Truckee Fire - Wildfire Prevention Division Employment Application

Truckee Fire Protection District
Wildfire Prevention Division
An Equal Opportunity Employer
Administration Office
10049 Donner Pass Rd.
Truckee, CA 96161
(530) 582-7850
Employment Application Form
Position Applying for*
Please submit your resume. *

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Please submit your cover letter.*

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Personal Information:
Full Name*

First NameMiddle NameLast Name
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
Are you at least 18 years of age?*

YesNo
Do you have a valid driver's license and proof of auto insurance?*

YesNo
Do you have proof of legal right to work in the United States?

YesNo
Date You Can Start*

MonthDayYear
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 TFPD employee?*

YesNo
If yes, whom and what is their relation?
How did you hear about this opening?*

Sierra Tahoe JobsSierra Sun NewspaperIndeedSocial MediaWord of mouthTruckee Jobs CollectiveBulletin Board Job FlyerJob FairOther
Education:
High School*
Name of High School Attended
Graduated and can supply Diploma?*

YesNo
Graduation Year
If not, do you posses a GED or High School Equivalency?

YesNo
If you attended any College/Trade/Technical School(s), please list them below.
College/Trade/Technical School
Name of College/Trade/Technical School Attended
Number of Years Attended
Graduated?

YesNo
Area of Study/Degree
College/Trade/Technical School
Name of College/Trade/Technical School Attended
Number of Years Attended
Graduated?

YesNo
Area of Study/Degree
Supplemental Information:
Languages
List any languages other than English. Indicate if you can: speak, read, or write.
Training & Qualifications/Certifications
List any position specific relevant specialized training.
Valid CPR Certification

YesNo
Expiration Date
Employment Information:
Current Employer*
Name of Current Employer or NONE if not Employed
Position*
Supervisor*
Phone Number*

Area CodePhone Number
Reason for Leaving?*
Start Date*

MonthDayYear
May We Contact?*

YesNo
Professional References:

Please list at least 2 professional references we may contact.
Reference 1*
Name of Reference
Relationship*
Years Acquainted*
Phone Number*

Area CodePhone Number
Email*
Reference 2*
Name of Reference
Relationship*
Years Acquainted*
Phone Number*

Area CodePhone Number
Email*
Reference 3
Name of Reference
Relationship
Years Acquainted
Phone Number

Area CodePhone Number
Email
Pre-Employment Physical Examination:
All job applicants who are seriously being considered for hire shall be required to submit to a physician’s examination and drug screening at the Districts expense.

No employment commitment shall be made until a negative drug screen result is obtained and a qualified physician has certified the applicant is qualified to do the type of work required by the position being applied for.

Applicants who refuse to cooperate in the examination and testing shall not be considered further for employment.
Applicants who have a positive drug test result shall be denied employment.

When the applicant reports to the medical facility for the scheduled examination and drug testing, identification shall be provided to the said facility in the form of a photograph and a verifiable signature.

All test results shall be kept confidential. The applicant may be told they failed to pass the test. Only the Fire Chief shall have access to the actual test results.

Immediately prior to reporting for drug testing, all job applicants shall complete a Consent and Release Form kept in file in the Districts Office.
Authorization:
I hereby authorize the Truckee Fire Protection District to thoroughly investigate my references, work record, driving record, education, and other matters related to my suitability for employment and, further, authorize my former employers to disclose to the District any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In addition, I release the Truckee Fire Protection District, my former employers, and all other persons, from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand that nothing contained in the application or conveyed during any interview, which may be granted, is intended to create an employment contract between the Truckee Fire Protection District and me. I understand that only the Fire Chief may fill the available positions with the District, and that no promise, expressed or implied by anyone other than the Fire Chief is valid.

By clicking the submit button below, I certify that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.
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Employment Application Form

Personal Information:

Education:

Supplemental Information:

Employment Information:

Professional References:

Pre-Employment Physical Examination:

Authorization: