Osceola Fire Department Application

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Online application for membership to the Osceola Fire Department

Email *

Osceola Fire Department

What type of position are you applying for?

Fire Fighter

EMS provider

Both Fire and EMS

Other type of service support

Clear selection

How we interact with the public

Name *

Date of Birth *

YYYY

Phone *

Current Address *

City *

State *

Zip *

Current Employer Include Address, phone number, email

How long have you been employed there?

Name of supervisor

Have you discussed joining with them?

Yes

Clear selection

List 2 previous employers include location and phone number

Record of Education - High school diploma or GED. Where did you receive them? *

College or trade school education?

List of any Occupation, Fraternal or social organizations that you belong to.

List any special training you have that will help for the position you are applying for

List 2 personal references with name address and phone number *

Select any and all that apply below. A yes answer to any of the below does not mean instant denial. Much information is gathered to make considerations. *

Have you ever been convicted of a felony?

Are you addicted to alcohol or illicit drugs?

Do you have any physical disabilities that would hinder firefighting activities?

Are you afraid of heights?

Are you afraid of confined spaces?

Have you had any previous firefighting experience?

Do you consider yourself to be in good physical condition?

Are you willing to spend 6-12 hours per month attending training sessions?

Are you aware that belonging to the Osceola Fire Department requires volunteers to be away from home at all hours of the day and night?

Do you possess a valid Iowa Driver’s License?

Required

How do your spouse and family feel about this? *

Why do you want to join the Osceola Volunteer Fire Department? *

I Certify that my statements in this application are true, complete and correct to the best of my knowledge. I understand that any falsification or omission of information may remove my name for consideration or cause my dismissal from the department. I also agree that all statements maybe investigated. The Department requires that your Spouse, Fiancé or Parent has fully read this application and indicates their agreement with your application and will support you completely if you are accepted to the department. Note: When this application is returned it must be completely filled out before you can be voted on by the membership of the Osceola Fire Department. You may add any additional information you wish that will benefit or is pertinent to your membership to this department Directions: Applicant Place Full initials in the answer box to signify digital agreement with the certification *

Spouse/Fiancé/Parent By placing full initials in the answer box I have read and agreed with the certification and support this application *

A copy of your responses will be emailed to the address you provided.

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