HALL COUNTY FIREFIGHTER I APPLICANT INFORMATION PLEASE BE AWARE OF THE FOLLOWING CHANGES FOR APPLICANTS WHICH ARE MANDATORY BEFORE PROCEEDING WITH THE APPLICATION PROCESS YOU MAY BE EXEMPT FROM THE BELOW EXAM IF YOU HAVE ANY OF THE FOLLOWING: 1. COPY OF CERTIFIED COLLEGE DIPLOMA 2. COPY OF CURRENT EMT/PARAMEDIC CERTIFICATION (GA AND/OR NATIONAL REGISTRY) 3. CERTIFIED COPY OF PASSING SCORES FROM COLLEGE ENTRANCE EXAM. (COMPASS, ASSESTS, SAT, ACT OR CPE) THESE DOCUMENTS MUST BE PROVIDED AT THE TIME OF APPLICATION.

*ALL APPLICANTS WHO ARE EXEMPT MAY PROCEED TO THE NEXT PAGE* All applicants that are NOT EXEMPT and do not have the above documents are required to achieve a passing score on the Compass or Asset Entrance Exam. This exam is given by Georgia Colleges and Technical Schools. All applicants must successfully pass and show proof of passing scores prior to returning completed application and being considered for employment. Please see the chart below for minimum passing score requirements as well as other acceptable Standardized Test Scores: ENTRANCE EXAM RESULTS Below are the minimum scores required for satisfying O.C.G.A 35-8-8 regarding completion of the entrance examination Test Asset

Compass

SAT ACT CPE

Sub-Test Reading Writing Numerical* Reading Writing Numerical* Verbal Math Verbal Math Reading Math English

Scaled Score 38 35 35 70 32 26 430 400 18 16 75 75 75

*LOCAL TESTING CENTER BELOW* Lanier Technical College 2990 Landrum Education Oakwood, GA 30566 Phone: (770) 531-6300

PLEASE DETACH THIS SHEET FROM YOUR APPLICATION AND KEEP FOR FUTURE REFERENCE.

PLEASE DETACH THIS SHEET FROM YOUR APPLICATION AND KEEP FOR FUTURE REFERENCE.

HALL COUNTY FIREFIGHTER I APPLICANT INFORMATION SPECIAL APPLICANT INSTRUCTIONS Attached is an application for employment as a FIREFIGHTER I with Hall County Government. Applicants must be at least 18 years of age to be considered for employment. The following are required to be submitted with your application: 1. 2. 3. 4. 5. 6. 7.

Copy of certified BIRTH CERTIFICATE. Copy of certified CERTIFICATE OF CITIZENSHIP (if naturalized or a repatriated citizen of the United States). Copy of certified HIGH SCHOOL DIPLOMA or GED and your COLLEGE DIPLOMA if you are a graduate. Copy of certified Military Discharge (Form DD-214, Member 4), if you are a veteran of the Armed Forces. Copy of your DRIVER’S LICENSE. Copy of your SOCIAL SECURITY CARD. Copy of CURRENT EMT/PARAMEDIC CERTIFICATION (GA AND/OR NATIONAL REGISTRY) or CERTIFIED COPY OF PASSING SCORES FROM COLLEGE ENTRANCE EXAM. THESE DOCUMENTS MUST BE PROVIDED AT THE TIME OF APPLICATION.

Application must be brought into our office with the above documentation and returned in person, where copies can be made for you. Upon successful completion of applications, applicants being considered for employment with the Hall County Fire Department are scheduled for an INTERVIEW by the Fire Department with the Fire Chief or his designee. The Department of Public Safety and/or law enforcement will conduct a BACKGROUND INVESTIGATION of all applicants. The investigation will include viewing records concerning criminal and driver histories, if any, contacting past employers and personal references as listed on your application and contacts with other parties that might arise from the investigation to confirm suitability for employment. Applicants who are granted interviews and are under consideration for employment will be required to have FINGERPRINTS made as a part of a criminal history background investigation, as now required by Georgia law. Applicants considered for employment are required to complete a POST-OFFER HEALTH SCREENING at the request and expense of the Hall County Government. The Hall County Human Resources Department does not assume responsibility for applications left with employees or other departments. Questions regarding the status of your application should be directed to:

