Driver/Engineer Application

Position of Interest

Position Applying For (required)

Date of Application (required)

Please upload your resume (required)

Personal Information

Name (required)

Phone Number (required)

Email (required)

Full Street Address (required)

Driver's License Number (required)

State Issued (required)

Expiration Date (required)

Special Skills or Certifications

What level of EMS are you? (required)

AEMT or Paramedic License

Do you have your Apparatus Driver Operater - Pumper? (required)

NFPA/UFRA Apparatus Driver Operater - Pumper

Do you have your Apparatus Driver Operater - Aerial? (required)

NFPA/UFRA Apparatus Driver Operater - Aerial

Do you have 3 years of full time experience? (Two years part time = one year full time) (required)

If so, with which agencies?

Are you currently working on the NDFD Engineer Task Book? (required)

Yes

Please list any other certifications you have: (required)

Education

High School Attended (required)

Do you have a college degree? (required)

Yes

If so, what degree?

Disclaimer and Signature

I certify that the information contained in this application is correct to the best of my knowledge, and I understand that falsification of this information or information given in an interview is grounds for refusal to hire or if hired, dismissal. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise with regard to any of the subjects covered by this application and release all such parties from all liability for any damage that may result from furnishing such information to you. I authorize you to request and receive such information. I understand that this application will remain active only for the time period in which the position I applied for remains open. I authorize investigation of all statements contained in this application and an investigation of my background, including any and all criminal history records and driver’s license history. I understand that the findings of the investigation may or may not may or may not bar me from employment with the North Davis Fire District. (Please type your name) (required)

Date (required)

There was a problem saving your submission. Please try again later.

Please wait while your submission is being saved...

Thank you, your submission has been received.