This department is an equal opportunity department. As such, we provide all opportunities without regards to race, color, religion, national origin, age, disability, veteran status, military service, or other characteristics protected by law.

I certify that the information provided on this application form, along with all other information I have provided to the department, is accurate and complete.

I understand that any misrepresentations or omissions will be cause for not being considered for employment or for terminating my employment once accepted.

I understand that the Department will undertake, and I authorize the Department to undertake, any investigation it deems necessary in considering me for membership. I expressly authorize any present or former employer; school, college or university; utility company; credit or finance bureau; personal reference; chief law enforcement officer; any member of any local, state or federal law enforcement agency; or any other person to give the department any information (written or oral) or records concerning me or my qualifications, employment (including but not limited to the reasons for my termination), credit, reputation, mode of living, education, or criminal record. I unconditionally release the department and its representatives and agents and all persons from whom they request information from any and all liability relating to such request for information or any information provided.

I understand that this application will be for employment only, and only during the period the department is seeking to fill the current opening(s), and that employment may be conditioned upon a medical examination and/or drug testing and/or criminal history check.

The Administration of this Department wants you to understand that providing fire protection, and being a firefighter, is a very dangerous job. The fire/rescue service loses approximately 100 fire/rescue members each year protecting the citizens of the United States.