Application | Oran Fire Protection District

Driver’s license

License — frontJPG, PNG or PDF, up to 5 MB.

License — backJPG, PNG or PDF, up to 5 MB.

Experience and employment

Have you ever been convicted of a felony or crime of moral turpitude? * Yes No

If yes, explain the conviction, dates and disposition *

Highest level of education completed

Do you have previous volunteer experience? * Yes No

Describe your volunteer experience *

Present employer

Supervisor’s name

Employer address

Employer phone

Years employed

Job title

Working hours

Military service — years of service

Military service — type of work performed

References

Reference 1 — Name *

Reference 1 — Relationship / reference type *

Reference 1 — Phone *

Reference 2 — Name *

Reference 2 — Relationship / reference type *

Reference 2 — Phone *

Reference 3 — Name *

Reference 3 — Relationship / reference type *

Reference 3 — Phone *

Parent or guardian — junior applicants

Parent / guardian full name *

Relationship to applicant *

Guardian email *

Guardian phone *

Acknowledgments

I consent to being contacted about my application. *

I authorize Oran Fire Protection District or its agent to perform a motor vehicle records check and national criminal background check. *

I authorize Oran Fire Protection District or its agent to perform a drug screening. *

I affirm that the information provided is true and complete to the best of my knowledge. *

Applicant name / acknowledgment *

Date *

Your answers are sent to the department for review.