ONLINE EMPLOYMENT APPLICATION

The City of Franklin is an Equal Opportunity Employer and does not discriminate on the basis of race, sex, color, religion, national origin, age, disability, or veteran status in employment opportunities and benefits. The City of Franklin adheres to Title VI as well as Title VII.

 

Overview of the hiring and employment process: This Application is but one part of the hiring and employment process. Other parts may include an interview, an employment examination or test, and a demonstration of an ability to perform the essential functions of the job. If you need an accommodation in order to complete any part of the hiring and employment process, please call the following number: (615) 791-3216.

 

Prior to completing this Application be sure to read the job summary of the position for which you are applying. As you complete this Application, please bear in mind the following:

• We reserve the right to check all information for accuracy and completeness
• All applications for employment are a matter of public record
• If you need accommodation in order to complete this Application, please notify the Human Resources Director

First Name:
Middle Name:
Last Name:
Title of position for which you are applying:	Firefighter
Lowest acceptable salary:	per hour week month year
Address 1:
Address 2:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Oregon Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
County:
Zip Code:
Phone:
Email:
Drivers License State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Oregon Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Drivers License Class:
Are you over the age of 18?	Yes No
Do you have a legal right to work in the United States?	Yes No
Have you filed an application with us before?	Yes No
If 'Yes' give date:
Have you been employed by us before?	Yes No
If 'Yes' give dates/department:
Are you currently employed?	Yes No
If 'Yes' may we contact your employer?	Yes No
On what date will you be available for work?
Are you applying to work:	Full Time Part Time Shift Work Temporary
Do you claim Veteran's Preference? (If you claim Veteran's Preference, you will be required to show proof eligibility when you are hired)	Yes No
5-Point Preference (not disabled):	Yes
10-Point Preference (compensable disabled veteran, or surviving spouse, widow(er) or mother):	Yes
It is our policy not to hire relatives of the immediate family within the same department. Do you have relatives employed with us?	Yes No
If 'Yes' give name, relationship and department in which they are employed:
Except for minor traffic viloations, have you ever within the last 7 years been convicted of a felony or any misdemeanor involving moral turpitude or any misdemeanor? For the purpose of this section, "convicted" means to have pled guilty or pled nolo contendere or to have been placed on any type of deferred adjudication, suspended sentence, first offender status, or other alternative to a punitive sentence, such as diversion (conviction will not necessarily disqualify an applicant from employment).	Yes No
If 'Yes' state the nature of the charge, when the incident leading to the charge occured, and the disposition of the charge:
Have you ever been charged with a violation that involved operating a vehicle while under the influence of alcohol or any other prohibited substance?	Yes No
If 'Yes' state the nature of the charge, when the incident leading to the charge occured, and the disposition of the charge:
Do you have a Firefighter I or II certification? (If yes, please provide copy.)	Yes No
Do you have an Apparatus Operator certification? (If yes, please provide copy.)	Yes No
Do you have a Vehicle Extrication certification? (If yes, please provide copy.)	Yes No
Do you have an active EMT Licenses (basic or higher)? (If yes, please provide copy.)	Yes No
Do you have an active Paramedic License? (If yes, please provide copy.)	Yes No
Are you an active Volunteer Firefighter?	Yes No
If yes, how long?
Are you currently a paid Firefighter? If yes, how long?	Yes No
If yes, how long?
High School attended (include name and address of school):
Do you have a high school diploma?	Yes No
College/University/Trade/Business School (include name and address of school):
Did you receive a diploma/degree from the above mentioned school?	Yes No
# of credit hours earned:
Please select degree received :	Associates Bachelors Masters Doctoral
Major Area of Study:
College/University/Trade/Business School (include name and address of school):
Did you receive a diploma/degree from the above mentioned school?	Yes No
# of credit hours earned:
Please select degree received :	Associates Bachelors Masters Doctoral
Major Area of Study:
College/University/Trade/Business School (include name and address of school):
Did you receive a diploma/degree from the above mentioned school?	Yes No
# of credit hours earned:
Please select degree received :	Associates Bachelors Masters Doctoral
Major Area of Study:
Describe any specialized training, apprenticeship, skills and extra-curricular activities. List any profession you are licensed to practice, giving details on which license was issued and the state from which it was received:
Specialized Skills:	Calculator
	Computer
	Fax
	Microsoft Access
	Microsoft Excel
	Microsoft Outlook
	Microsoft PowerPoint
	Microsoft Word
Production/Mobile Machinery (list):
Other (list):
Current or last employer:
Address:
Phone:
Job Title:
Supervisor:
Reason for leaving:
Dates Employed:	From: To:
Hourly Rate/Salary:	Starting: Final:
Work perfomed:
Previous employer:
Address:
Phone:
Job Title:
Supervisor:
Reason for leaving:
Dates Employed:	From: To:
Hourly Rate/Salary:	Starting: Final:
Work perfomed:
Previous employer:
Address:
Phone:
Job Title:
Supervisor:
Reason for leaving:
Dates Employed:	From: To:
Hourly Rate/Salary:	Starting: Final:
Work perfomed:
Previous employer:
Address:
Phone:
Job Title:
Supervisor:
Reason for leaving:
Dates Employed:	From: To:
Hourly Rate/Salary:	Starting: Final:
Work perfomed:
Reference (do not include relatives or former supervisors):	Name
	Address
	Phone
Reference (do not include relatives or former supervisors):	Name
	Address
	Phone
Reference (do not include relatives or former supervisors):	Name
	Address
	Phone
State any additional information you feel may be helpful to us in considering your application:
NOTE TO APPLICANT: Do not answer this question unless you have been informed or understand about the requirements of the job for which you are applying. Are you capable of performing in a reasonable manner the essential functions involved in the job or occupation for which you have applied with or without reasonable accommodation?	Yes No

APPLICANT'S STATEMENT

I certify that answers given herein are true and complete to the best of my knowledge.

 

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that I will have to complete an authorization and release of information form.

 

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the City of Franklin.

 

Nothing in this application is intended to create or imply a contractural relationship; if hired, the employee understands that employment is at will, i.e., that is, not for any specific time period or duration and can be terminated at any time. While employment policies or procedures may change from time to time, only a written agreement signed by the City Administrator and/or Mayor can change the employee's at-will status.

 

Electronic Signature: (type name)