Employment Application SCFD - Job Flyer FF Medic FALL 2025.pdfEmploymentApplication 2025.pdf Position Applying For: (required) Firefighter-Paramedic Firefighter-Paramedic Trainee Volunteer - Firefighter Volunteer - Support Last Name (required) First Name (required) Street Address (required) City (required) State (required) Zip Code (required) Phone Number (required) E-Mail Address (required) EDUCATION High School (required) City (required) State (required) Diploma/GED (required) Yes No College City State Degree Major EMPLOYMENT HISTORY Begin with most recent employer. Upload additional sheets if necessary. Start Date End Date Employer Name Address Phone Number Position Duties Reason for Leaving May we call this employer? Yes No REFERENCES Name Adress Phone Number Email Relationship Professional Personal Coworker QUALIFICATIONS Are you 18 years of age or older? (required) Yes No Are you a United States Citizen? (required) Yes No CA Drivers License (required) Certification (required) APPLICANT'S STATEMENT I certify that all the statements herein are true, and I understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment. I understand that Sonoma County Fire District will thoroughly investigate my work and personal history and verify all data given on this application, on related papers, and in interviews. I authorize all individuals, schools, and firms named therein, except my current employer if so noted, to provide any information requested about me, and I release them from all liability for damage in providing this information. I understand and agree that I may be required to undergo drug screening and physical and psychological examinations, and I agree and consent to take such examinations at such time as designated by the District and to release the District, its directors, officers, agents, or employees from any claim arising in connection with the use of such tests. I understand this application will be active for a period of one year; after that time, if I wish to be considered for employment, I must submit a new application. I understand this application is not a contract of employment. Your Signature (required) Confirm e-Signature Review Electronic Records and Signatures Policy (required)Read our Electronic Record and Signature Disclosure I agree to use electronic records and signatures There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
