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WINTER GARDEN FIRE & RESCUE
APPLICATION PRE-SCREENER

JOHN WILLIAMSON
FIRE CHIEF

131 E. Palmetto Street, Winter Garden, Florida 34787

EQUAL OPPORTUNITY EMPLOYER
Winter Garden Fire/Rescue does not discriminate on the basis of race, religion, color, sex, age, national origin, or disability.

**PLEASE USE THE TAB KEY TO MOVE THROUGH THE FIELDS.

Name:
Address:
City:
State:
Zip Code:
Phone:
Driver's License Number:
Driver's License State:
INSTRUCTIONS: The purpose of the Pre-Screener Application is to get truthful answers. Please complete all portions fully and accurately as incomplete forms WILL NOT be processed and will be returned to sender. If it is determined that you are a viable candidate AND positions are available, you will be contacted by Winter Garden Fire/Rescue for further instructions. All Pre-screener submissions will be deleted from our files on September 30th of each year.

You must be able to answer "yes" to questions 1 through 3 in order to be considered:

1. Are you at least 18 years of age? Yes No
2. Are you a United States Citizen? Yes No
3. Do you possess at least a High School Diploma or GED? Yes No

You must be able to truthfully answer "no" to questions 4 through 7 in order to be considered:

4. Has your driver's license been suspended within the past year? Yes No
5. Have you ever been convicted of a felony? Yes No
6. Have you ever resigned from any position after being informed that you were going to be disciplined or terminated? Yes No
7. Have you used any form of a tobacco product within the last year? Yes No

PERSONAL INFORMATION:

Have you ever worked for, or applied to, the Winter Garden Fire/Rescue Department before? Yes No
Is there any other language you can read, write, or speak fluently? Yes No
If yes, what language:

EMPLOYMENT HISTORY: Describe below the last four jobs you have held, including experience in the military, and part-time, temporary, or volunteer work, even if the company is no longer in business. Begin with your present or most recent employment and work backward. If you've ever worked in the fire service (even if more than 4 jobs ago), please list the information.

Employment History 1: Present or Most Recent
Employer:
Date of Employment, from: to
Position(s) Held:
Type of Business:
Description of Duties:
Reason for Leaving:
Employment History 2
Employer:
Date of Employment, from: to
Position(s) Held:
Type of Business:
Description of Duties:
Reason for Leaving:
Employment History 3
Employer:
Date of Employment, from: to
Position(s) Held:
Type of Business:
Description of Duties:
Reason for Leaving:
Employment History 4
Employer:
Date of Employment, from: to
Position(s) Held:
Type of Business:
Description of Duties:
Reason for Leaving:

EDUCATION, LICENSES & CERTIFICATIONS:

Do you have or are you seeking a college degree? Yes No
If no degree, how many credits?
Type of degree:
Do you have a current Florida Firefighter II Certificate of Compliance? Yes No
Do you have a State of Florida EMT license? Yes No
If yes, what is the expiration date?
Do you have a State of Florida Paramedic license? Yes No
If yes, what is the expiration date?
If you are a Paramedic, do you have an ACLS Certification? Yes No
If yes, what is the expiration date?
Do you have a CPR/AED Healthcare Provider Card? Yes No
If yes, what is the expiration date?
Have you successfully completed an (EVOC)Emergency Vehicle Operators Course? Yes No

UNITED STATES MILITARY RECORD:

Have you ever been a member of the United States Armed Forces? Yes No
Have you ever been disciplined or received an Article 15 while in any branch of the military? Yes No
If yes, list each discipline, dates, and outcome.

Checking this box indicates that all of the information you have provided is complete and accurate and that you understand that if you are found to have falsified or omitted ANY information at ANY time in the selection process, you will be disqualified, even if the accurate information would not have disqualified you.

MINIMUM QUALIFICATIONS:

A firefighter candidate MUST:

  • Be at least 18 years of age
  • Be a citizen of the United States
  • Be a high school graduate or possess a GED certificate
  • Possess a valid Florida Driver's License upon employment
  • Possess a current State of Florida Firefighter II Certificate of Compliance
  • Possess a current State of Florida EMT or Paramedic license
  • Be able to pass an in-depth background investigation
  • Be able to pass a NFPA 1582 physical examination
  • Be able to pass a polygraph examination
  • Be able to pass a psychological examination
  • Be able to pass a drug screen
  • Be free of any felony conviction
  • Be tobacco free for at least one year prior to application
  • Remain tobacco free during employment
HIRING PROCESS:

Firefighter candidates MUST successfully complete the following steps:

  • Application review for truthfulness
  • Driver's License check
  • Criminal History check
  • Background Investigation
  • Written exam
  • Firefighting practical skills exam
  • EMS practical skills exam
  • Panel / Oral Review Board interview
  • Polygraph exam
  • Psychological exam
  • Drug screen
  • NFPA 1582 Physical exam
Checking this box indicates that you would like to receive verification that your pre-screener has been received.
Your e-mail address:

City of Winter Garden, 300 West Plant St., Winter Garden, FL 34787   Tel: 407-656-4111        PRIVACY POLICY

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