HALL COUNTY HUMAN RESOURCES DEPARTMENT P. O. DRAWER 1435 2875 BROWNS BRIDGE ROAD GAINESVILLE, GA 30506

APPLICATION DISQUALIFIERS Because the position of Firefighter Trainee is one in which the public’s trust is high; the standards that have been set by the County Fire for employment candidates are extremely high. Before completing an application please read the following application disqualifiers. Meeting one or more of these disqualifiers may prevent your application from moving forward in the selection process. DRIVING     

Accumulation of more than five (5) points in the last two years as applied in the Point Key list below. Driving Under the influence of Alcohol or Drugs, as defined by O.C.G.A. 40-6-393. Homicide by Vehicle, as defined by O.C.G.A. 40-6-394. Serious Injury by Vehicle, as defined by O.C.G.A. 40-6-394. Fleeing or Attempting to Elude or Impersonating a Law Enforcement Officer, as defined by O.C.G.A. 40-6395.  Homicide or Serious Injury by Interference with Traffic Control Devices, as defined by O.C.G.A. 40-6-396.  Aggressive Driving, as defined by O.C.G.A. 40-6-186.  Any driver’s license suspension in the last three (3) years. DRUG USE  Any illegal drug use in the past twelve (12) months prior to the date of application and/or hire.  Any sale of illegal drugs or action as a middle person in a drug transaction.  Any repeated experimentation of illegal drugs, other than marijuana, within the past five (5) years.  Any use of hallucinogens. CRIMINAL CONVICTIONS OR ARRESTS     

Any felony conviction and repeat charges that show a pattern. Conviction, or multiple charges, of any crime of moral turpitude. Any family violence conviction. Any DUI conviction. Misdemeanor convictions or patterns of activity, depending on their frequency, job relatedness, seriousness and/or intervening personal background, indicating that the individual would be a high risk as a firefighter due to a disregard for the law. MILITARY  

Dishonorable or less than honorable discharge. General discharges will be judged on a case by case basis.

I have read these disqualifiers and agree that proving any false information in this application is an automatic disqualifier. _______________________________________________________ ___________________ Applicant Signature Date

POINT ACCUMULATION SYSTEM:

Violation:

Points Accumulated:

Reckless Driving

4 points

Unlawful passing school bus

6 points

Improper passing on hill or curve

4 points

Speeding 15 mph but less than 19 mph

2 points

19 mph but less than 24 mph

3 points

24 mph but less than 34 mph

4 points

34 mph or more

6 points

Disobedience of any traffic-control device of traffic officer

3 points

Possessing an open container of an alcoholic beverage while driving

2 points

Failure to adequately secure a load

2 points

All other moving violations

3 points

(Improper Backing, Striking Fixed Object etc.)

Preventable Accident

3 points

Aggressive driving

6 points

(A conviction of aggressive driving by a person under 21 years of age will result in a suspension of the driver’s license) HOV lane violation – 4th and subsequent offense

1 point

HALL COUNTY GOVERNMENT HUMAN RESOURCES DEPARTMENT

JOB VACANCY July 1, 2015 FIREFIGHTER I-FIRE SERVICES JOB CODE: 9220-127

SALARY: $31,320 - $39,157 Pay Grade 16 - NE

SUMMARY OF DUTIES: While training for advancement and certification in the Fire Department, assists upper level firefighters in suppression, rescue operations, and all duties associated with assuring fire stations and equipment are ready for all emergency and non-emergency situations. Responds to all emergency calls for fire suppression; assists upper level firefighters fight fires and perform search and rescue; implements all actions necessary to save lives and property; assists with clean-up duties - including searching for evidence at suspicious fire scenes; maintains fire equipment and apparatus; assures all equipment on the vehicles is functioning properly; tests the radio each morning; reports any equipment malfunction or missing supplies immediately to the officer in charge. Participates in continuing study, training, and drill activity to achieve certification, maintain required skills, and attain health and physical strength. Keeps station grounds clean and neat; cuts grass, paints where needed, washes and scrubs floors, etc. Attends training classes to familiarize firefighters with the geography of the area; learns roads and alternative routes to populated areas; learns fire hydrant locations. May assist with public relations duties, assisting with instruction for various groups on fire safety and prevention techniques; learns how to communicate with the public and present an effective program. Performs other related duties as required. MINIMUM QUALIFICATIONS REQUIRED: High School Diploma or G.E.D. No experience required; must meet state firefighting minimum standards. Basic Firefighter Certification within six months; EMT Certification within 2 years. Must meet all in-house testing requirements. Valid Class C Driver's License and a satisfactory MVR. Ability to attain Class B License within six months of hire. Knowledge of firefighting principles and techniques, and knowledge of local geography, streets, and hospitals a plus. Ability to perform strenuous work under adverse conditions for a sustained period of time, including the ability to react quickly and calmly in emergency situations. APPLICATIONS CAN BE DOWNLOADED AT WWW.HALLCOUNTY.ORG AND MUST BE COMPLETED AND RETURNED IN PERSON TO THE HALL COUNTY HUMAN RESOURCES DEPARTMENT BEFORE THE DEADLINE BELOW: Apply By: July 29, 2015 HALL COUNTY GOVERNMENT IS A DRUG FREE EMPLOYER AND ALL APPLICANTS ARE SUBJECT TO A POST OFFER DRUG SCREEN, BACKGROUND CHECK AND MEDICAL PHYSICAL. DUE TO GEORGIA STATE LAW, ALL APPLICATIONS ARE SUBJECT TO PUBLIC DISCLOSURE. EOE ONLY CANDIDATES TO BE INTERVIEWED WILL BE CONTACTED

