Fire Department Application

Fire Department Background Check Authorization

Name*

First

Last

Middle

Address*

Street Address Line 2 Country

Date of Birth*

day

month

year

The Adams County Fire District is an equal opportunity employer and afford equal opportunity to all applicants for all positions without regard to race, color, religion, gender, nationality, disability, veteran status, or any other status protected under local, state, or federal law.
All applicants are subject to a criminal background check as a condition of employment. Note that a criminal record and a pending criminal charge will not automatically bar you from employment.

Please provide the information requested. Confidentiality is maintained in all circumstances.

Email*

Email confirmation*

HAVE YOU EVER BEEN CONVICTED FOR ANYTHING OTHER THAN MINOR TRAFFIC VIOLATION?*

Yes

THE FIRE SERVICE PLACES GREAT PHYSICAL DEMANDS AND REQUIRES YOU TO CARRY, LIFT, CLIMB, CRAWL, STOOP AND BEND. DO YOU HAVE ANY PHYSICAL LIMITATIONS THAT WOULD PREVENT YOU FROM PERFORMING THESE DUTIES?*

Yes

Join our newsletter and get latest updates