NOTE: For this application to be accepted, it must be filled out in its entirety and submitted with all necessary documents attached, including a copy of your current driving record. Double-check your application for completeness before signing. If any part of the application does not apply to you, use the symbol N/A. This is your application and therefore, your responsibility. Please PRINT clearly, then read and sign on the last page.

Personal Information

Education

List the level of your completed education and any special training, license, certifications or other skills you may have that are pertinent to the position for which you are applying, including any non-paid or volunteer work. All verifying documents must be filed with this application.

Employment History

This section must be completed in its entirety. List all work experience, paid or unpaid, beginning with your current or most recent employment. Include military experience as well as volunteer jobs that you wish to have considered as part of your qualifications for the position you are seeking with Woodburn Fire District. Explain all breaks in continuous employment. If more space is needed, additional pages may be added

References

Have you ever been convicted of a crime which might have a relationship to the job qualifications, such as burglary, arson, felonies involving motor vehicles, driving while under the influence, ect? Conviction does not necessarily disqualify you from acceptance.

PLEASE READ THE FOLLOWING CAREFULLY BEFORE SIGNING THIS APPLICATION

The Woodburn Fire District is an equal opportunity employer and does not discriminate on the basis of sex, race or color, religion, marital status, national origin, handicap or veteran status.

I certify that I have answered truthfully and have not knowingly withheld any information relative to my application. I understand that any misrepresentation or material omission of this application will result in my being eliminated from further consideration. I further understand that if accepted for employment, any misrepresentation or material omission which becomes known to Woodburn Fire District will result in immediate termination of my employment or volunteer status.

I authorize all previous employers and supervisors, including all persons with whom I have worked, to give Woodburn Fire District representatives any and all information regarding me and my previous employment. I release Woodburn Fire District and all previous employers and supervisors from liability for any damages that may result from furnishing information to the Woodburn Fire District.

I understand that if selected, I will be required to provide proof of my identity and my legal right to work in the United States prior to actual employment with the Woodburn Fire District.