLast Name
Phone Number*

Area CodePhone Number
City and State*
Relation*
Availability
FirefighterEMTFundraising supportPublic Education
If accepted by the Fire Department, you will need to attend at least 12 trainings a year on Monday evenings (approximately 7:00PM to 9:30PM). Can you meet this requirement? *
Do you understand that in order to be available for emergency call-outs, you must be able to arrive at the fire station promptly and have abstained from alcohol for the previous 8 hours?*
Do you understand that the Fire Distict has a zero tolerance for illicit drug use?*
Are you willing and able to retain and wear a Fire District issued radio and respond to emergencies? *
Are you willing and able to participate in the occasional weekend training program?*
Skills and Experience
CPR - Cardiopulmonary resuscitationFirst AidEMTFirefighterOther
Previous Emergency Volunteer Experience - Explain:
Previous Firefighter Experience – Explain:
Following Application Submission
After successful submission of an application, the applicant will be contacted by the Fire Chief to schedule the physical agility test and interview. The applicant will be given the needed paperwork and information to complete the background check, drug test and other requirements after a successful agility test and interview. Once all requirements are met, successful applicants will be notified by the Fire Chief.
Certifying Statement and Signature
Date*

MonthDayYear
Date
Signature*

Powered by Jotform SignClear
Should be Empty:

Whitman County Fire District #7

Personal Information

Basic Requirements

Education

Employment

References

Availability

Skills and Experience

Following Application Submission

Certifying Statement and Signature