Evart Fire Department Application
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Type of Application *
Date *
First Name *
Last Name *
Phone Number *
Email Address *
Street Address *
City *
Employer Reference *
Employer Contact Phone Number
May we contact your employer?
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Have you graduated from High School *
Personal Reference #1   (Please put Name, Phone Number or email address as well)
Personal Reference # 2  (Please put Name, Phone Number or email address as well)
Please Read Carefully If you have any questions regarding the application, this statement, or if you need special assistance in regard to applying for this position, please ask the person who is assisting you with this application. As an equal opportunity employer, this Organization will strive to conduct all personnel practices and procedures, including recruitment, selection, employment, compensation, benefits, evaluations, promotions, demotions, assignments, transfers, reductions-in-force, terminations, training, education, recreational and social activities, and safety and health programs, without regard to race, color, religion, gender, national origin, age, disability, veteran status, or any other status protected under local, state or federal laws. The answers to the questions on this application are not intended for use for discriminatory purposes. Your application will be given the consideration it deserves; however, our acceptance of your completed application for our consideration does not mean you will be offered employment. By signing your name below, you indicate your understanding that nothing contained in this application or any information gained or discussed during the interview process creates an employment contract between you and this Organization. If hired, you will be, at all times, an at-will employee. Should this application and the hiring process result in your employment, you have the right to terminate your employment at any time and for any reason. Likewise, this Organization reserves the right to terminate your employment at any time and for any reason not prohibited by law. Moreover, you understand no representative of this Organization, with the exception of the Fire Chief, has any authority to enter into any agreement of any kind or form with you for any specified period of time or to guarantee any other terms of employment, including benefits. No statements, written or verbal, made to you at any time prior to, or during, employment are intended to alter your at-will status. As well as you agree by signing this application that the Organization may ask you to submit to random drug and alcohol testing. When processing this application, and if applicable to the position for which you are applying, Organization may request third parties perform criminal, police, credit, or other background checks about you. Should this be necessary, you will be given separate forms to fill out authorizing any such checks and setting forth information about your rights. In addition to these background checks, Organization may directly contact past employers, supervisors, and/or any other person listed in this application regarding the statements you make during the application process and your suitability for employment. This inquiry may include information as to your general character, reputation, and work-related characteristics. Also, note that should the Organization hire you, the Organization may use, at any time during your employment, outside agents or representatives to perform investigations surrounding any claim of wrongdoing, including, but not limited to, sexual harassment, theft, or fraud.I certify with my signature below I have given the Organization true and complete information on this application to the best of my knowledge. I have omitted no facts called for on the application and have not made any false statements. No requested information has been concealed. I authorize the Organization to verify the accuracy of the statements and obtain reference information on my work performance. I release Organization from all liability of any kind, which, at any time, could result from obtaining and having an employment decision based on such information. I understand that, if employed, any false statements or omissions of fact called for on this application could result in dismissal. I understand that should an employment offer be extended to me and accepted, I will at all times be an at will employee. I will fully adhere to the policies, rules, and regulations of employment. However, I further understand that neither Organization’s policies, rules, regulations, nor anything said during the interview process, shall be deemed to alter the at-will nature of my employment or to constitute the terms of an implied employment contract.            If you understand the above please TYPE your name in CAPITAL LETTERS *
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