Employment Application

Name

First (required)

Middle

Last (required)

Address

Street Address (required)

City (required)

State (required)

Zip (required)

Telephone Number (required)

Are you over 18 years of age? (required)

Yes

If employed and under the age of 18, can you furnish a work permit?

Yes

Do you have a legal right to work in the United States? (If employed, you will be required to provide proof) (required)

Yes

Have you applied to Monterey County Regional Fire Protection District for employment in the past? (required)

Yes

If yes, when?

Position applied for:

Do you have any relatives currently employed by Monterey County Regional Fire Protection District? (required)

Yes

If yes, indicate such name and explain:

Are you currently employed? (required)

Yes

If yes, may we contact your current employer at anytime?

Yes

You may contact my current employer, but only when:

I hereby certify that I have personally completed this application and that the answers given by me to the foregoing questions and statements are true and complete and that no material fact has been omitted. I understand that any false statements appearing on this or any other employment form is sufficient reason to end further consideration of this application and not hire me; if discovered after my employment, such false statements will be sufficient reason for dismissal from the services of Monterey County Regional Fire Protection District regardless of the time that has elapsed before discovery.

I realize that Monterey County Regional Fire Protection District or its designated agents may contact my references and conduct investigations into my past employment, criminal background, fingerprints, arrest record, credit history, character, reputation, characteristics, mode of living, education credentials, Department of Motor Vehicles driving record, and other employment related activities and records. I agree to cooperate in such investigations and release those parties supplying such information to Monterey County Regional Fire Protection District.

I understand that filing this application in no way assures me a position with Monterey County Regional Fire Protection District, and that this application is not, and is not intended to be, a contract of employment.

If employed by Monterey County Regional Fire Protection District, I agree to abide by the rules, policies and procedures of Monterey County Regional Fire Protection District and subsequent rules, policies and procedures that may become effective after my employment. I understand that my initial and continued employment may be contingent upon the successful completion of any of the above listed investigations as well as a medical examination which may include drug and alcohol screening. I understand that Monterey County Regional Fire Protection District during the time of employment. I further understand that Monterey County Regional Fire Protection District is prohibited from employing persons who have been convicted of specified crimes, including crimes involving moral turpitude, and that Monterey County Regional Fire Protection District may receive notification of arrests that occur after hiring.

Your Signature (required)

Confirm e-Signature

Review Electronic Records and Signatures Policy (required)

Read our Electronic Record and Signature Disclosure

I agree to use electronic records and signatures

Minimum Requirements (required)

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