Carsonville Fire & Rescue Application for Membership
We welcome you as an applicant for membership with Carsonville Fire & Rescue. It is Carsonville Fire & Rescue's policy to provide equal opportunity in employment. We will not discriminate on the basis of race, color, creed, age, religion, national origin, marital status, disability, sex, sexual orientation, familial status, or any other basis protected by law.

Please furnish complete information so we may accurately and completely assess your qualifications. You may email any other information which provides additional detail about your qualifications for employment in the position you seek.
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Email *
Name *
Full Legal First, Middle, and Last Name
Are you 18 years of age or older? *
Required
Home Address *
Mailing Address 
(if same as above, state "same as above")
 *
Phone number *
What position are you applying for? *
Are you authorized to work in the United States? *
Required
Current Occupation & Job Title *
Name and Address of Current Employer *
Do you have any supervisory/leadership experience? If yes, please explain. If no, state N/A. *
Do you have any prior experience or training in the medical field? If yes, please explain. If no, please state N/A. *
Do you have any prior experience or training in firefighting? If yes, please explain. If no, please state N/A. *
List any courses, licenses, or certifications you possess which my be relevant to this position. If none, please state N/A. *
Do you have a current driver's license? *
Required
Did you serve in the Armed Forces?

Preference points are awarded to qualified veterans as defined by Minn. Stat. § 197.447, and to certain spouses of deceased or disabled veterans subject to the provision of Minn. Stat. § 197.447 and 197.455. 

The veteran must: 
A. be a U.S. citizen or resident alien; 
B. have received a discharge under honorable conditions from any branch of the U.S. Armed Forces; AND have either: 
     1. served on active duty for at least 181 consecutive  days, or 
     2. have been discharged by reason of disability incurred while serving on active duty, or 
     3. have completed the minimum active duty requirement of federal law, as defined by Code of Federal Regulations title 38, section 3.12a, i.e., having fulfilled the full period for which a person was called or ordered to active duty under Title 10 of the United States Code, or 
     4. certified service and verification of “veteran status” granted under U.S. PL 95-202.

The veteran must submit a copy of the your DD214 or DD215, Copy 2, 4 or 6, or other documentation verifying military service. This copy must state the character of discharge; i.e., honorable, general, medical, under honorable conditions. Documents can be emailed to carsonvillefd@gmail.com
 *
Required
Can you perform the essential functions of the position, with or without reasonable accommodations? *
Times Available *
Required
Please tell us why you want to be a member of Carsonville Fire & Rescue. *
I certify that all information I have provided in this application for employment is true and complete to the best of my knowledge. Any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment, or if employed, will be grounds for dismissal, regardless of length of employment or when the misrepresentation or omission is discovered. 

I acknowledge that I have received a copy of the job description for the position/s for which I am applying (contact Chief). I further acknowledge my understanding that employment with Carsonville Fire & Rescue is “at will,” and that employment may be terminated by either Carsonville Fire & Rescue or me at any time, with or without notice. 

With my signature below, I am providing Carsonville Fire & Rescue authorization to verify all information I provided within this application packet, including contacting current or previous employers. However, I understand that if, in the Employment Experience section I have answered “No” to the question, “May we contact your current employer?”, contact with my current employer will not be made without my specific authorization. 

I further understand that criminal history checks will be conducted and that a conviction of a crime related to this position may result in my being rejected for this position. I also understand it is my responsibility to notify Carsonville Fire & Rescue in writing of any changes to information reported in this application for employment.

Please acknowledge your understanding and agreement below.
 *
Required
APPLICANT DATA ADVISORIES ACCORDING TO MINN. STATUTE § 13.04 

Carsonville Fire & Rescue must advise you of the following purpose and intended use of the data. We collect this information for purposes of selecting a candidate for hire. Your data will be used to verify your identity. In the event you are selected for hire, your data will be used to perform a criminal background check, including using the BCA’s website. Department staff and elected officials involved in the hiring process will have access to the data provided. Data may be shared upon court order or provided to the state or legislative auditor, upon request. Whether you may refuse or are legally required to supply this data: Application for employment as well as supplying any data in application for employment is voluntary. Consequences arising from supplying or refusing to supply this data: We take pride in hiring the best candidates, but we can’t do this without a complete application. Filling out the application is voluntary, and the more complete the application, the better your chances of conveying to the Department you are the best candidate for the position. Except for explicitly optional requested information, refusal to provide a complete application may result in immediate disqualification from consideration for a position. Additional information regarding The Data Practices Act can be found in Minnesota Statutes, Chapter 13.
 *
Required
Be sure to email any supporting documents to carsonvillefd@gmail.com with your name in the Subject Line.

Please let us know if you have any other questions or comments.
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