HALL COUNTY GOVERNMENT EMPLOYMENT APPLICATION HUMAN RESOURCES DEPARTMENT P. O. Drawer 1435, Gainesville, GA 30503 Telephone: (770) 531-6712 ----- FAX: (770) 531-7137

Active for 30 days unless otherwise notified Date Applied ________________________ NOTE: All fields must be answered fully in order to be considered for employment. Please ask for assistance if any portion of application is unclear. All candidates will be required to pass a pre-employment drug test. LAST NAME

(

FIRST

MIDDLE

STREET ADDRESS

CITY

SOCIAL SECURITY NUMBER

) ___________PHONE NUMBER

LIST JOB CODE NUMBER FOR JOB APPLYING FOR:

NAME OF JOB APPLYING FOR:

________________9220-127__

______

ARE YOU AVAILABLE TO WORK ANY TIME OF THE DAY

YES

EMAIL ADDRESS:

ARE YOU AVAILABLE TO WORK ANY DAY OF THE WEEK

YES

FORMER COUNTY EMPLOYEE

 YES

DEPARTMENT/DIVISION

ZIP

YEARS AT ABOVE ADDRESS

JOB CODE NUMBER:

One job per application

STATE

NO NO

__

JOB TITLE & DUTIES

_FIREFIGHTER I

FROM

_____

TO

NO

RELATIVES WORKING FOR THE HALL COUNTY GOVERNMENT – NAMES AND RELATIONSHIP HOW DID YOU LEARN OF THIS AVAILABLE POSITION:

WALK-IN

PLEASE CHECK:

NEWSPAPER

ARE YOU AUTHORIZED TO BE EMPLOYED IN THE UNITED STATES?

TV 18

OTHER

INTERNET

EXPLAIN:

_________________

NO

YES

Note: If offered employment, you will be required to provide documentation to verify employment eligibility. Failure to provide the requested documentation may result in a determination that the applicant is ineligible for employment in the United States.

LIST LICENSES / CERTIFICATES RELATED TO POSITION APPLIED FOR:

_______________________________________________________________________________________________________________________

HAVE YOU EVER BEEN CONVICTED FOR VIOLATING ANY LAW? IF YES, PLEASE EXPLAIN

⇛

YES

NO

A YES WILL NOT NECESSARILY DISQUALIFY YOU FROM EMPLOYMENT

MUST POSSESS A VALID DRIVER’S LICENSE. PLEASE COMPLETE THE FOLLOWING:

YES _________

DRIVER’S LICENSE NO.

GOOD DRIVING RECORD

POSSESS A VALID DRIVER’S LICENSE

NO ________

YES ________

DRIVER’S LICENSE CLASS/ENDORSEMENTS

NO _________

U.S. MILITARY HISTORY BRANCH

DATE ENTERED

DATE DISCHARGED

TYPE OF DISCHARGE

HIGHEST RANK ATTAINED AND UNIT

INDICATE SPECIFIC SKILLS ACQUIRED IN THE U.S. ARMED FORCES

EDUCATIONAL HISTORY HIGH SCHOOL

NAME

LOCATION

CIRCLE THE HIGHEST GRADE COMPLETED: 7 8 9 10 11 12

TRADE (OR APPRENTICE) SCHOOL

FROM:

COLLEGE OR BUSINESS SCHOOL

FROM:

GRADUATED? □ YES □ NO

□

GED

TO: HRS. EARNED:

QTRS. EARNED:

TO:

MAJOR: DEGREE EARNED:

DESCRIBE SPECIAL VOCATIONAL OR BUSINESS COURSES YOU HAVE TAKEN WHICH RELATE TO THE JOB FOR WHICH YOU ARE APPLYING:

* The Hall County Government is an equal opportunity employer and provides fair and equal employment opportunities to all applicants for employment and employees without regard to race, color, religion, natural origin, citizenship status, age, sex, disability, veteran’s status, or political affiliation.

