Circle the appropriate response:
(List two persons you have known for the last 5 years - who you are not related to)
I certify that the answers given herein are true and complete to the best of my knowledge.
I authorize the El Dorado Fire Department to investigate all statements contained in this application as may be necessary in arriving at an acceptance decision.
In the event of acceptance, I understand that false or misleading information given in the application process may result in discharge. I also understand that I am required to abide by all rules, regulations and Standard Operating Guidelines of the El Dorado Fire Department, including the Non-Tobacco Use Policy.
All members of the El Dorado Fire Department are prohibited from using smoking tobacco, in any form, either on-duty or off-duty. And chewing tobacco on-duty or on city property
An employee who violates this policy shall be subject to termination.
I have read and understand the preceding ‘Tobacco Use Policy’ of the El Dorado Fire Department and agree to its terms.
Date Received: By:
Date of Background Check: Completed By:
Interview Scheduled For: Interview Conducted On: Board Recommendation
Strength & Agility Taken:___________________________________________________________________________________
Applicant not accepted.
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