FACTS ABOUT YOUR FIRE DEPARTMENT
OUR AREA
We
are a multi service Fire Department serving some 500 square miles of
OUR
DEPARTMENT
We
have seven Fire Station locations that house 40 pieces of apparatus. In 2004 we responded to 483 alarms, 218 of
those were Emergency Medical Service calls.
These activities require trained personnel. Our department presently has 74 volunteer
firefighters, 9 Community Support Division volunteers, 3 District #3 Commissioners
and 7 Full time Career positions. These
are people like you willing to give their time in service to their community.
OUR PROGRAM
We
accept applications, make periodic review and fill volunteer positions as
openings occur. Current or prior fire
service experience is not required for the position and we provide training on
a regular basis. Included in the
training program for new firefighters is:
Department
Orientation
Basic Recruit Training
First Aid Training
The
Fire District provides protective clothing for firefighters, communication
equipment for emergency notification and a volunteer pension plan.
HOW TO
APPLY
If
you are at least 16 - 18 years old, male or female, have a valid driver’s
license and can meet the challenge, we invite you to complete the attached
forms and return them to us. The
Department has the option of determining when new recruits will be considered
for entry.
Remember
the sooner you apply, the sooner you may have the opportunity to become a proud
member of our successful team at:
GRANT COUNTY FIRE
DISTRICT #3
GRANT COUNTY FIRE
PROTECTION DISTRICT #3
APPLICATION FOR MEMBERSHIP
AND PERSONAL FILE
POSITION APPLIED
FOR: _____________________________
IMPORTANT:
Please complete all sections of this form in your own handwriting.
NAME:_____________________________________________________________________________
(Last) (First) (Middle) (Nickname)
PRESENT ADDRESS:
________________________________________________________________
CITY, STATE, AND ZIP CODE:
________________________________________________________
PHONE NUMBER FOR CONTACT AT: _________________________________________________
(Home) (Work)
DATE OF BIRTH ____/____/____ SOCIAL SECURITY NUMBER
______/____/______
ARE YOU SUBJECT TO ACTIVE MILITARY REASSIGNMENT?
___________________________
ARE YOU A HIGH SCHOOL GRADUATE? _____ IF NO, DO YOU
HAVE A GED? ____________
VALID DRIVERS LICENSE NUMBER:
HAVE
YOU BEEN CONVICTED, OR SERVED TIME IN A CORRECTIONAL INSTITUTION WITHIN THE
PAST SEVEN (7) YEARS, FOR ANY CRIME WHICH MIGHT HAVE SOME BEARING ON YOUR
QUALIFICATIONS AND FITNESS TO ACCEPT DUTIES AND RESPONSIBILITIES OF THE
POSITION FOR WHICH YOU ARE APPLYING?
YES _____ NO _____ IF YES, PLEASE GIVE DETAILS:
___________________________________
____________________________________________________________________________________
____________________________________________________________________________________
IN CASE OF INJURY OR DEATH NOTIFY: _______________________
Ph: ___________________
ON
THE BACK OF THIS FORM LIST THE NAME, ADDRESS AND PHONE NUMBER OF THREE PERSONAL
REFERENCES, NO RELATIVES THAT WE CAN CONTACT.
IS YOUR EMPLOYER IN FAVOR OT THIS APPLICATION?
_______________________________
NAME AND ADDRESS OF EMPLOYER:
________________________________________________
I
HEREBY CERTIFY THAT ALL OF THE INFORMATION PROVIDED IN THIS QUESTIONNAIRE AND
ATTACHMENTS ARE TRUE AND COMPLETE STATEMENTS.
I UNDERSTAND THAT ANY FALSIFICATION ON THIS FORM MAY RESULT IN MY
DISQUALIFICATION OR DISMISSAL.
____________________________ ________________________________________________ (DATE) (SIGNITURE OF APPLICANT IN FULL)