Application for Firefighter(Captiva Island Fire Control District logo.)The attached documents can be downloaded and signed as needed. Certain forms will need to be printed, signed, and attached to the online application. Complete New Hire Application.pdfAgreement.pdfAttention.pdfTobacco And Substance Abuse Affidavit.pdfDrug Free Workplace.pdfPlease select one or both positions you are applying for:Firefighter EMTFirefighter ParamedicPERSONAL INFORMATIONName (required)Street Address (required)Telephone Number (required)Are you legally eligible for employment in the USA (required)YesNoIf hired, give a date you will be available to start work (required)Referred byHave you ever been arrested?YesNoIf Yes, please explainHave you ever been charged or convicted? (required)YesNoIf Yes, please explainHave you even been demoted, discharged or forced to resign? (required)YesNoIf Yes, please explainAre you related to anyone employed by the Captiva Island Fire Control District? (required)YesNoIf Yes, give name and relationshipDo you have a valid Florida Driver's License? (required)YesNoDriver's License Number (required)Driver's License Expiration Date (required)EDUCATIONHighest grade completed (required)Name and Location of High School (required)Name of College or University AttendedNumber of Years CompletedOther Schools Attended (Business, Techincal, etc.)Do you have a valid trade license or certificate? (required)YesNoIf Yes, type and expiration dateAre you a veteran of the armed forces? (required)EMPLOYMENT HISTORYEmployer (required)Employer Address (required)Employer Telephone Number (required)Dates Employed (required)Hourly/Salary Rate (required)Work Performed (required)Job Title (required)Reason for Leaving (required)***Employer (required)Employer Address (required)Employer Telephone Number (required)Dates Employed (required)Hourly/Salary Rate (required)Work Performed (required)Job Title (required)Reason for Leaving (required)ATTACH ADDITIONAL SHEETS IF NECESSARYResumeDo you have any objection to your current employer being contacted? (required)YesNoDescribe any special experience, skills, or qualifications you may haveIndicate any foreign languages you speak (required)PERSONAL REFERENCEGive three (3) references (no relatives or fellow employees) who have known you well for the past three years.Complete Name (required)Years Known (required)Telephone Number (required)***Complete Name (required)Years Known (required)Telephone Number (required)***Complete Name (required)Years Known (required)Telephone number (required)AGREEMENT STATEMENTPlease attach the attention statement (required)ATTENTION STATEMENTPlease attach the attention statement (required)TOBACCO AND SUBSTANCE ABUSE AFFIDAVITPlease attached the signed affidavit (required)DRUG FREE WORKPLACE ACKNOWLEDGEMENT & TESTING CONSENT FORMPlease attached the signed acknowledgement and consent form (required)There was a problem saving your submission. Please try again later.Please wait while your submission is being saved...Submitting...SubmitThank you, your submission has been received.
