Employment Application

Thank you for your interest in employment with the Burlington Fire Protection District. Listed below are a copy of our current job hiring flyer along with a copy of a application form that can be downloaded and filled out. Downloaded applications can be hand delivered or mailed into the firehouse at 6050 Firehouse Drive, Burlington KY 41005 or can also be emailed to [email protected] - We also have a online application form listed below that can be submitted online.

Burlington Fire 01/2025 Application
File Size:	2066 kb
File Type:	pdf

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Application for Employment: Pre Employment Questionnaire (Equal Opportunity Employer):

Personal Information:

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Social Security Number *

Employment Desired:

Position (Select one) *

Date you can start? *

Are you employed now? *

Where? *

When? *

If so, may we inquire your present employer? *

Ever applied to this company before? *

Education History:

High School Attended College Attended (Name/Location) *

Did you graduate? (High School) *

Yes No

Years attended (High School) *

Subjects studied (High School) *

College Attended (Name/Location) *

Did you graduate? (College) *

Yes No

Years attended (College) *

Subjects studied (College) *

Trades, Business, or Correspondence attended (Name/Location *

Did you graduate *

Yes No

Subjects studied (Trades, Business, or Correspondence) *

General Information:

Subject of Special study/research work *

Special Training *

Special Skills *

US military service/Rank *

Former Employers:

Please list below last 4 employers, starting with last one first including: Dates worked, Name/Address of Employer, Position, and Reason for leaving *

References:

List 3 including: Name, Address, Number, Email, and Affiliation *

Drivers license:

Please upload front/back copy of Drivers license *

Max file size: 20MB

Cover Letter/Resume:

Please upload cover letter/resume *

Max file size: 1000MB

Additional Files:

Upload any additional files (Fire/EMS Certifications, School Diplomas, and School transcripts) *

Max file size: 1000MB

Background Check Form Upload:

Please fill out and upload the required background check form listed at the bottom of this page *

Max file size: 1000MB

Authorization-Please Review Application:

Please check the boxes *

I agree that any of the information that I provided is not false and everything is filled out properly. I authorize the use of my personal information for a Background check

Date submitted *

Digital Signature (Add Full name) *

Submit

Background Check Form:

Background Check Form.pdf
File Size:	1849 kb
File Type:	pdf

Download File