USE THIS SPACE FOR COMMENTS ABOUT YOUR SPECIAL ABILITIES I.E. APPRENTICESHIPS, TOOLS, CERTIFICATIONS, EXPERIENCE, ETC.

Describe your work history BEGINNING WITH YOUR CURRENT OR MOST RECENT JOB. Include military, volunteer experience and periods of unemployment. Complete address with zip code and phone numbers for all employers are necessary. A resume may be attached only as additional information and will not be accepted in lieu of completing this section. EMPLOYMENT HISTORY (PLEASE COVER EMPLOYMENT HISTORY FOR PAST TEN YEARS, INCLUDING MILITARY IF APPLICABLE). USE ATTACHMENT IF NECESSARY. (1) NAME OF EMPLOYER (2) ADDRESS OF EMPLOYER (3) PHONE NUMBER

FROM MO./YR.

TO MO./YR.

WAGE RATE START/FINISH

JOB TITLE AND DUTIES

REASON FOR LEAVING SUPERVISOR’S NAME

name address phone

(

)

name address phone

(

)

name address phone

(

)

name address phone

(

) PLEASE COMPLETE ALL AREAS ABOVE, WHETHER OR NOT A RESUME IS ATTACHED.

NAME

WORK REFERENCES WE MAY CONTACT (INCLUDE AT LEAST TWO MOST RECENT OR CURRENT SUPERVISORS) NAME

ADDRESS

OCCUPATION

ADDRESS

PHONE

OCCUPATION

NAME

NAME

ADDRESS

ADDRESS

OCCUPATION

PHONE

OCCUPATION

PHONE

PHONE

PLEASE READ THIS IMPORTANT INFORMATION BELOW. ASK FOR CLARIFICATION IF NEEDED. The undersigned has applied for employment with the Hall County Government and hereby authorizes the Hall County Government to contact my current and former employers and references for the purpose of acquiring information regarding me; I hereby authorize such employers and references to supply such information verbally or in writing to the Hall County Government. In consideration for their furnishing such information, I hereby waive any and all claims against such former employers and references which may arise from their furnishing such information. I understand the Hall County Government has a Substance Abuse Prevention Program which includes drug testing. I agree to comply with applicable County policy. I understand that once offered a position I will be required to complete a medical evaluation and drug screening. I understand that once offered a position I may be required to pass a physical examination as a condition of continued employment. I certify that the answers given by me to all of the questions on this application are to the best of my knowledge and belief true and correct. I further affirm that I have not knowingly withheld any facts or circumstances that would detrimentally affect my application for employment, and I understand that any misleading or incorrect statement may render this application void and would be cause for dismissal, if employed. I AGREE THAT IF HIRED, THE HALL COUNTY GOVERNMENT OR I MAY TERMINATE MY EMPLOYMENT AT ANY TIME WITH OR WITHOUT CAUSE. I UNDERSTAND THAT NO COUNTY POLICY, PRACTICE, PROCEDURE, OR STATEMENT BY ANY COUNTY REPRESENTATIVE SHALL LIMIT OR ALTER THIS AT-WILL EMPLOYMENT RELATIONSHIP.

I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS: SIGNATURE

______________________________ DATE

HALL COUNTY GOVERNMENT EMPLOYMENT APPLICATION HUMAN RESOURCES DEPARTMENT CONSENT FORM FOR EMPLOYMENT BACKGROUND CHECK ◄◄◄◄◄◄◄◄◄◄ ALL

LAST NAME:

INFORMATION IS REQUIRED ►►►►►►►►►► FIRST NAME:

MIDDLE NAME:

MAIDEN NAME:

HOME ADDRESS: (PHYSICAL ADDRESS, DO NOT USE POST OFFICE BOX NUMBERS)

(CITY, STATE, ZIP CODE)

