Springdale Fire Protection District

Honor Service Integrity

Volunteer Firefighter

Information and Application

 

 

HOW DO I APPLY?

 

If you are at least eighteen years of age and have a valid Missouri drivers license and dependable transportation, fill out the enclosed application and return it to the Station with all requested information as described on page 1 of the application.

 

Your application will be reviewed and if you are qualified, you will be asked to participate in an interview process. You will participate in a practical exercise and meet with a panel of Department members comprised of the command staff of the District, and any further questions you have may be answered at that time.

 

The District does conduct an investigation into your background. Becoming a member of the Springdale Fire Protection District requires careful selection. Acceptance to the District depends on staffing needs and many other variables. The selection process is designed to help the District find men and women who would most likely become the safest and most effective fire fighters to serve our customers and the community.

 

 

Application Information

 

Fill out the application completely and make sure you have signed all pertinent areas.

 

Have the physicians release form filled out and signed by a physician and return it with the application.

 

Fill out, sign, and return with the application the authorization and consent for release of information form.

 

Fill out and return with the application the disclosure form.

 

Get a police records check from the county or city in which you reside and turn it in with the application.

 

Get a driving records check from the state in which you are licensed in and turn it in with your application.

 

Highlight the Application below and return to Station 1 with a copy of certificates

 

 

 

Text Box: Application

 

PLEASE PRINT

 

Position(s) Applied For ___________________ Date of Application  ___/___/___

 

Referral Source

Advertisement

Employee

Relative

Walk-in

 

Other______________________________

 

 

 

Name of Source (If Applicable) ____________________________________

 

Text Box: Name___________________________________________________________ Last First Middle Address__________________________________________________________ Street City State Zip Code Telephone Number _(___)____________Social Security Number______-____-_____ If necessary, best time to call you at home is ________________ May we contact you at work?  Yes  No If yes, work number and best time to call __(___)________ ___: ___am/pm Have you filed an application here before?   Yes   No If yes, give date _____/_____/_____ Have you ever been a member here before?   Yes   No If yes, give date From _____/_____/_____ to _____/_____/_____ Are you legally eligible for employment in this country?   Yes   No (Proof of U.S. Citizenship or immigration status will be required upon employment) Date available for work _____/_____/_____ Are you on lay-off and subject to recall?   Yes   No Will you relocate if job requires it?   Yes   No Will you travel if job requires it?   Yes   No Are you able to meet the attendance requirements of the position?   Yes   No Will you work overtime if required?   Yes   No Have you ever been bonded?   Yes   No Have you been convicted of a felony in the last (7) years?   Yes   No (Such conviction may be relevant if job related, but does not bar you from employment.) If Yes, please explain: ______________________________________________

 

Driver’s license number ______________________                State___________

 

AN EQUAL OPPORTUNITY EMPLOYER

 

Text Box: Educational Background

 

A. List three (3) schools attended, starting with the most recent one.

B. List number of years completed.

C. Indicate degree or diploma earned, if any

D. Grade Point Average or Class Rank

E. Major and minor field of study (if applicable.)

A.

School

B.

No Years Completed

C.

Degree Diploma

D.

GPA Class Rank

E.

Major

E.

Minor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

List any foreign language(s) you know and check the boxes that describe your skill level.

Language

Speak Some

Speak Fluently

Read

Write

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

List name and telephone numbers of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.

Name

Telephone

Years Known

 

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(     )

 

 

(     )

 

 

List professional, trade, business, or civic associations and any offices held. (Exclude memberships which would reveal sex, race, religion, national origin, age color, disability or other protected status.)

Organization

Offices Held

 

 

 

 

 

 

 

List special accomplishments, publications, and awards. (Exclude memberships which would reveal sex, race, religion, national origin, age color, disability or other protected status.) ______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

List any additional information you would like for us to consider ____________________

______________________________________________________________________

 

Text Box: Employment History

List your last four (4) employers, assignments or volunteer activities, starting with the most recent, including military experience. Explain any gaps in employment in comments section below.

Employer                                                 Telephone

                                                                 (            )