East County Fire Protection District
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ECFPD Application
Full Name
First Name
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Middle Name
Last Name
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Address
Address
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City
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State / Province
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Postal code / Zip Code
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Phone Number
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Date of Birth
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Gender
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Social Security Number
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Email Address
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Position Applying For
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Firefighter
Jr. Firefighter
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Certifications
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High School Attended (include City and State)
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Grade Completed
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Place of Employment
Address of Employment
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How Long Employed?
(1) Reference Name
Phone Number
(2) Reference Name
Phone Number
(3) Reference Name
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Drivers’ License #
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Exp. Date
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State
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Personal Vehicle Plate #
Have you ever been convicted of a Felony?
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Availability for Interview
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East County Fire Protection District reserves the right to do random drug testing. If asked to do so, East County Fire Protection District will be responsible for the charges incurred to do the testing. if you should fail the test, you will be responsible for the charges incurred and your application will be disregarded.
I certify that all the information submitted by me one this application is true and complete. I understand that any information, omissions or misrepresentations are discovered, my application may be rejected and if I an employed, my employment may be terminated at any time.
In consideration of my employment, I agree to conform to the East County Fire Protection District’s rules and regulations. I agree that the Department or myself can terminate my employment and compensation, with or without notice at any time. I understand and agree that the Department can change the terms and conditions of my employment, with or without notice.
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