Firefighter Internship Program

First name*

Last name*

Email address*

Location

Phone number*

Resume*

What position are you applying for?*

Primary Phone*

Email Address*

If you are under 18, and it is required, can you furnish a work permit?*

Do you have a legal right to work in the U.S?*

If yes, are you able to provide documents as required by law to verify your eligibility to work in the US?*

Can you perform the essential functions of the position for which you are applying, with or without reasonable accommodation?*

Type of employment desired:*

Have you ever been convicted of, plead guilty or no contest to any crime, excluding minor traffic violations?*

If yes to being convicted of, plead guilty or no contest to any crime, excluding minor traffic violations, please explain below. Conviction will not necessarily be a bar to employment. Each instance will be considered in relation to the position for which you are applying

Previous City Employment & Relatives:

Have you worked for the City of Alabaster before?*

If you have worked for the City of Alabaster before, when and where?

Do you have any relatives working for the City of Alabaster?*

If yes, provide the names of all relatives and their relationship to you

Drivers License:

Do you hold a valid drivers license?*

Drivers License Number:

State of Drivers License

Education:

High School Name*

Did you graduate from high school?*

College Education:

Name of College / University

College Degree Type:

Major of college degree

Additional Education / Training Information:

Please list any additional education / specialized training :

Employment Information:

Provide the following information for your past three (3) employers, assignments or volunteer activities, starting with the most recent.

Most Recent Employer:*

Most Recent Employer:

Start Date*

Most Recent Employer:

Ending Date*

Most Recent Employer

Position Title:*

Most Recent Employer:

Phone Number:*

Most Recent Employer:

Current Rate of Pay:*

Most Recent Employer:

Duties for position:*

Most Recent Employer:

Reason for leaving:*

Supervisor Name, Phone Number*

May we contact your current employer?*

Previous Employer #1:

Employer Name:

Previous Employer #1:

Start Date:

Previous Employer #1:

Ending Date:

Previous Employer #1:

Position Title

Previous Employer #1:

Phone Number:

Previous Employer #1:

Rate of Pay When Position Ended:

Previous Employer #1:

Reason for Leaving:

Previous Employer #1:

Supervisor Name:

May we contact for a reference?

Previous Employer #2:

Employer Name:

Previous Employer #2:

Start Date:

Previous Employer #2:

Ending Date:

Previous Employer #2:

Position Title

Previous Employer #2:

Phone Number:

Previous Employer #2:

Rate of Pay When Position Ended:

Previous Employer #2:

Reason for Leaving:

Previous Employer #2:

Supervisor Name:

May we contact for a reference?

Previous Employer #3:

Employer Name:

Previous Employer #3:

Start Date:

Previous Employer #3:

Ending Date:

Previous Employer #3:

Position Title

Previous Employer #3:

Phone Number:

Previous Employer #3:

Rate of Pay When Position Ended:

Previous Employer #3:

Reason for Leaving:

Previous Employer #3:

Supervisor Name:

May we contact for a reference?

Skills & Certifications:

List any professional licenses, registrations, or certifications that you possess (Omit any information that reveals race, color, religion, sex, national origin, age, disability, veteran's status, genetic information, or any other protected status)

Certification #1:

Certification #1 Expiration Date:

Certification #2:

Certification #2 Expiration Date:

Certification #3:

Certification #3 Expiration Date:

Skills:

Office & Other Skills: Including supervision skills, other languages or information regarding the career/ occupation you wish to bring to the city's attention for consideration.

Applicant Statement & Acknowledgement :

I hereby authorize the city of Alabaster ("the Company") to obtain consumer reports and investigate consumer reports about me at any time after receipt of this authorization and if I am hired, throughout my employment. To this end, I hereby authorize without reservation any person or entity, law enforcement agency, administrator, state or federal agency, institution, school or university (public or private) information service bureau, employer, or insurance company to furnish any and all background information .

The term background includes, but is not limited to, employment history, reference checks, criminal and civil history information, motor vehicle records, moving violation reports, sex offender status information, education verification, professional licensure verification, drug testing, physical, social media accounts both private/ public, psychological exam and credit reports. This information is authorized to be provided to the City of Alabaster.

I certify by my acknowledgment below that all answers given herein are true and complete. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" employment relationship may or may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer.

I agree:*

Human Check*