Community Risk Reduction Coordinator

Today's Date * +

First Name *

Full Middle Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Social Security Number *

Are you 18 years of age or older? *

Yes

No

Are you legally authorized to work in the United States? *

Yes

No

Have you been employed by the PVVFD before? *

Yes

No

From * +

To * +

Date available to start work? * +

Have you been convicted of a felony in the last (7) years? *

Yes

No

If yes, please explain. *

Do you have a valid drivers license? *

Yes

No

State *

Drivers License Number *

Expiration Date * +

Drivers License Class *

Resume/Cover Letter

Please submit your resume here. (PDF only) *

Please submit your cover letter here. (PDF only) *

Employment History

Are you currently employed? *

Yes

No

Employer Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Start Date * +

End Date (if applicable) +

Position *

Summarize the nature of the work performed and job responsibilities. *

Supervisor/Manager *

Reason for Leaving?

May we contact your current employer? *

Yes

No

Would you like to add Previous / Other Employment (2) *

No

Add Another

Employer Name (2) *

Street Address (2) *

Address Line 2 (2)

City (2) *

State (2) *

Zip Code (2) *

Phone Number (2) *

Start Date (2) * +

End Date (2) (if applicable) +

Position (2) *

Summarize the nature of the work performed and job responsibilities. (2) *

Supervisor/Manager (2) *

Reason for Leaving? (2)

May we contact this employer? (2) *

Yes

No

Would you like to add another Previous / Other Employment (3) *

No

Add Another

Employer Name (3) *

Street Address (3) *

Address Line 2 (3)

City (3) *

State (3) *

Zip Code (3) *

Phone Number (3) *

Start Date (3) * +

End Date (3) (if applicable) +

Position (3) *

Summarize the nature of the work performed and job responsibilities. (3) *

Supervisor/Manager (3) *

Reason for Leaving? (3)

May we contact this employer? (3) *

Yes

No

Educational Background

School/College/University *

Number of years completed? *

Degree/Diploma Obtained *

Major/Minor

Would you like to add more Education Info.? (2) *

No

Add Another

School/College/University (2)

Number of years completed? (2)

Degree/Diploma (2)

Major/Minor (2)

Would you like to add more Education Info.? (3)

No

Add Another

School/College/University (3)

Number of years completed? (3)

Degree/Diploma (3)

Major/Minor (3)

References

Must provide 3 references. List names 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 *

Title *

Relationship *

Phone *

Email Address

Select Add Another (2) *

Add Another

Name (2) *

Title (2) *

Relationship (2) *

Phone (2) *

Email Address (2)

Select Add Another (3) *

Add Another

Name (3) *

Title (3) *

Relationship (3) *

Phone (3) *

Email Address (3)

Additional Skills

Briefly summarize any skills that you believe qualify you for this position. *

Read & Sign Below

The Pleasant View Volunteer Fire Department is an equal opportunity employer and does not discriminate on the basis of sex, race, color, religion, national origin, age, disability or veteran status in employment opportunities and benefits.

The employment application is but one part of the hiring process, which may include an interview, and employment examination or test and a demonstration of an ability to perform the essential functions of the job. If you need an accommodation in order to complete any part of the hiring and employment process, please contact the PVVFD Administration.

I give the PVVFD the right to investigate all references and to secure additional information about me. I consent to the release of information to the PVVFD about my ability and fitness for employment by employers, schools, law enforcement agencies and other individuals and organizations. I hereby release from liability the PVVFD and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

I understand that just as I am free to resign at any time, the PVVFD reserves the right to terminate my employment pursuant to the Department’s Personnel Rules and Regulations. I understand that no representative of the PVVFD has the authority to make any assurances to the contrary.

Furthermore, I also authorize an investigation of my driving record and criminal offense record as required for active membership in the Pleasant View Volunteer Fire Department. The Pleasant View Volunteer Fire Department is a drug-free/tobacco-free employer and I am subject to mandatory and random drug testing. I understand that I am a pro-bono or volunteer employee, subjected to a probationary period.

I certify that, to the best of my knowledge and belief, all of the information and statements provided by me in and with this application are true, correct, complete, and provided in good faith.
It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer’s service if I have been employed.

I have read and understand the above statements. *

Yes

*

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