Online Application

ONLINE APPLICATION

Name*

Date of Birth:*

Email Address*

Phone*

Address*

Do you have a valid driver's license? *

Current Employer*

Date of Hire

What hours do you normally work?

Have you ever been convicted of any law violations? If so, please list below:*

Have you ever been a member of another fire department? If yes, please list agency name and dates below:*

List any skills or certifications you possess that you believe would be valuable to the fire service:*

Why would you like to become a volunteer?*

Please List at least 3 non-family references and their contact information:*

I authorize any representative of the Cherokee Pass Fire District to examine, copy, or receive any records pertaining to me including any criminal records or civil judgements as well as my driving record. I also authorize contact of my previous employers and listed references. By making this authorization, I agree to hold harmless any individuals or agency and employees from any liability or damage what so ever for issuing such information. *

I certify that all information provided in this application is true and accurate to the best of my knowledge. Any false statements or misrepresentation will result in automatic disqualification of this application or immediate dismissal from the Cherokee Pass Fire Distirct.*

Thank you for your interest in joining our team. If your application is chosen for further consideration, we will contact you to schedule an interview.

The Cherokee Pass Fire Protection District recruits and hires on a non-discriminatory basis.