WE ARE AN EQUAL-OPPORTUNITY EMPLOYER.  This organization is committed to the policy of equal employment opportunity in recruitment, hiring, career advancement, and all other personnel practices.  Your job-related experience and other qualifications will be considered without discrimination on the grounds of race, color, religion, sex, national origin, age, or physical or mental handicap. All information provided in this application will be treated confidentially and will be used only to help assure the best use of your abilities if you are employed with us.

INSTRUCTIONS:  Click in the white fields in order to enter information.  Enter N/A for any areas that do not apply. Remember to click submit when completed.  The application does not have a "Save" function so all entries must be completed at one time.

APPLICATION DEADLINE: September 30, 2024

Indicates Required Field

Personal Information
First Name:
Middle :
Last Name:
Suffix:
Street Address:
City:
State:
ZIp Code:
Email Address:
Direct Contact Phone Number:
Alternate Phone Number (If Applicable):
Date of Birth:
Social Security Number:
Birthplace:
U.S. Citizen:		Yes No
If you selected NO for US Citizen, are you authorized to work in the United States?:		Yes No
Drivers License Number:
State Issued:
Have you ever been convicted of a crime other than a minor traffic violation:		Yes No
If yes, please explain the charge and disposition: Provide Date(s), Police Agency(ies), Offense(s), and Disposition(s). Enter N/A if not applicable
Employment History
Do you have 2 years of practical work experience in any of the following job fields? *Click in the blank field and then keep selecting all that apply::		Fire Inspection Building Inspection Property Maintenance Inspection Fire Alarm Service/Testing/Installation Fire Sprinkler Service/Testing/Installation Other Fire Protection Systems Service/Testing/Installation Building Trades (Carpentry, Electrical, Plumbing, etc.) Firefighter Law Enforcement
Current/Previous Employer(s) *Within the past 10 years.: List all jobs you have held for the last 10 years including periods of unemployment. Put your present job first. Include military service in proper time sequence along with temporary or part time jobs. Please list individual employer names along with Address, Immediate Supervisors, Telephone #, Occupation, and dates range of employment.
Have you ever been suspended or terminated, other than from an economic layoff, from any prior employment?:		Yes No
Please explain if you answered yes:
Military
Are you now or have you ever been in the military service?:		Yes No
If YES, please list your Branch of Service and Military Status:
Education/Certification *During the hiring process, the candidate will be requested by the employer to provide copies of documentation related to this section. Documentation submittal is not required during the application phase.
Levels of Education *Click in the blank field and then keep selecting all that apply::		GED Certificate High School College - Credit Hrs Earned without Degree College - Associate Degree College - Bachelor Degree College - Graduate Degree or higher Apprenticeship/Trade Program
School/College/Program Info: Please list the name of each school/college/program entered above and include the degree name or program name along with the year completed if applicable.
Certifications/Licenses: Please list any position-specific certifications/licenses for consideration by the employer. Include the title of the certification and the issuing entity. Enter N/A if no applications/licenses.
Bi-Lingual Ability *Preferred skill but not required.
Do you have the ability to actively engage in conversations and read both English and Spanish with fluency? *Note: The employer reserves the right to require the candidate to pass a language exam as a condition for hiring.:		Yes No
References
Reference Instructions: Please list three adults who are not related to you and not former employers, who you have known you for more than three years. All persons to whom you refer will be asked to appraise your character, ability, experience, personality, and other qualities. You MUST provide: (Name, Relationship, Complete Address, Telephone Number)
1st Reference:
2nd Reference:
3rd Reference:
Attestation of Application
(This statement must be signed. Please read the following statement carefully before signing.) :
Certification and Agreement: : I hereby certify that I have read the above questions and statements, and I certify that there are no misrepresentations, omissions, or falsifications in this questionnaire and that all my answers are true and correct to the best of my knowledge and belief. I understand that misrepresentations, omissions, or falsifications on this questionnaire or at any time during the hiring process may result in my application no longer being considered or in the termination of my employment with the West Chicago Fire Protection District.
Name of Applicant (This Will serve as a Digital Signature):
Date and Time:		09/16/2024 0647