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Leighton Township Fire Department
Firefighter Employment Application
firechief@leightontownship.org
Fire Chief - Matt Weston
Instructions:
1. Fill out all pages of the application.
2. Please Submit this file.
* Indicates required question
Best phone number to reach you:
*
Your answer
Best email address to reach you
*
Your answer
Today Date:
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MM
/
DD
/
YYYY
First Name:
*
Your answer
Last Name:
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Your answer
Current Address: (Street, City & Zip)
*
Your answer
Please advise what your current address means to you. Due to length of training necessary we are looking for applicants with a permanent residence.
*
Own this home and live at this address
Own this home and live somewhere else
Home where I rent
Home where I lease
Required
Birth Date:
*
MM
/
DD
/
YYYY
Are you a U.S. citizen?
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Yes
No
Have you worked for a Fire Department before?
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Yes
No
If yes: when and/or where
Your answer
Do you know anybody (past or present) who works on the Leighton Township Fire Department?
*
Your answer
Are you able to respond to fire calls during the day or night or during work hours? (check box if you are able)
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Day
Night
During Work
Other:
Required
Have you ever been convicted of a crime, excluding juvenile offenses?
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Yes
No
Other:
Are you able and physically fit to perform the "Essential Job Functions" needed to be a fire fighter?
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Yes
No
Do you have any special skills, experiences or qualifications which could benefit this department?
Your answer
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