PART TIME FIREFIGHTER /EMT

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1 1525 Avenue D P.O. Box 820 Snohomish, WA Snohomish County Fire District #4 PART TIME FIREFIGHTER /EMT Snohomish County Fire District #4 is accepting applications for the position of Part-Time Firefighter / EMT Duties This position may work up to 129 hours per month, 12, 24 or 48 hour shifts. Primary duties will include responding to emergencies as directed by the Shift Lieutenant and Shift Commander. These duties may include, but are not limited to: firefighting, medical aid, rescue activities, and out of District assignments. Firefighters are required to maintain the station, grounds apparatus and equipment while on duty. They will also participate in all activities that may occur during a shift as assigned by the Fire Chief. Additional duties will include keeping up to date on all related training. Minimum Requirements 21 Years of age Washington State EMT Certification, Current IFSAC Firefighter 1 Certification High School Graduate or GED Washington State Driver License, Current CDL medical physical, passing evaluation Driver abstract and criminal background, passing evaluation CPAT certificate of completion dated within one (1) year of appointment (applicant s expense). Pay Firefighters are paid between $11.23 and $13.43 per hour. Provided Training Emergency Vehicle Incident Prevention Pump Operator Vehicle Extrication Orientation Training - Paid Application Process Applications may be picked up and submitted at the Snohomish County Fire District #4 office located at 1525 Avenue D, Snohomish, WA, between the hours of 8:30 A.M. and 4:30 P.M., or mailed to P.O. Box 820, Zip Code Applications and information may be downloaded from the District Web-Site at Applications must be received no later than 5 P.M. January 22, 2016 to be considered. Emergency 911 Business (360) Fax (360)

2 1525 Avenue D P.O. Box 820 Snohomish, WA Snohomish County Fire District #4 Application Checklist Applicant Name: Attachments High School Diploma or GED Certificate EMT Certification IFSAC FF1 Certificate Resume District Employment Application Three Letter(s) of Personal Reference Applicable Certifications Administrative Use Only: Comments: Accept Reject (Reason for rejection shall be noted in the comment section.) Emergency 911 Business (360) Fax (360)

3 APPLICATION FOR EMPLOYMENT Snohomish County Fire District 4 is an equal opportunity employer and encourages applications from all persons regardless of race, creed, color, sex, national origin, religion, marital status, age, physical, mental, or sensory disability unless based upon a bona fide occupational qualification (RCW and WAC , and NFPA 1582). PLEASE: *Print (Do Not Type) *Answer all questions completely and accurately *Attach supplemental sheets as needed APPLYING FOR: 1. Name: Last, First, MI 2. Address: (Street) (City) (State,Zip) 3. Home/Message Phone: ( ) - Other: ( ) Address 5. Driver s License Number: State: 6. Is there any reason why you cannot become lawfully employed in this country because of visa or immigration status? [ ] YES [ ] NO If employed, can you provide proof of citizenship, visa, or alien registration? [ ] YES [ ] NO 7. Education: (Circle highest level completed and furnish copy of GED or diploma) GED List any college degrees or special certificates you hold: 9. List any skills or training you have acquired that relate to the job you are applying for:

4 10. Have you been convicted within the past ten (10) years of a felony? [ ] YES [ ] NO If yes, please list and explain. NOTE: Conviction will not necessarily bar you from employment. 11. Are you claiming bilingual preference? [ ] YES [ ] NO If Yes, which language(s) do you have conversational ability? 12. References (Do not include relatives) NAME ADDRESS PHONE Present Employment: Days/Hours of Work: Can we contact your present employer? Yes No Previous Employers:

5 I release all parties connected with any request for information from all claims of liability and/or damages for any reason arising from the furnishing of information, including information of a confidential or privileged nature, in determining my moral, physical, and mental qualifications. I certify that all statements above are true to the best of my knowledge and contain no misrepresentation or falsification and I understand that false statements shall be sufficient cause for my dismissal from employment. (Signature of Applicant) / / (Date)

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