FF/EMS Provider PT/FT

DFPD is looking for Part-Time FF/EMS Providers!

If you are interested, please fill out the following online application and click the submit icon to submit your application. You can also click on the application link or on the ad image and the bottom of the page to download an application in pdf format. If you choose the pdf format, please email your application to: firechief@debequefire.org or via USPS to DFPD, 4580 I-70 Frontage Road, De Beque, CO 81630.

DFPD Qualifications EMT FT DFPD Qualifications EMT PT DFPD Qualifications Paramedic FT DFPD Qualifications Paramedic PT DFPD Employment Application.pdf

Applicant Information

Last Name (required)

First Name (required)

Physical Address (required)

City, State, Zip (required)

Mailing Address (if different)

City, State, Zip

Phone (required)

Email Address (required)

Date Available (required)

Employment Desired (required)

Part-Time

Full-Time

Full or Part-Time

Do you have a CDL? (required)

Yes

Background Information

Are you at least 21 years of age? (required)

Yes

Military Experience? (If yes, please upload your DD214 Documentation) (required)

Yes

Upload DD214

High School Attended (required)

Did you Graduate? (required)

Yes

College Attended (required)

Did you Graduate? (required)

Attended, did not graduate

Attended, graduated with degree

Did Not Attend

Are you a US Citizen? If not, upload documentation authorizing work. (required)

Yes

Upload Non-Citizen Authority to Work Document

Are you related to or residing with anyone working or currently applying for employment with the DFPD? (required)

Yes

If yes, please explain

Certifications (Must be State of Colorado and Current).

Firefighter Certification (required)

FF I

FF II

None at this time

Upload Fire Fighter Cert (required)

EMS Certification (required)

EMT

Intermediate

Paramedic

Mesa County Protocols

Upload EMS Cert(s) (required)

NWCG Certifications (List) (required)

Upload NWCG Certs (required)

Criminal/Civil Action Background Information. Please be sure to respond accurately, providing all requested infromation. Failure to disclose requested details will be counted as an omission of relevant facts.

Have you ever been arrested, received a Notice to Appear, been charged, convicted, pleaded Nollo Contendere, or plead guilty to any criminal violation? (required)

Yes

If yes, please give details and disposition

Have you ever been accused of a civil action of wrongful injury, assault and/or battery? (required)

Yes

If yes, please give the outcome of the situation(s).

Employment. Begin with your most recent employment, including self-employment, part-time employment, and military service. Describe your paid work experiences for at least the past 10 years, or if applicable list your last three employers.

Employer #1 Name/Company (required)

Employer #1 Address (required)

Employer #1 City, State, Zip (required)

Employer #1 Supervisor (required)

Employer #1 Contact Info (phone and/or email) (required)

Your Position (required)

Your Duties & Responsibilities (required)

Your Final Salary (required)

Your Reason for Leaving (required)

May We Contact Your Present Employer? (required)

Yes

Not at this time

Employer #2 Name/Company (required)

Employer #2 Address (required)

Employer #2 City, State, Zip (required)

Employer #2 Contact Info (Phone and/or email) (required)

Your Position (required)

Your Duties & Responsibilities (required)

Your Final Salary (required)

Your Reason for Leaving (required)

Employer #3 Name/Company (required)

Employer #2 Address (required)

Employer #2 City, State, Zip (required)

Employer #3 Contact Info (phone and/or email) (required)

Your Position (required)

Your Duties & Responsibilities (required)

Your Final Salary (required)

Your Reason for Leaving (required)

Have you ever been fired, forced to resign, or resigned in lieu of termination? (required)

Yes

If yes, explain

List all special skills, computer programs, office machines, equipment, tools, etc. you are familiar using (required)

List Three References

Reference #1 Name (required)

Reference #1 Contact Information (address and/or phone and/or email) (required)

Reference #2 Name (required)

Reference #2 Contact Info (address and/or phone and/or email) (required)

Reference #3 Name (required)

Reference #3 Contact Inf (address and/or phone and/or email)

Applicant's Statements

I hereby certify that all statements made in this application are true and complete. Further, I understand that misrepresentation or omission of information by me shall serve as a basis for termination for my employment with DFPD. Permission is granted to the DFPD to investigate and verify any information provided on this and successive documents completed for purposes of employment consideration. In return for consideration of my application, I release any person who provides information pertaining to me from all claims or liabilities that might otherwise result from such information or opinions. I understand that if I am employed by the DFPD that some employer may in the future contact the DFPD concerning my work record and performance with the District. I hereby consent to and authorize persons employed by the DFPD to divulge any and all information they consider to be relevant to any person representing themselves to be an employer of mine or potential employer of mine with respect to my work record and the performance of my job at DFPD. (required)

Yes

I understand that in connection with my Application for Employment with the DFPD, my driving record and a criminal background will be obtained. (required)

Yes

I understand that the DFPD may conduct pre-employment drug testing, employment drug testing, and physicals. (required)

Yes

Date of Application (also signifies date of signing of Applicant's Statements) (required)

Signature Statement: By submitting this application for employment with DFPD, I agree I am electronically signing this document and verifying all information I have provided in said application. (required)

Yes, I agree

No, I do not agree

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