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Dear Applicant,

Thank you for your interest in joining the Arcola Fire Department. Attached is an application for the position of:

Volunteer Firefighter

As a Volunteer Firefighter for the Arcola Fire Department your primary responsibility will be to respond to a variety of emergencies such as fires, traffic accidents, chemical spills, alarms, and other incidents where there are risks posed to life and property. You must be able to follow the directions and commands of company officers, and be able to work as part of a team. A fire scene often requires a member to be able to lift and maneuver heavy equipment, crawl through hot, smoke-filled and hazardous conditions, and encounter other events that can be both physically and mentally challenging. Because of the job’s physical nature, as a volunteer firefighter you must stay in good physical shape so that fellow firefighters and residents of the town can depend on you during emergency situations. You will also be responsible for the care of the fire vehicles and equipment, as well as the fire station itself.

In order to select the best applicants for this position, it is our duty as a department to conduct a thorough and complete investigation into your personal, professional and private background. It is imperative for you to provide us with a complete, concise and easy to read application form.

Incomplete, erroneous or false information provided on these documents would be grounds for terminating the investigation into your background, thus eliminating you from consideration. Due caution and diligence should be observed in completing this application.

Typically, we review the applications on specific criterion. This criterion is based on the specific needs of the Fire Department. A background investigation will not be commenced until a recommendation is received from the Fire Officers. If selected for consideration, you will be contacted to meet with the Fire Officers. After that meeting, a complete and thorough background check will be conducted. If there are problems with the background you will be contacted. If your background is cleared for membership, you will again be contacted to come to the next Fire Department Business Meeting. At this meeting, prospective members are brought up before the Fire Department for vote. A successful vote affords the applicant conditional membership in the organization. There is a one-year probationary period in which your progress and participation as a member is reviewed at specific intervals during that year.

The application asks for personal information, references, employment history, convictions (if any), contact information, etc. It does take time to complete, so please have your information ready.

Applications are kept on file for one year from the date of receipt. To be considered after the expiration of one year, a new application would need to be completed.

We would like to wish you the best of luck in your future endeavors. If you have any other concerns or questions, please do not hesitate to call on us at the Fire Department.

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Here we will collect some basic personal information. Please note, you are not required to submit your social security number online on this form, however, the department will require it and you can provide it in person at a scheduled interview.

Basic Personal Information

Please provide the following details:

Items with an * are required fields for consideration.

Last Name:

First Name:

Middle Name:

Date Of Birth

Drivers License #:

State of Issue:

Expiration Date:

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Here we will collect your address and contact information. Please be complete as possible. In the event you are accepted onto the department, this will be on file as current information.

Address

(please provide the address where you currently get mail, certification, bills, etc.)

Street Address 1

Street Address 2

City

State

Zip Code

Phones And Email

Please include as much information as possible, our dispatching system can send text and email for alerting through the program/app called IamResponding.

Home Phone

Cell Phone

Work Phone

Primary Email

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Please tell us about your current employment.

Currently Employed? Yes No

May we contact your employer? Yes No

Company:

Date of Hire:

Job Tittle:

Work Phone:

Street Address 1:

Street Address 2:

City:

State:

Zip:

Supervisors Name:

Supervisor Phone:

How long have you been employed there?

Would you be allowed to leave for emergency calls? Yes No

Describe work skills or training which would be relevant to the department:

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Please let us know what previous (if any) training you have from any fire department, any certifications you may have regardless of the expiration of any certification.

If you don't have any training or certification, that is perfectly fine. We do training at the station and can provide opportunities to get you certification.

Firefighter Level I No Yes

Fire Fighter Level II No Yes

Fire Fighter Level III No Yes

Fire Fighter Level IV No Yes

Hazmat Operations No Yes

CPR No Yes

First Responder No Yes

EMT-B No Yes

EMT-I No Yes

Paramedic No Yes

EVOC I No Yes

EVOC II No Yes

EVOC III No Yes

I.C.S. No Yes

Please tell us about any other special training, skill, certifications you hold (if any)

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Do you currently or previously have / had any affiliation with a fire, EMS, police or similar department?

Department Info (1)

Department Name:

Department Location:

Start Date:

Leave Date: (if any)

Reason for Leaving:

Certifications received, specialization?

Department Info (2)

Department Name:

Department Location:

Start Date:

Leave Date: (if any)

Reason for Leaving:

Certifications received, specialization?

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You are almost done with the application process. Just a few more questions answered in your own words.

Why do you want to be a firefighter?

What can the department expect to gain from your membership?

Is there anything you wish to share about yourself or experience that this application process has failed to adequately cover?

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I hereby certify that this is a complete record and that all entries and on any attachments are true and accurate to the best of my knowledge.

I understand that all information on this application is subject to verification and I consent to references and former employees being contacted in reference to being considered for membership.

I authorize the Arcola Fire Department or appointed representative to conduct a Criminal History Background Check and Driving Record Check to be used in the evaluation process of my candidacy for membership.

Upon the in person interview, I will be required to provide a copy of my drivers license and social security number and proof of residency.

The Arcola Volunteer Fire Department does not discriminate in employment on the basis of race, color, religion, sex, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, parental status, military service, or other non-merit factor.

Today's Date:

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THANK YOU!

We appreciate the time you have taken to fill out this application and begin your pursuit with the Arcola Volunteer Fire Department.

This application and the information have been forwarded to the appropriate people who will review it and contact you through the information you have provided.

Sincerely,

The Arcola Volunteer Fire Department.