List relevant certifications and attach copies.
List most recent employment first.
List all prior experience with volunteer fire, EMS, and other public safety organizations.
List three references. Do not include relatives or employers.
Please download the following forms, complete them in their entirety, and upload copies below. PLEASE also include a copy of your valid Driver’s License.
Statement
I hereby certify that every statement I have made on this application and supporting documents is true and complete. I understand that any false information or omission may disqualify me from further consideration for membership and may result in my immediate discharge if discovered at a later date. I understand that if this application is incomplete, it will not be processed.
I authorize the Spotsylvania County Department of Fire, Rescue & Emergency Management and this volunteer agency to investigate, without liability, all statements contained in this application and supporting materials. I also authorize references, employers, public safety agencies, and others, without liability, to make full response to any inquiries in connection with this application.
I understand that the use of illegal drugs is strictly prohibited and grounds for immediate termination. The use of alcohol or misuse of prescription drugs prior to or during duty is a serious violation punishable up to and including termination.I understand that I may be subject to random drug testing at any time.
My signature authorizes drug screening, investigative reports, criminal history and driving record checks, reference checks, and physical examination if required.
