A copy of all Prerequisites must be included with the application. 

New Employees will be required to successfully complete the District Medical Examination, Drug Screen and Background Investigation.

The Foresthill Fire Protection District is an equal opportunity employer and does not discriminate in employment on the basis of race, color, religion, creed, sex, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, age, disability, medical condition, military or veteran status, or any other characteristic protected by federal, state, or local law.

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PLEASE FULLY COMPLETE THE APPLICATION

Enter position applying for (required)

First Name (required)

Middle Initial (required)

Last Name (required)

Street Address (Mailing) (required)

City (required)

State (required)

Zip (required)

Home Phone (required)

Cell Phone (required)

Email Address (required)

Referred By

Date You Can Start (required)

Are you a U.S. Citizen? (Check one) (required)

Yes

No

If not a U.S. citizen, can you provide proof of right to work in the U.S.?

Yes

No

Are you over the age of 18? *Proof required upon hire* (Check one) (required)

Yes

No

Do you have a valid driver's license? (required)

Yes

No

DL State (required)

DL Class (required)

List endorsements (if applicable)

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Education

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Use the Technical School fields for Fire or Medical specific training

High School (Name, City, State):

Technical School

Technical School

College / University (Name, City, State):

Dates attended

Degree, major

College / University (Name, City, State):

Dates attended

Degree, major

Any other job related training:

Do you have a current CPR card?

Yes

No

Do you possess a valid EMT or Paramedic certification?

Yes

No

Exp. date

Cert #:

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Work History (provide your last three jobs, starting with the most recent)

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1st Employer

Employer

Dates employed

Address

City

State

Zip

Phone

Ending Salary

Title/Duties

Manager's name and title

Reason for leaving

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2nd Employer

Employer

Dates employed

Address

City

State

Zip

Phone

Ending Salary

Title/Duties

Manager's name and title

Reason for leaving

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3rd Employer

Employer

Dates employed

Address

City

State

Zip

Phone

Ending Salary

Title/Duties

Manager's name and title

Reason for leaving

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I authorize any current or former employers, educational institutions, and references to provide the Foresthill Fire Protection District with any and all information regarding my employment, education, and qualifications for employment. I authorize the District to conduct a background investigation as deemed necessary in connection with my application for employment. I release the Foresthill Fire Protection District and any person or entity providing such information from any and all liability arising from the release or use of such information.

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I understand that employment with the Foresthill Fire Protection District may be contingent upon the successful completion of a medical examination, spirometry test, drug screening, and background investigation.

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If employed, I agree to provide documentation verifying my identity and authorization to work in the United States as required by federal law.

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I certify that the information provided in this application and any supporting documents is true, complete, and correct to the best of my knowledge. I understand that any misrepresentation, false statement, or omission of material fact may result in disqualification from consideration for employment or, if discovered after employment, may result in termination.

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By signing below, I acknowledge that I have read, understand, and agree to the above statements.

Date

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

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DO NOT submit copies of Social Security cards, driver’s licenses, birth certificates, or other identity documents with this application. These documents will only be requested after a conditional offer of employment.

Attachments: Resume / Cover Letter

Attachments: Prerequisites (required)

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