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ENUMCLAW FIRE DEPARTMENT

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ENUMCLAW FIRE DEPARTMENT
1330 Wells Street Enumclaw, WA 98022
Telephone (360) 825-5544 Fax: (253) 856-6541
www.enumclawfire.org – EFD@enumclawfire.org
Compassionately serving our community through a culture of safety and professionalism
Volunteer Program Application Packet
Minimum Requirements
• 18 years of age
• Possess a high school diploma or a GED
• Possess a valid driver license
• Pass a background investigation and driving record review
See next page for automatic/potential disqualifiers
• Ability to read and write the English language
• CPAT card, last 12 months (due at time of hire)**
Participation Requirements
• Volunteer Firefighter
5 “blocks” of shift standby per month
Monthly mandatory training
• Resident Volunteer Firefighter
Live in a resident fire station rent-free
12 “blocks” of shift standby per month
Monthly mandatory training
Application and Selection Process
• Keep this and the following page for your records.
• Complete and submit application to our Headquarters Station (41) at 1330 Wells St. Enumclaw, WA 98022
• If you have a change in telephone number, mailing address or email address, please contact the office to
update your application. Applicants will be contacted from the information you provide on the completed
application.
• We typically review applications every few months or as vacancies occur.
• A program overview/open house may be scheduled for you to visit our department and ask questions about
our program.
• Candidate applications that are accepted will be invited to participate in an oral-board interview process
• The Fire Chief may conduct a final interview
• Driving/background investigations will be conducted
• Medical/physical exams will be conducted
• Your application status and next steps will be communicated via email,
please keep updated email on file.
**For
information on how to obtain a CPAT candidates should contact either Public Safety Testing or
National Testing Network. Candidates should consider submission of this application their official notice to
obtain a CPAT verification.
ENUMCLAW FIRE DEPARTMENT
1330 Wells Street Enumclaw, WA 98022
Telephone (360) 825-5544 Fax: (253) 856-6541
www.enumclawfire.org – EFD@enumclawfire.org
Compassionately serving our community through a culture of safety and professionalism
THE FOLLOWING ARE AUTOMATIC AND POTENTIAL DISQUALIFIERS. APPLICANTS SHOULD NOT APPLY
TO OUR AGENCY IF THEY INDICATE ANY OF THE AUTOMATIC DISQUALIFIERS. POTENTIAL
DISQUALIFIERS WILL BE CONSIDERED ON A CASE BY CASE BASIS.
Driving
Automatic 1 or more traffic crime convictions in last 5 years (DWI,
Suspended, Reckless, etc.)
Automatic 3 or more moving violations in past 3 years.
Potential
Driving Records that indicate a pattern of infractions will be
reviewed on a case by case basis and may be forwarded to our
insurance provider to confirm compliance with policy requirements.
All drivers subject to WSP driving record check.
Drug Usage
Automatic No illegal sale of ANY drug, including marijuana.
Automatic Pattern of illegal use of prescription medication.
Potential All members are subject to drug testing.
Criminal Activity
Automatic Any adult felony conviction.
Potential Adult misdemeanor convictions will be carefully reviewed.
Potential Juvenile felony conviction will be carefully reviewed.
Automatic Been convicted of any crime under a domestic violence statue.
Automatic Unlawful sexual misconduct.
Potential All members are subject to through background investigations prior
to membership being offered.
Employment
Automatic Lied during any stage of the hiring process.
Automatic Falsified his or her application, personal history questionnaire, or
any other forms during hiring process.
1 of 6
Volunteer Application
Instructions
What position are you applying for?
Please
check one:
Volunteer FF/EMT
How did you learn of this position?
Please c
heck one:
Advertisement Walk-in
Friend
Relative Other
Information
Name (Last, First, MI)
Street Address
City, State ZIP Code
Home Phone
Work Phone
Cell Phone
E-Mail Address
Date Received (office use only)
Do you have an active Washington State EMT Certification?
Yes
No
Do you have a IFSAC Firefighter 1 Certification?
Yes
No
ENUMCLAW FIRE DEPARTMENT
1330 Wells Street Enumclaw, WA 98022
Telephone (360) 825-5544 Fax: (253) 856-6541
www.enumclawfire.org – EFD@enumclawfire.org
Compassionately serving our community through a culture of safety and professionalism
• Complete, electronically or legibly in blue or black ink.
• Follow the directions. Illegible, incomplete or incorrectly completed applications will not be considered.
• DO NOT LEAVE ANY ITEM BLANK. If an item does not apply, write “N/A” (not applicable).
• If you need additional space, attach a separate piece of paper with acceptable documentation including your name
and the specific section of this application you are continuing.
• You may also attach copies of resumes, documents, or certificates which support your application. All materials
submitted become the property of Enumclaw Fire Department and will not be returned.
• All statements made on the application are subject to verification.
• Sign the last page of the application affirming the information provided is true and correct.
Resident
Volunteer FF/EMT
•
Attach WA DOL Driving Record to application before submitting application.
2 of 6
Yes
No
Are you 18 years or older?
Have you been previously employed by Enumclaw Fire/KCFD #28?
Are you legally entitled to work in the United States?
Are you able to perform the essential functions of this position?
References
Please list 4 references that are not relatives or previous employers.
Name: _____________________________________________ Years known: _______________________________
Street Address:
City, State, ZIP:
Phone:
Relationship:____________________________________________________________________________________
Name: _____________________________________________ Years known: _______________________________
Street Address:
City, State, ZIP:
Phone:
Relationship:____________________________________________________________________________________
Name: _____________________________________________ Years known: _______________________________
Street Address:
City, State, ZIP:
Phone:
Relationship:____________________________________________________________________________________
Name: _____________________________________________ Years known: _______________________________
Street Address:
City, State, ZIP:
Phone:
Relationship:____________________________________________________________________________________
3 of 6
Background History
Have you ever been convicted of a crime?
YES
NO
If yes, explain conviction(s), date of such offense(s), city/county/state convicted:
Month/Year
Conviction/Details
Do you possess a current driver’s license? YES NO
List any accidents, infractions or traffic citations which you have received in the past 5 years.
State
Month / Year
Type of Infraction/Details
Convictions, infractions or citations will not necessarily remove you from consideration, but Enumclaw Fire
will consider your background, driving record and insurability when making employment decisions.
Employment Experience
Resumes may be attached but will not be accepted as a substitute for completing this section. Start
with your present or last job. Include any job related military service assignments and volunteer
activities for the past ten (10) years. Please include periods of self-employment and U.S. military
service.
Job Title:
From: To:
Name of Business and Address:
Supervisor
Phone #:
Hours worked per week:
Number of employees supervised by you:
May we contact this employer?
Reason for leaving:
Primary duties:
4 of 6
Job Title:
From: To:
Name of Business and Address:
Supervisor
Phone #:
Hours worked per week:
Number of employees supervised by you:
May we contact this employer?
Reason for leaving:
Primary duties:
Job Title:
From: To:
Name of Business and Address:
Supervisor
Phone #:
Hours worked per week:
Number of employees supervised by you:
May we contact this employer?
Reason for leaving:
Primary duties:
Job Title:
From: To:
Name of Business and Address:
Supervisor:
Phone #:
Hours worked per week:
Number of employees supervised by you:
May we contact this employer?
Reason for leaving:
Primary duties:
5 of 6
Job Title:
From: To:
Name of Business and Address:
Supervisor
Phone #:
Hours worked per week:
Number of employees supervised by you:
May we contact this employer?
Reason for leaving:
Primary duties:
Job Title:
From: To:
Name of Business and Address:
Supervisor
Phone #:
Hours worked per week:
Number of employees supervised by you:
May we contact this employer?
Reason for leaving:
Primary duties:
Education
Name & Address of School
Course of Study
Years
Completed
Diploma
Degree
High School
College
Trade School
Graduate Professional
Other (Specify)
6 of 6
List any job pertinent skills, specialized training and equipment that you can operate:
List extracurricular activities and hobbies:
List Accomplishments:
Describe why you want to be a firefighter/EMT for the Enumclaw Fire Department:
Indicate any foreign languages you can speak, read and/or write:
FLUENT
DECENT
FAIR
SPEAK
READ
WRITE
State any additional information you feel may be helpful to us in considering your application:
Enumclaw Fire Department is an Equal Opportunity Employer. We hire, train and promote without
discrimination due to race, color, religion, gender, national origin, ancestry, marital status, age, sexual
orientation or disability.
I certify that the information contained in this application is true, complete, and correct. I
understand that false, misleading, or exaggerated statements are considered sufficient cause for
dismissal of my application and/or termination of employment.
Signature ______________________________________________ Date ___________________
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Driving and Background Check Authorization
I hereby authorize Enumclaw Fire Department/KCFD #28 to obtain background information
including but not limited to, criminal history, education and employment and professional
licensure/certifications, and driving record. I understand federal and state laws may require release
of the results of this background check and any prior background checks in response to public
disclosure request or civil discovery. I understand any incomplete or unreadable information may
stop or delay processing, and my volunteer employment is contingent upon successful completion
and clearance of this background check.
Full Name: ________________________________________________________
Last First Middle
Street Address: ________________________________________________
City, State, Zip: ________________________________________________
Date of birth: ______________________________
Male
Female
Month/Day/Year
Driver’s License # __________________ State and Expiration: ____________
I understand I am signing this statement under penalty of perjury. The above information is true
and complete to the best of my knowledge. I understand that any false statements made herein
could void my consideration for employment or could result in disciplinary action up to and
including termination.
By signing this release, I agree to the terms above, and that this release shall continue to be valid
throughout the tenure of my position with Enumclaw Fire Department/KCFD #28.
______________________
_____________________________________________________
Signature
Date
ENUMCLAW FIRE DEPARTMENT
1330 Wells Street Enumclaw, WA 98022
Telephone (360) 825-5544 Fax: (253) 856-6541
www.enumclawfire.org – EFD@enumclawfire.org
Compassionately serving our community through a culture of safety and professionalism
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ENUMCLAW FIRE DEPARTMENT

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Completed 21 March 2021

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