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RFD Employment Application

This document contains an application for employment with the Reservoir Fire Department in Brandon, Mississippi. The applicant is applying for the position of Combat Division. It requests basic contact information, employment history, education background, and includes a statement agreeing to the terms and conditions of possible employment. If hired, the applicant agrees to conform to department rules and understands that employment can be terminated at any time with or without cause or notice.

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2K views2 pages

RFD Employment Application

This document contains an application for employment with the Reservoir Fire Department in Brandon, Mississippi. The applicant is applying for the position of Combat Division. It requests basic contact information, employment history, education background, and includes a statement agreeing to the terms and conditions of possible employment. If hired, the applicant agrees to conform to department rules and understands that employment can be terminated at any time with or without cause or notice.

Uploaded by

usmjacksonalum
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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2232 Spillway Road

Brandon, MS 39047
(601) 992-2657

Reservoir Fire Department

Application for Employment


Combat Division
Position of Interest _________________________________

Application Date ____/____/____

Name ____________________________________________
Address______________________________________________________________________________
Home Phone (___) _________ Cell/Other # (___) __________ Email ___________________________
How were you referred to our department? _________________________________________________
Answering Yes to the following question does not constitute an automatic bar to employment.
Factors such as date of the offense, seriousness and nature of the violation, rehabilitation, and position
applied for will be taken into account.
Have you ever plead guilty or no contest to, or been convicted of, a crime?

Yes

No

If Yes, please explain


_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Educational Background
Name

Location

Date Attended

Course of Study

Diploma or
Degree

Special training or skills that would benefit you in the job for which you are applying
_____________________________________________________________________________________

2232 Spillway Road


Brandon, MS 39047
(601) 992-2657

Reservoir Fire Department


Employment History
Employer

Date Employed

Have you ever been fired or asked to resign from a job?

Position

Yes

Reason for Leaving

No

If Yes, please explain


_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Applicant Statement
I certify that all the information submitted by me on this application is true and complete, and I understand that if
any false or misleading information, omissions, or misrepresentations are discovered, my application may be
rejected, and if I am employed, my employment may be terminated at any time.
If hired, I agree to conform to the Departments rules and regulations, and I understand that these rules and/or the
employee handbook do not form a contract of employment either express or implied, and I agree that my
employment and compensation can be terminated, with or without cause and with or without notice, at any time,
at either my or the Departments option.
I also understand and agree that the terms and conditions of my employment may be changed, with or without
cause and with or without notice, at any time by the Department. I understand that no Department
representative, other than its Chief, and then only when in writing and signed by the Chief, has any authority to
enter into any agreement for employment for any specific period of time, or to make any agreement contrary to
the forgoing.
I expressly authorize, without reservation, the employer, its representatives, or employees to contact and obtain
from all references (personal and professional), employers, public agencies, licensing authorities and educational
institutions and to otherwise verify the accuracy of all information provided by me in this application, resume, or
job interview. I hereby waive any and all rights and claims I may have regarding the employer, its representatives,
or employees for seeking, gathering and using truthful and nondefamatory information, in a lawful manner, in the
employment process and all other persons or organizations for furnishing such information about me.
I understand that this application remains current for only 6 months. At the conclusion of that time, if I have not
heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out
a new application.

Applicants signature _________________________________________ Date ____/____/____

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