Full-Time Human Resource Coordinator/Deputy Clerk & Office Technician

Personal Information

Last Name (required)

First Name (required)

Email Address (required)

Phone Number (required)

Do you possess a valid Driver's License? (required)

Yes

Are you authorized to work in the United States? (required)

Yes

Are you related to anyone presently employed by the North Davis Fire District? (required)

Yes

Have you been convicted of a felony within the past seven (7) years? (required)

Yes

If so, explain

Have you previously worked for North Davis Fire District? (required)

Yes

Are you bondable? (required)

Yes

Experience

Are you currently employed (required)

Yes

May we contact your present employer?

Education

High School (required)

College (required)

Other (required)

Do you have a Bachelor's Degree or Human Resource Certification's Degree or equivalent? (required)

Yes

Please list applicable certifications and skills (required)

Employment History

Company (required)

Address (required)

Phone Number (required)

Supervisor (required)

May we contact your previous employer/supervisor? (required)

Yes

Position (required)

Employment From-To Date (required)

Responsibilities (required)

Reason for leaving (required)

Company (required)

Address (required)

Phone Number (required)

Supervisor (required)

Phone Number (required)

May we contact your previous employer/supervisor? (required)

Position (required)

Employment From-To Date (required)

Responsibilities (required)

Reason for leaving (required)

References (required)

Attach resume (required)

Attach cover letter (required)

Attach letters of reference (required)

Attach certifications (required)

Disclaimer and Signature

I certify that the information contained in this application is correct to the best of my knowledge, and I understand that falsification of this information or information given in an interview is grounds for refusal to hire or if hired, dismissal. I authorize any of the persons or organizations referenced in this application to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise with regard to any of the subjects covered by this application and release all such parties from all liability for any damage that may result from furnishing such information to you. I authorize you to request and receive such information. I understand that this application will remain active only for the time period in which the position I applied for remains open. I authorize investigation of all statements contained in this application and an investigation of my background, including any and all criminal history records and driver’s license history. I understand that the findings of the investigation may or may not may or may not bar me from employment with the North Davis Fire District. (Please type your name) (required)

Date (required)

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