Application Step 1 of 5 20% Rochester Volunteer Fire Company Application for Employment Name* First Middle Last Maiden Nameif applicable.Current Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Length of time*at current address.Social Security Number*Phone*Date of Birth* Month Day Year Email* Position Applied for (Volunteer and/or Part-time)*How many hours are you looking to work each week? (If applying for part-time)Please enter a number less than or equal to 100.Days Available* Sunday Monday Tuesday Wednesday Thursday Friday Saturday SundayStart Time* : Hours Minutes Start TimeEnd Time* : Hours Minutes End TimeMondayStart Time* : Hours Minutes Start TimeEnd Time* : Hours Minutes End TimeTuesdayStart Time* : Hours Minutes Start TimeEnd Time* : Hours Minutes End TimeWednesdayStart Time* : Hours Minutes Start TimeEnd Time* : Hours Minutes End TimeThursdayStart Time* : Hours Minutes Start TimeEnd Time* : Hours Minutes End TimeFridayStart Time* : Hours Minutes Start TimeEnd Time* : Hours Minutes End TimeSaturdayStart Time* : Hours Minutes Start TimeEnd Time* : Hours Minutes End Time Schooling Attended College Business or Trade School Professional School High SchoolName*Address* City State / Province / Region Graduated* Yes No Graduation Date*MM/YYYYCollegeName*Address* City State / Province / Region ZIP / Postal Code Field of Study/Degree*Graduated* Yes No Graduation DateAdd Another* Yes No Additional CollegeName*Address* City State / Province / Region ZIP / Postal Code Field of Study/Degree*Graduated* Yes No Graduation DateBusiness/Trade SchoolName*Address* City State / Province / Region ZIP / Postal Code Field of Study/Degree*Graduated* Yes No Graduation DateAdd Another* Yes No Additional Business/Trade SchoolName*Address* City State / Province / Region ZIP / Postal Code Field of Study/Degree*Graduated* Yes No Graduation DateProfessional SchoolName*Address* City State / Province / Region ZIP / Postal Code Field of Study/Degree*Graduated* Yes No Graduation Date BackgroundHave you ever been convicted of a crime?* No Yes If yes, explain below number of conviction(s), nature of offense(s), leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation:Do you have a drivers license?* No Yes Drivers License Number*State Issued*State your drivers license is issued in (two letter abbreviation).Expiration Date*Drivers License Expiration Date Work ExperienceWork Experience: Please list your work experience for the past five years beginning with your most recent job held. You can upload a resume if necessary. Business/Employer Name*Address* Street Address City State / Province / Region ZIP / Postal Code Business Phone*Supervisor Name*Employment Dates*If still employed at this business, please state "present" as the ending date.Pay / Salary*Reason for Leaving*Job Duties*May we contact this employer No Yes Enter Another Job* No Yes Business/Employer Name*Address* Street Address City State / Province / Region ZIP / Postal Code Business Phone*Supervisor Name*Employment Dates*Pay / Salary*Reason for Leaving*Job Duties*May we contact this employer No Yes Enter Another Job* No Yes Business/Employer Name*Address* Street Address City State / Province / Region ZIP / Postal Code Business Phone*Supervisor Name*Employment Dates*Pay / Salary*Reason for Leaving*Job Duties*May we contact this employer No Yes Do you have additional Job information to enter?* No Yes Additional Job informationUpload a resumeAccepted file types: doc, docx, pdf, Max. file size: 100 MB.Upload a resume in Word (.doc) or .PDF format only. Maximum size 33mb. I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, or medical history and other related matters as may be necessary for an employment decision. I hereby release employers, schools, or persons from all liability in responding to inquiries in connection with my application. In the event I am employed. I understand that false or misleading information given in my application or interview(s) may result in discharge. Signature*By typing my name in the line above, I understand that it constitutes my signature and I am agreeing to the statement above.Date SignedSection Break
