FRESNO FIRE DEPARTMENT VOLUNTEER APPLICATION

Please print or type; you may include a resume or additional pages, as needed


Name:_____________________________________________________________________________________________
                                                 (Last)                                                                        (First)                                                                   (Middle)

Previous Names (if Applicable)__________________________________________________________________________


Address:___________________________________________________________________________________________
	(Street)                                                      (City)	                                                (State)                                  (Zip Code)

Phone-Home:________________________ Work:_________________________ Date of Birth:______________________


E-mail address:______________________________________________________________________________________


California Drivers License Number:___________________________________________ Expires: ____________________

Social Security Number:_______________________________________________________________________________

List residences for the last five years.  List your current address first:

1._________________________________________________________________________________________________
(Street, City, State, Zip Code and length at residence)

2.________________________________________________________________________________________________¬_                                                                                                                
(Street, City, State, Zip Code and length at residence)

Employment history for the last five years, beginning with the most recent position:

1._________________________________________________________________________________________________
     (Company name, your position, employer telephone number and length of employment)

2._________________________________________________________________________________________________
    (Company name, your position, employer telephone number and length of employment)

Are you bilingual?  Yes______  No______  If yes, what is your second language?__________________________________

Describe your proficiency:     Speak: (Circle one)    Fair     Good     Excellent;  Read: (Circle one)    Fair     Good      Excellent




Education and training:________________________________________________________________________________                                                                                                           
                                                                                 (List highest level of education and any specialized training received, including military) 

___________________________________________________________________________________________________


___________________________________________________________________________________________________

                                                                 						 
Skills and/or experience you have that would be helpful as a volunteer? _________________________________________

___________________________________________________________________________________________________


I am applying for any opportunity relevant to my skills, or:_________________________________________________
                                                                                                                                                                         (List specific position)
Approximate number of hours per week you can volunteer: ___________________________________________________

Llist days/hours available:______________________________________________________________________________

List three references:
1._________________________________________________________________________________________________  
       (Name)                                        (Address)                                (City)               (State)      (Zip Code)                                              (Phone)

2._________________________________________________________________________________________________                                  
       (Name)                                        (Address)                                (City)               (State)      (Zip Code)                                             (Phone)

3._________________________________________________________________________________________________   
        (Name)                                        (Address)                                (City)               (State)     (Zip Code)                                              (Phone)


List any arrests (charges, dates of arrest, and disposition—excluding traffic tickets): ________________________________

___________________________________________________________________________________________________

How did you hear about the Fire Department Volunteer Program? ______________________________________________
 ___________________________________________________________________________________________________

In case of emergency, contact:__________________________________________________________________________                                                                                                                      
 (Name, Address, Phone Number and Relationship)

Signature:________________________________________________________________ Date:______________________

Can you refer another possible candidate for the program?


	(Name)                                          (Address)		(Phone Number)