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City of Balch Springs Fire Department
Pre - Employment Application
12500 Elam Road Balch Springs, TX, 75180 (972) 557-6040
AN EQUAL OPPORTUNITY, DRUG FREE WORK PLACE
Position Applying For : Fire Fighter
The City of Balch Springs Fire Department is an equal opportunity employer and will consider all applicants for all positions equally without regard to their race, sex, age, color, religion, national origin, veteran status, or any disability as provided in the American with Disabilities Act.
This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered. This application must be completed in ink or type and note that neatness is important. Resumes may be attached, however, this application MUST be completed in it's entirety. If an item doesn't apply to you, please enter "NA".
Certifications and Licenses
Capability / Reliability
Do you have the ability, with or without reasonable accommodations, to work overtime, if overtime is required by the job for which you are appling? ☐ Yes ☐ No
Will you be willing and able to report to work on time every day on a regular and consistent basis? ☐ Yes ☐ No
Special Skills
Do you type? ☐ Yes ☐ No If yes, what is the words per minute?
Have you had any computer or word processing experience or training?
☐ Yes ☐ No
If yes, please describe.
What languages do you speak fluently?
Have you operated any machinery or special equipment?
In the last 3 years, has your driver's license been suspended, revoked, placed on probation or denied insurance?
Work History
List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firm name and supply business references. DO NOT REFERENCE YOUR RESUME.
References (Give three references, not relatives or former employers)
Affidavit
I certify that my answers to the foregoing questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading or otherwise incorrect statements made on this application form or during any interviews, may be grounds for my immediate discharge.
I hereby authorize the city of Balch Springs to contact any company or individual it deems appropriate to investigate my employment history, character and qualifications and I give my full and complete consent to their revealing any and all information they wish as a result of this investigation. In addition, I hereby waive my right to bring any cause of action against these individuals for defamation, invasion of privacy or any other reason because of their statement.
I agree that, if I am employed, I will abide by all the rules and regulation of the City of Balch Springs. I understand that the taking of drug tests, alcohol tests, and other applicable tests, when given pursuant to City of Balch Springs Policy, are a condition of employment and refusal to take such tests when asked will be grounds for my immediate termination. I further understand that nobody in the City of Balch Springs is authorized to enter into any written or verbal employment contracts with me for any definite period of time. I also understand that my employment is "at-will" and my be terminated by myself or by the City of Balch Springs at any time for any reason or no reason at all, with or without prior notice.