NFD Job Application

Job Application

Please complete the form below to apply for a position with us.
Full Name *

First Name Middle Name Last Name
Current Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Date of Birth *

Month Day Year
Date
Email Address *
Phone Number *

Area Code Phone Number
Driver's License Number *
Social Security Number *
Emergency Contact Name *

First Name Last Name
Emergency Contact Phone Number *

Area Code Phone Number

What is your current work schedule? *
Do you have dependable transportation? *

Yes No
Year, Make, Model and VIN # of vehicle
Do you have prior EMS or Firefighting Experience? (If yes, please explain):
Do you have a physical condition which may limit your ability to perform the job? (If yes, please explain) *
Have you ever been convicted of a crime? (If yes, indicate offense, misdemeanor or felony and date(s): *
Family Doctor and phone number:
Preferred Hospital and Phone Number?
Most recent employer, job title and contact information: *

If you have any previous firefighting / EMS certifications that you wish to be considered when applying for an on-call firefighter position, please upload them now.
Upload Files

Browse Files

Cancel of
I, the undersigned authorize the Newaygo Fire Department to run a criminal history and driving record check. I also agree to complete the State Mandated Michigan Firefighter Training within two (2) years from date of employment.

Note: The Newaygo Fire Department reserves the right to accept or deny any applicant for any reason. Furthermore, it is understood that any employee can be terminated at any time, for any reason by a majority vote of the fire department officers. There will be no appeals process.
Name *

First Name Last Name
Date *

Month Day Year
Date
I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. *

I Agree
Should be Empty: