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Hardin County ESD #2
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Home
About
About
Stations & Apparatus
Meet the Commissioners
Meet the Chief
Community Paramedic Program
Agendas & Minutes
Financials
Fire Marshal’s Office
Resources
Outdoor Burning
Live Dispatch
Privacy Policy
Legal Notices and Disclaimers
Forms
Event Request
Open Records Request
Permits
Contact Us
Careers
Employment Application
Employment Application
Applicant Information
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Employment Position Information
Employment Type Desired
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Please Select
Volunteer
Junior Volunteer
Position applying for:
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Please Select
Volunteer Member
If hired, on what date can you start?
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Please list current certifications (FF, EMT, AEMT, Paramedic):
*
Personal Information
Are you a U.S. citizen or approved to work in the United States?
*
Yes
No
Will you consent to a mandatory controlled substance test?
*
Yes
No
Have you ever been convicted of a criminal offense (felony or misdemeanor)?
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Yes
No
Please state the nature of the crime(s), when and where convicted and disposition of the case(s).
Background Check
Do we have your permission to perform a background check?
*
Yes
No
Date of Birth
*
Social Security Number
*
Driving Record
Do we have your permission to perform a driving record check?
*
Yes
No
Drivers License Number and State
*
Accommodations
Do you have any conditions which would require job accommodations?
*
Yes
No
Note: HCESD #2 / Lumberton Fire & EMS complies with ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.
If yes, please explain required accommodations.
*
Education and Skills
*
Military History
Are you a member of the Armed Services?
*
Yes
No
In what branch did you enlist?
Rank when discharged:
Years Served
Discharge Status
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Honorable
Dishonorable
Employment History
Employer name
*
Employer phone
*
Job Title
*
Supervisor name
*
Dates employed
*
Reason for leaving
*
Employer name
Employer phone
Job Title
Supervisor name
Dates employed
Reason for leaving
Employer name
Employer phone
Job Title
Supervisor name
Dates employed
Reason for leaving
References
First and Last Name
*
Phone
*
First and Last Name
*
Phone
*
First and Last Name
*
Phone
*
Do we have your permission to check your references?
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Yes
No
Resume
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Maximum file size: 5MB
Certifications
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Maximum file size: 5MB
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Hardin County ESD #2
Hardin County ESD #2