Tubac Fire Online Employment Application This application is only valid for open, advertised positions. Tubac Fire District is not obligated to retain or consider this application for future openings. Please enable JavaScript in your browser to complete this form. - Step 1 of 7Instructions: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 / TimeDateTimePosition Desired: *AvailabilityPlease indicate all that apply:Date Available *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Overtime Restrictions? YesNoAvailability *Full TimePart TimeCheck all that apply:MorningsAfternoonsEveningsMondayTuesdayWednesdayThursdayFridaySaturdaySundayAll DaysAll Days and ShiftsNextApplicant Information Name *FirstLastAddress *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeHome Phone:Cell Phone:Work Phone:Message Only Phone:Email *How may we contact you? *Home PhoneCell PhoneWork PhoneMessage Only PhoneEmail All of the aboveNextSocial Security Number *Criminal Convictions/Traffic Violations: Have you been convicted of: MisdemeanorFelony (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? *Yes NoIf yes, state name(s) of relative(s) and relationship(s):How did you hear about this position? *Newspaper Website Agency referralSchoolTubac Fire District EmployeeFriendInterest Card ResponseOtherPlease give us specific information regarding your answer above (name(s) of entity, website, persons) *Have you ever applied with Tubac Fire District before? *YesNoPosition(s) applied for:Date you applied: MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920NextEmployment HistoryLack 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 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer's Phone *Employer's FAX EmailStart Date *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date of separation (if applicable)MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Supervisor's NameFirstLastDuties: *Reason for leaving: *NextEmployer's Name: Employer's AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer's PhoneEmployer's FAXEmail *Start Date MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Seperation Date MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Supervisor's NameFirstLastDuties: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. NextEducation 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 AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeObtained:DiplomaGEDDate received:MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Upload Diploma, GED and/or additional school information Click or drag a file to this area to upload. College or UniversityIf 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 AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMajor Fields of StudyDegree(s) and/or Certificate obtained:CertificateAssociatesBachelorsMastersDoctorate Currently attendingUpload Degree(s) and/or additional school information Click or drag a file to this area to upload. Professional Skills and/or TrainingPlease mark all that apply:Fire/EMS ServiceFirefighterEMTParamedicEngineerFire InspectorWildlandFire MarshalHazardous MaterialsTechnical RescueClericalAccounts ReceivableAccounts PayableMulti-line phonesPayroll processingMeeting minutesFAXPostage meterCustomer RelationsWriting correspondenceComputer ProficiencyWordExcelAccessPowerpointPublisherVideoWeb publishingMail mergesMac 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:NextPlease 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 / TimeDateTimeEmailSubmit