APPLICATION FOR EMPLOYMENT
FIDAVIT: Please read each statement carefully before signing.
information contained in this application and supporting employment documents is true to the best of my
knowledge and belief. I understand and agree that, if in the opinion of the Fire Districts, I have made any
misrepresentations or false statements in connection with the application and supporting employment
documents, the Fire Districts may reject my application or, dismissal at any time if employed.
I understand that all information furnished in this application and supporting employment documents may be
verified. I hereby authorize all individuals and organizations named and referred to in this application and
supporting employment documents and any laws enforcement organization to release any and all information
relative to such verification and hereby release such individuals, organizations and the Fire Districts from and all
liability for any claim or damage resulting therefrom.
nderstand that, following an offer of employment, employment may will be contingent upon successfully
completing a, background check, drug screen, medical physical, fitness testing and functional movement test
(responders), or background check, drug screen, medical physical and functional movement test (non-responders).
I consent to the release of any or all personal and/or professional and/or medical information as may be deemed
necessary to judge my capability to do the work for which I am applying.
accordance with the Immigration Reform and Control Act of 1986, I understand that I will be required to provide
documentation as to my identity and authorization to work in the U.S. should employment be offered to me.
rstand that this application or subsequent employment does not create a contract of employment nor
guarantee employment for any definite period of time. If employed, I understand that I have been hired at the will
of the employer and my employment may be terminated at any time, with or without cause and with or without
I state that I have made no willfully false or misleading statements in this application or otherwise and that I will
make no willfully false or misleading statements about my ability to perform if I am selected to continue in the
is application will remain active no more than six (6) months from the date it was submitted.
I understand that should I be offered employment, it may be conditioned upon the contents of my driving record
as provided by the Department of Motor Vehicles.
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