Tubac Fire District Online Application

Instructions:

Please complete all items. The information you provide will allow us to consider you for the open position you desire and/or other open positions for which you may be qualified. All information you provide will be used only for employment purposes. There will be the ability to upload your resume and any applicable certifications. Tubac Fire is an EQUAL OPPORTUNITY EMPLOYER.

Date / Time

Date

Time

Position Desired: *

Availability

Please indicate all that apply:

Date Available *//

Overtime Restrictions?

Availability *

Full Time
Part Time

Check all that apply:

Mornings
Afternoons
Evenings
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
All Days
All Days and Shifts

Applicant Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone:

Cell Phone:

Work Phone:

Message Only Phone:

Email *

How may we contact you? *

Home Phone
Cell Phone
Work Phone
Message Only Phone
Email
All of the above

Social Security Number *

Criminal Convictions/Traffic Violations: Have you been convicted of:

Misdemeanor
Felony (excluding juvenile adjudication)
A moving traffic violation with the last five years?

If yes, UPLOAD A STATEMENT giving date(s), time(s), location(s), circumstances, and dollar amount of fine(s). Include any condition of your parole and/or probation, if applicable. Moving traffic violations will only be considered if driving a vehicle is a job requirement. A criminal conviction is not an automatic bar to employment. Each case is considered on its individual merits.

Criminal/Traffic Violations Statement Upload

Click or drag a file to this area to upload.

Do you have any relatives working for Tubac Fire District? *

If yes, state name(s) of relative(s) and relationship(s):

How did you hear about this position? *

Newspaper
Website
Agency referral
School
Tubac Fire District Employee
Friend
Interest Card Response
Other

Please give us specific information regarding your answer above (name(s) of entity, website, persons) *

Have you ever applied with Tubac Fire District before? *

Position(s) applied for:

Date you applied: //

Employment History

Lack of Requested Information is Basis for Rejecting an Application. To avoid rejection please answer all items completely. Account for all time in the past 10 years whether working or not. Start with your most recent experience and work backward. Include military service and any period of unemployment. Do not say (see resume). If you are currently employed, we will contact your employer prior to employment.

Current or Most Recent Employer *

Employer's Address *

Address Line 1

Address Line 2

City

State

Zip Code

Employer's Phone *

Employer's FAX

Start Date *//

Date of separation (if applicable)//

Supervisor's Name

First

Last

Duties: *

Reason for leaving: *

Employer's Name:

Employer's Address

Address Line 1

Address Line 2

City

State

Zip Code

Employer's Phone

Employer's FAX

Email *

Start Date //

Seperation Date //

Supervisor's Name

First

Last

Duties:

Reason for Leaving:

Please use the same format as above and upload additional employer information (PDF or DOC File) to satisfy the past 10 years requirement if necessary.

Additional Employer Information Upload

Click or drag a file to this area to upload.

Education and Training:

High School:

If you attended more than one please provide the most recent and include the additional schools in a separate document which can be uploaded below.

High School Address

Address Line 1

Address Line 2

City

State

Zip Code

Obtained:

Diploma
GED

Date received://

Upload Diploma, GED and/or additional school information

Click or drag a file to this area to upload.

College or University

If you attended more than one please provide the most recent and include the additional schools in a separate document which can be uploaded below.

College or University Address

Address Line 1

Address Line 2

City

State

Zip Code

Major Fields of Study

Degree(s) and/or Certificate obtained:

Certificate
Associates
Bachelors
Masters
Doctorate
Currently attending

Upload Degree(s) and/or additional school information

Click or drag a file to this area to upload.

Professional Skills and/or Training

Please mark all that apply:

Fire/EMS Service

Firefighter
EMT
Paramedic
Engineer
Fire Inspector
Wildland
Fire Marshal
Hazardous Materials
Technical Rescue

Clerical

Accounts Receivable
Accounts Payable
Multi-line phones
Payroll processing
Meeting minutes
FAX
Postage meter
Customer Relations
Writing correspondence

Computer Proficiency

Word
Excel
Access
Powerpoint
Publisher
Video
Web publishing
Mail merges
Mac operating systems

Describe any special training, courses, or certification relating to the position you are seeking:

Upload Certifications, Professional Licenses, Training records

Click or drag a file to this area to upload.

Languages spoken:

Please read carefully and check the box next to each statement before submitting your online application:

Acknowlegment *

I certify that the information given by me in this online application is true and complete.
I understand and agree that the application process or my employment with Tubac Fire District many be immediately discontinued if misrepresentations, falsified statement, or material omissions are found to have been made.
I authorize investigatory agencies, schools, former employers and former supervisors to provide any and all information pertinent to my employability, and hereby release those providing such information from any liability for doing so.
I understand that employment, if offered, is contingent upon satisfactory results of a drug screening, employment verification, criminal background check utilizing fingerprint analysis, motor vehicle report, **Physical Examination** and written tests as required by the District. I also understand that employment , if offered, is contingent upon my providing additional information for employee record purposes and upon my providing proof of identity and lawful authorization to work in the United States and completing a for I-9. (**if applicable).
I also understand that the Tubac Fire District, being an at-will employer may terminate my employment at any time, with or without cause and without liability, and that my employment does not constitute a contract of employment between myself and the District. I will comply with and be governed by all federal and/or state laws, and District policies, rules and procedures as may be in effect.
In order to assure a drug-free work environment, the District prohibits the use, sale, transfer, being under the influence and/or reporting to work after using or ingesting drugs. Under District policy, alcohol is included within the meaning and prohibition of drugs. All District employees are subject to post accident/incident, reasonable suspicion and other drug and alcohol testing as specified in District policy. I understand that successful passage of such drug and alcohol testing will be a conditioner continued employment.
Sexual Harassment is defined as any unwelcome sexual advances, request for sexual favors, or other verbal or physical conduct of a sexual nature when (1) submission to such conduct is made a job requirement, or causes changes in working terms or conditions, and/or (2) it has the effect and purpose of unreasonably interfering with work performance, or creating an intimidating, hostile, or offensive workplace. I understand that sexual harassment will not be tolerated and will be grounds for discipline, up to and including termination.
The District has a strong commitment to its employees to provide a safe, healthy and secure work environment. While the District has no intention of intruding into the private lives of its employees, it expects all employees to report to work without possessing weapons and to perform their jobs without violence toward any other individual. I understand that workplace violence will not be tolerated and it will be grounds for discipline, up to, and including, termination.
If employed, I hereby authorize Tubac Fire District to deduct from my earnings amounts sufficient for my payments to cover any financial liability which I may incur during my employment. This may include, but not limited to: damage to or loss of District vehicles or property, group insurance premiums, uniform costs, lost tools, equipment and supplies, tuition reimbursement, and other appropriate situations.
I have read the above, understand its content, and meaning, and agree to all of its provisions. I understand that upon my request, I will be provided a copy of my executed employment application.

By submitting this form I agree that I, have read, understand, and agree with the above listed conditions. *

Date / Time

Date

Time