Wellington Fire Protection District
 
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Applications Accepted All Year

Please read this
Volunteer Candidate Information
before filling out your application form.

We are currently taking applications but are not scheduling any interviews until 2015. We will keep your application on file until our next volunteer hiring.

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WELLINGTON FIRE PROTECTION DISTRICT
ONLINE VOLUNTEER APPLICATION
protecting lives and property
 
Application Date
Application Date:
 
Personal Information    
Are you 18 years of age or older? Yes No
Are you a U.S. citizen or an alien authorized to work in the United States? Yes No
 
You are responsible for providing a copy of your current drivers license check. The Fire District will be conducting a Criminal Background Check and Drug Screen on all applicants. Your Signature on the District's Background Authorization Form is required.
 
Contact Information
First Name:
Middle Name:
Last Name:
E-Mail:
Address:
City:
State:
Zipcode:
Phone (Home):
Phone (Work):
Phone (Cell):
 
Fire and Rescue Service Experience
Have you had Fire and/or Rescue Service experience? Yes       No
Name of Organization:
Address of Organization:
Phone Number:
Contact Person:
Dates Served From:
Dates Served To:
At the time of your departure, what were your general responsibilities?
What skills, qualifications and/or certifications do you possess?
 
Education History
  School Course Did you graduate? Year
High School Yes No
College Yes No
Other Yes No
 
Work Experience (last or current company that you worked for)
Name of Company:
Address of Company:
Phone Number:
Supervisor:
Dates Employed From:
Dates Employed To:
Reason for Leaving:
 
Work Experience (previous company that you worked for)
Name of Company:
Address of Company:
Phone Number:
Supervisor:
Dates Employed From:
Dates Employed To:
Reason for Leaving:
 
Military Service
Branch of Service:
Discharge Date:
National Guard/Reserve: Yes       No
Date obligation ends:
Special training received:
 
Reference #1
Name:
Relationship:
Phone Number (home):
Phone Number (work):
Phone Number (cell):
Pager Number:
Reference #2
Name:
Relationship:
Phone Number (home):
Phone Number (work):
Phone Number (cell):
Pager Number:
 
Reference #3
Name:
Relationship:
Phone Number (home):
Phone Number (work):
Phone Number (cell):
Pager Number:
 
 
I acknowledge that the District is relying on the information given and I certify that the information on this application is true to the best of my knowledge. I authorize the District to obtain information from any person named above and I release all concerned from any liability in connection with obtaining and releasing such information.
 
In the event that I am offered a position with the Wellington Fire Protection District I will submit to a drug test which will be completed within 48 hours of the offer.
 
Signature of Applicant:
Date:
 
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