Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the date of your application and your date of birth. This information helps to identify your application timeline.
3. Enter your Social Security Number. Ensure this is accurate, as it will be used for background checks.
4. Provide your full name, including last name, first name, and middle name. This information is vital for identification processes.
5. Input your phone number and current address. This allows the fire district to contact you regarding your application.
6. If you have a permanent address that differs from your current address, provide it in the designated fields.
7. Indicate any relatives employed by the Independence Fire District by entering their names.
8. State how you were referred to the position and fill in the position you are applying for, including your desired start date and salary expectations.
9. Answer whether you are currently employed and if the fire district may contact your current employer.
10. Include details regarding previous applications to the Independence Fire District, including dates.
11. Proceed to the Education section and detail your educational background. List schools attended, majors, and whether you graduated.
12. Complete the certifications section by indicating if you are a certified Paramedic, EMT, or Firefighter, including locations and expiration dates.
13. Describe any special studies, research work, and relevant experiences in fire or EMS.
14. List your former employers. Include names, contact information, salary, positions held, and reasons for leaving.
15. Provide the names, addresses, and phone numbers of three references who have known you for at least a year.
16. Indicate if you have any medical conditions that may impact your job performance and provide emergency contact details.
17. Fill in your driver's license number, state of issue, and class, along with any moving violations or criminal history, if applicable.
18. Read the final statements carefully and sign the application, indicating that you understand the terms.
19. After completing all sections, save your changes. You can also download, print, or share the completed form as needed.

Complete your application for employment with the Independence Fire District today!