As an applicant for employment, I hereby authorize Hall County Government to receive any criminal history, driver’s history or previous employment information pertaining to me for the purpose of my background investigation which may be in the files of any federal, state

or local criminal justice agency. (SPECIAL NOTE-PLEASE SEE BOX BELOW: IN ORDER TO BE EMPLOYED WITH HALL COUNTY APPLICANT MUST CHECK CONSENT BELOW TO PERIODIC BACKGROUND CHECKS.) Special employment provisions (check if applicable) _____ Employment with mentally disabled (Purpose code ‘M’) _____ Employment with elder care (Purpose code ‘N’) _____ Employment with children (Purpose code ‘W’) _____Employment with Hall County Government Law Enforcement Sworn Officers (Purpose Code Z) _____Employment with Hall County Government Law Enforcement Non-Sworn Officers (Purpose Code J) _____Employment with Hall County Government Non-Law Enforcement (Purpose Code E)

One of the following must be checked: ___This authorization is valid for 90/180/____________(circle one) days from date of signature. ___I, ____________________________________give consent to the above named to perform periodic criminal history background checks for the duration of my employment with this company.

PLACE OF BIRTH:

DATE OF BIRTH: CITY / COUNTY / STATE

MONTH / DAY / YEAR

SOC. SEC. #: SEX: _____M ____F

RACE: _________________

SIGNATURE OF APPLICANT:

DATE:

NOTARY SIGNATURE:

DATE:

MY COMMISSION EXPIRES: NAME OF PERSON RECEIVING RECORD: DEPARTMENT: ***Special Conditions*** If an adverse employment or licensing decision is made against the person whose record was obtained under this law, the person shall be informed: That a record was obtained, the specific contents of the record and the effect the record has upon the decision. Failure to provide this information to the person subject to the adverse decision shall be a misdemeanor. (REVISED 10/2006) Hall County Human Resources ▪ P. O. Drawer 1435 ▪ Gainesville, GA 30503 ▪ 770-531-6712 ▪ www.hallcounty.org

APPLICANT’S CERTIFICATION (READ THE FOLLOWING STATEMENT CAREFULLY BEFORE SIGNING)

I hereby certify that all statements on my application are true and complete to the best of my knowledge and belief. I understand and agree that any misstatements or omissions of material fact may cause any offer of employment made by hall county public safety division to be withdrawn, or if employed, my employment to be terminated. I further understand that any employment offered to me will be contingent upon the results of a complete character and fitness investigation. I also understand and agree that my employment application shall be the property of the hall county government. I understand and agree that if employed, I will not divulge to anyone any confidential, privileged information acquired by me during my employment, except as may be required by law. It is understood that, as a condition of employment, in the hall county public safety division, I will, as provided by law governing protective services personnel, submit to a polygraph test when specifically ordered to do so.

Signature of Applicant

Date

Witness

Date

Applicants must return the completed job application to the Hall County Human Resources Department. Human Resources will not assume responsibility for applications left with employees of other departments. I certify that I have read and received a copy of Hall County Firefighter I Applicant Information Sheet (front page of application packet):

Signature of Applicant

Date

HALL COUNTY FIRE & EMERGENCY SERVICES DRIVER’S HISTORY I hereby understand that the Hall County Human Resources Department will receive all drivers’ license history information pertinent to my employment with the Hall County Fire & Emergency Services. I understand that convictions revealed from these type investigations may impact employment with the Hall County Fire & Emergency Services. (Reference: Hall County Government Rules & Regulations (11/95) 1.13.3, 1.14, 1.45)

Print Full Name

Address

City

State

Zip

Driver’s License Number (State of Issuance)

Date of Birth

-

|

| Sex

|

-

Race

-

Social Security Number

Signature

Notary Public

Date

| Print Name of Person Receiving Record

Signature of Person Receiving Record

Business/Company/Department

HALL COUNTY EMPLOYMENT HUMAN RESOURCES DEPARTMENT P. O. Drawer 1435, Gainesville, GA 30503 Telephone: (770) 531-6712 ----- FAX: (770) 531-7137

HOW DID YOU HEAR ABOUT THIS OPENING? (Please check all that apply) ___

Hall County Website

___

Walk-In

___

AJC Newspaper

___

Job Line

___

Gainesville Times

___

T.V. 18

___

Mexico Lindo

___

Firehouse Magazine

___

Family/Friend

___

High School/College

___

Job Fair

___

Local Church

___

Georgia Dept. Of Labor

___

Community Organization

___

Military Website

___

Other