Employment Application

Please upload a copy of your Resume, Cover Letter, and BCI Criminal History Report and submit the information below.

Cover Letter (.pdf, .docx or .doc) (required)

Resumé (.pdf, .docx or .doc) (required)

BCI Criminal History Report

It is the applicant's responsibility to provide to the NTFD a BCI Criminal History Report dated within the last 90 days prior to the review of the application. Please note: A concealed weapons permit does not meet this requirement. This background check is obtained through the Department of Public Safety, Bureau of Criminal Identification (BCI) at https://bci.utah.gov/criminal-records/obtain-a-copy-of-your-own-criminal-history-record/. Please submit a copy of your Criminal History report with your application. Any application submitted without a BCI Criminal History Report will NOT be considered. (required)

Applicant Information

Position Applied For (required)

Position Type (required)

Full-Time

Part-Time

First Name (required)

Last Name (required)

Street Address

City

State

Zip Code

Phone Number (required)

Email address (required)

Date Available to Start (required)

Are you at least 21 years of age or older? (Firefighter applicants only)

Yes

Do you have a valid Driver's License

Yes

Have you ever worked for this fire district? Including volunteer? (required)

Yes

If yes, when and what position.

Have you ever been convicted of a felony?

Yes

Have you ever been convicted of arson or been suspected in an arson investigation? (required)

Yes

If yes to either, please explain.

Important URS Retiree Information

Enrollment in the URS does not prevent employment. North Tooele Fire District is a participating employer inthe Utah Retirement System (URS). If you have retired under URS within the last 12 months, employment with NTFD after July 1, 2010 could result inthe cancellation of your retirement benefits. You are encuraged to contact the URS before accepting any offer of employment or contract work from URS to determine if and how your retirement benefits could be impacted.

Are you currently enrolled in the Utah Retirement System?

Yes

Education

High School (City/State)

Did you graduate? (required)

Yes

If No, did you receive your GED equivalent?

Yes

College (City/State)

Did you graduate?

Yes

Degree

Employment History

Please list your last 3 employments starting with your most recent.

#1 - Company Name

Phone

Address

Job Title

Supervisor Name

Responsibilities

Dates Worked

Reason for Leaving

May we contact this employer for a reference?

Yes

#2 - Company Name

Phone

Address

Job Title

Supervisor Name

Responsibilities

Dates Worked

Reason for Leaving

May we contact this employer for a reference?

Yes

#3 - Company Name

Phone

Address

Job Title

Supervisor Name

Responsibilities

Dates Worked

Reason for Leaving

May we contact this employer for a reference?

Yes

Other Training, Qualifications or Military Service

List other special training or qualifications relevant to the position for which you are applying, which are not covered elsewhere in your application. (Certifications, licenses, skills, technical skills or other specialized training, including business, trade, correspondence school or military service).

References (Please list 3 Professional References)

#1 - Full Name

Relationship

Company

Phone

Email Address

Full Address

#2 - Full Name

Relationship

Company

Phone

Email Address

Full Address

#3 - Full Name

Relationship

Company

Phone

Email Address

Full Address

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge. By making this application, I hereby authorize any previous employers to give and release to the North Tooele Fire District any and all information of whatever kind in either written or verbal form which relates to my ability to perform the duties of the position for which I am applying. Any or all previous employers may be contacted. I release North Tooele Fire District of any liability for the use of information in considering and reviewing my application for the available position. If this application leads to employment, I understand that false or misleading information in my application or interview or omission of material may result in my disqualification or dismissal. I also understand that if offered employment, I may be required to disclose certain medical information. (required)

Yes

By inputting your name below, you are verifying that the statements and information provided are true and correct, and you are attesting to the validity of all contents within this electronic submission. By clicking on the submit button, you are deemed to have electronically signed this statement. (required)

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