Application for FirefighterCaptiva Island Fire Control District logo.Please select one or both positions you are applying for:Firefighter EMTFirefighter ParamedicPERSONAL INFORMATIONName (required)Street Address (required)Telephone Number (required)Are you legally eligible for employment in the USA? (required)YesNoIf hired, give a date you will be available to start work. (required)Referred by:Have you ever been arrested?YesNoIf Yes, please explain: (An arrest or conviction will be judged in relation to circumstances and will not necessarily bar you from employment.)Have you ever been charged or convicted? (required)YesNoIf Yes, please explain:Have you even been demoted, discharged or forced to resign? (required)YesNoIf Yes, please explain:Are you related to anyone employed by the Captiva Island Fire Control District? (required)YesNoIf Yes, give name and relationship.Do you have a valid Florida Driver's License? (required)YesNoDriver's License Number (required)Driver's License Expiration Date (required)EDUCATIONHighest grade completed: (required)Name and Location of High School: (required)Name of College or University Attended:Number of Years Completed:Other Schools Attended (Business, Techincal, etc.):Do you have a valid trade license or certificate? (required)YesNoIf Yes, type and expiration date:Are you a veteran of the armed forces? (required)EMPLOYMENT HISTORYEmployer: (required)Employer Address: (required)Employer Telephone Number: (required)Dates Employed: (required)Hourly/Salary Rate: (required)Work Performed: (required)Job Title: (required)Reason for Leaving: (required)Employer: (required)Employer Address: (required)Employer Telephone Number: (required)Dates Employed: (required)Hourly/Salary Rate: (required)Work Performed: (required)Job Title: (required)Reason for Leaving: (required)ATTACH ADDITIONAL SHEETS IF NECESSARYResume (required)Do you have any objection to your current employer being contacted? (required)YesNoDescribe and special experience, skills, or qualifications you may have.Indicate any foreign languages you speak: (required)PERSONAL REFERENCE & ACQUANTANCESGive three (3) references (not relatives, former or current employers, fellow employees, or school teachers) who have known you well for the past three years.Complete Name: (required)Years Known: (required)Telephone Number: (required)Complete Name (required)Years Known: (required)Telephone Number: (required)Complete Name: (required)Years Known: (required)Telephone number: (required)There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.Below is the full application: (What should this verbiage be?)New Hire Application.pdf
