Oakland Fire Department

Oakland Fire Department

Application for employment
Personal Information
Full Name

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
Date
Driver's License Number (State and Number)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you a citizen of the United States?
If you are not a citizen of the United States, are you authorized to work in the United States?
Have you previously worked for the Town of Oakland?
If you answered "yes" to the question above, please provide position held, dates, and the reason for departure.
Have you ever been convicted of a felony?
If you selected "yes" the above question, please explain.
Military Service
Are you currently serving, or have you ever served, in the Armed Forces of the United States?
If you selected "no" to the question above, skip to "Education"
Branch of Service
Supervisor name

First NameLast Name
Supervisor phone number
Please enter a valid phone number.Format: (000) 000-0000.
Beginning month and year
Ending month and year (Type NA if currently serving)
Rank at discharge or current rank if currently serving
Type of discharge (leave blank if currently serving)
Education
High School
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Did you graduate?
College
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Highest degree earned
References

Please provide 3 references
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Relationship
Employment History

Please list your previous 3 employers in order from most recent to least recent
Company
Supervisor
Supervisor phone number
Please enter a valid phone number.Format: (000) 000-0000.
Beginning month and year
Ending month and year (type "NA" if still employed")
Job title and responsibilities
Reason for leaving
May we contact this employer?
Company
Supervisor
Supervisor phone number
Please enter a valid phone number.Format: (000) 000-0000.
Beginning month and year
Ending month and year
Job title and responsibilities
Reason for leaving
May we contact this employer?
Company
Supervisor
Supervisor phone number
Please enter a valid phone number.Format: (000) 000-0000.
Beginning month and year
Ending month and year
Job title and responsibilities
Reason for leaving
May we contact this employer?
Qualifications
List any relevant qualifications
Upload certificates

Cancelof
Signature

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in termination of employment.
Date

MonthDayYear
Date
The Town of Oakland is an equal opportunity employer and does not discriminate on the basis of race, sex, color, religion, national origin, age, disability, or veteran status in employment opportunities and benefits
Should be Empty:

Oakland Fire Department

Personal Information

Military Service

Education

References

Employment History

Qualifications