DEPUTY FIRE CHIEF. Training and Experience Evaluation Form

Transcription

1 SPN 941 DEPUTY FIRE CHIEF Training and Experience Evaluation Form Name (Please Print) Date Signature

2 INFORMATION FOR ALL APPLICANTS This application has been designed to: meet Equal Employment Opportunity laws; ask questions only related to the position for which you are applying; be fair to all applicants. This application is designed to elicit sufficient job-related information to find the best-qualified applicants. Your answers to the questions on this application will be used to: (1) determine whether you meet the minimum qualifications, and (2) rank your qualifications compared to those of other applicants. Therefore, it is essential that you answer all questions completely and in detail. It is to your advantage to include all information on this application even if that information may be duplicated in other unrequested materials you provide. Possession of all minimum qualifications does not guarantee that you will be selected for further testing and/or interviewing. Only the best-qualified applicants will be selected for further tests or interviews. INSTRUCTIONS 1. Read the entire application before beginning. 2. Fill out the application completely. 3. Please word process, type, or write legibly in ink. ATTENTION MAC USERS: If completing the fillable application, you must use Adobe.pdf software. 4. If you have problems saving the pdf form, update your Adobe reader and try again. 5. Use additional pages if needed. Include your name, date, question number(s) and position applying for on all extra pages. 6. Specific answers to specific questions best identify your qualifications for this position. If you do not understand this form or need assistance, please contact: City of Spokane Civil Service 808 W. Spokane Falls Blvd. Spokane, WA (509)

3 DEPUTY FIRE CHIEF Page 1 of 10 NOTE: If you cannot answer "Yes" to all parts of question #1 below, contact the Civil Service Office to verify your eligibility before you complete this evaluation form. 1. Minimum Qualifications Mark your responses and follow the instructions below. Yes No Have you completed your probationary period with the Spokane Fire Department at the level of Fire Battalion Chief, Division Chief, or higher; OR have you completed at least two years of experience as a chief officer for a fire agency? Have you received two years of college (90 quarter or 60 semester credit hours) with substantial course work in Fire Command, Fire Administration, Para-Medicine, Business Administration, Public Administration or a closely related field? Do you possess a valid driver s license? Complete the information below: State: Number: Expiration Date: If you answered Yes to all three items above, continue on to question #2. 2. Education and Training A. Yes No Do you possess or have you previously possessed a Paramedic license? Give details of your paramedic experience: B. Do you possess the following? If Yes, attach a copy or confirmation of your completion. Yes No Center for Public Safety Excellence Chief Fire Officer designation National Fire Academy Executive Fire Officer certificate C. Give detail of your college education, including degrees, major/minor subject areas, institutions, and dates earned. (Note: copies of diplomas or transcripts must be provided.)

4 DEPUTY FIRE CHIEF Page 2 of Using the format below, describe your chief officer level positions held. If you have experience in additional positions, continue on the last page of this form or on additional pages, using the same format and alphabetical sequence: 3C, 3D, etc. A. Agency: Position Title: Dates (from/to): Average number of hours worked per week: Description of department (size of service area, population served, number of personnel, annual call volume, budget, etc.): Primary areas of responsibility: List your supervisory responsibilities (including number of personnel supervised): B. Agency: Position Title: Dates (from/to): Average number of hours worked per week: Description of department (size of service area, population served, number of personnel, annual call volume, budget, etc.): Primary areas of responsibility: List your supervisory responsibilities (including number of personnel supervised):

5 DEPUTY FIRE CHIEF Page 3 of 10 NOTE: For the following questions, it is important that you describe your own experience and accomplishments, rather than those of an entire team or department. Specify your role and describe your own work. If additional space is needed for your answers, you may use the page at the end of this form or attach sheets (provide the question number/letter with each answer). 4. Have you worked in a department in which labor relations were governed by collective bargaining and binding arbitration? Yes No A. If Yes, describe your experience in labor/personnel management in a department with collective bargaining and binding arbitration. Include your role and the length of time you were involved in labor/personnel management. B. Describe your experience in labor contract negotiations. Include the roles you have taken in these processes (management negotiator, labor negotiator, mediator, etc.) and the number of negotiations you have been involved in. C. Describe your experience in labor contract administration. Include your role and the length of time you were involved in labor contract administration.

6 DEPUTY FIRE CHIEF Page 4 of Describe your experience in the management of second alarm or greater all risk incidents (eight or more companies). Include your roles and the number of such incidents that you have been involved in. 6. A. Describe your experience in developing agreements with other departments/districts on matters such as mergers, annexation, consolidation and resource sharing. Include your role and the number of agreements you were involved in developing.

7 DEPUTY FIRE CHIEF Page 5 of B. Describe your experience working with private contractors for provision of department services (e.g. emergency medical services, transport, etc.) Include your role (contract writer, contract compliance/enforcement, liaison, etc.). C. Describe your ability to navigate political and intergovernmental environments in order to extend the objectives of the fire service.

8 DEPUTY FIRE CHIEF Page 6 of A. Not including routine memoranda and letters, list and describe the types of materials you have written (e.g. manuals, publications, articles, policies etc.) and include the approximate number of significant items written. B. Not including briefings and training presentations at the local department level, describe your experience delivering formal oral group presentations. List the subjects of the presentations, nature and size of audiences, and approximate total number of presentations.

9 DEPUTY FIRE CHIEF Page 7 of Describe your experience managing an ALS Emergency Medical Delivery System, including length of time involved. 9. A. Have you conducted a Loudermill hearing? Yes No B. Describe your experience conducting significant personnel investigations which could have resulted in severe disciplinary actions up to discharge. Include the number of such investigations you were involved in and your role.

10 DEPUTY FIRE CHIEF Page 8 of C. Describe, in as much detail as possible, a personnel investigation which you conducted. Include your role in the investigation, the nature of the infraction, actions you took during the investigation and the results. (Do not include names or other identifying characteristics.) 10. Give examples of your recent work which demonstrate your skill in independently adapting to challenges and successfully managing multiple, concurrent, demanding aspects of your job.

11 DEPUTY FIRE CHIEF Page 9 of Give a detailed example of your ability to take constructive feedback or criticism related to your work. 12. Describe your leadership style and philosophy. How do you lead, motivate, mentor, develop and discipline subordinates?

12 DEPUTY FIRE CHIEF Page 10 of 10 Use this page to complete your answers from the previous questions, if needed. Include the question number with each answer. END OF TEST