CUMBERLAND FIRE DEPARTMENT 3502 Mendon Road Cumberland, RI 02864 (401) 658-‐0544 PROBATIONARY FIREFIGHTER RECRUITMENT PACKAGE 2015 APPLICANT INSTRUCTIONS
1. Read the entire application and packet completely. 2. Answer all the questions contained within the application form. 3. Do not submit an uncompleted application. Applications are to be hand delivered or sent via certified mail. 4. Type or print application neatly using blue or black ink only. 5. You must submit a photocopy of the following documents with your completed application. a. Birth certificate or US Passport or Naturalization Papers. b. Motor Vehicle Operator’s License. c. National EMT-‐Basic or higher-‐level License. d. Rhode Island Firefighter Physical Performance Assessment Testing Certificate issued by the Rhode Island Association of Fire Chiefs. (A registration receipt for April 2015 testing will be accepted) e. Must furnish a certified copy of your driver’s record (obtained within 90 days prior to application) from the Motor Vehicle Registry of the State in which you reside. f. College transcript showing (30) thirty or more college credits, OR Copy of DD-‐214 showing (2) two years of military service (DD-‐214 required of all prior military requesting veteran points), OR Verification letter from Agency Head showing (2) two years of consecutive public safety experience. g. Current American Heart Association Healthcare Provider certification. h. Copies of all fire service credentials and certificates. 6. All documentation must be returned in person. 7. Minimum age 18, Maximum age 39 (must not have reached age 40 prior to conditional offer of employment). 8. A non-‐refundable processing fee of $25 is due at time of application submission via bank check or money order only. Checks made payable to the “CUMBERLAND FIRE DISTRICT” 9. If you fail to produce these items at the time you submit your application, we will not be able to process your application. No exceptions. 10. Application period begins on March 12, 2015 at 12pm and end on March 31, 2015 at 12pm. Telephone Inquiries: (401) 658-‐0544 Onsite Inquiries: Cumberland Fire Department Headquarters 3502 Mendon Road Cumberland, RI 02864 Monday through Friday 8:00 am to 4:00 pm Email: [email protected] ALL APPLICATIONS ARE DUE BY FRIDAY MARCH 31, 2015 at 12pm APPLICATION REQUIREMENTS: •
•
•
•
•
•
•
•
•
US Citizen or US-‐INS qualified for employment Minimum age 18, Maximum age 39 (must not have reached age 40 prior to conditional offer of employment). Possess a high school diploma or GED certificate Proof of 30 college credits OR Proof of 2 years of military service OR Proof of 2 years of public safety experience Proof of successfully completing the Rhode Island Fire Chief’s Physical Performance Assessment Testing within the past year. (A registration receipt for April 2015 testing will be accepted) Possess a valid and active driver’s license. Must remain valid throughout application process. Possess a valid and active Rhode Island Emergency Medical Technician Basic license. Must remain valid throughout application process. American Heart Association BLS Healthcare Provider Certification. Must remain valid throughout application process. A non-‐refundable processing fee of $25 is due at time of application submission via bank check or money order only. APPLICATION DOCUMENTATION REQUIRED: A photocopy of the following documents MUST be submitted with your application: •
•
•
•
•
•
•
•
•
Birth certificate or US Passport or Naturalization Papers. Active and valid Motor Vehicle Operator’s License. Active and valid EMT-‐Basic or higher License. Rhode Island Firefighter Physical Performance Assessment Testing Certificate issued by the Rhode Island Association of Fire Chiefs. A registration receipt for April 2015 testing will be accepted) Driver’s license check (obtained within 90 days prior to application) High school diploma or GED certificate Proof of 30 college credits (via official transcript) OR Proof of 2 years of military service (via DD-‐214) OR Proof of 2 years of public safety experience (via verification letter from agency head) Current American Heart Association BLS Healthcare Provider certification. Copies of all fire service credentials and certificates. ADDITIONAL MINIMUM REQUIREMENTS DUE UPON CONDITIONAL OFFER OF EMPLOYMENT •
•
•
•
•
•
NFPA 1001 Firefighter I certification. RI EMT-‐Cardiac, Advanced or Paramedic EMT license Successful completion of a Federal and State background investigation. Successful completion of medical exam. Successful completion of drug screening. Successful completion of psychological evaluation. REASONS FOR DISQUALIFICATION •
•
•
•
•
Untruthfulness or the omission of information on any application, interview or paperwork associated with the hiring process Failure to meet the minimum requirements. Dishonorable discharge from any military service (less than honorable discharges will be reviewed on a case-‐by-‐case basis) Incarceration for the conviction of a misdemeanor offense A conviction of any of the following: o Any felony or crime of moral turpitude o A domestic violence related offense including any misdemeanor offense against a domestic partner, spouse, child, or parent o Driving while under the influence of alcohol or drugs, eluding police, drag racing or reckless driving, or criminal leaving the scene of an accident; within the last five years o The sale, distribution, or possession of illegal drugs MERIT POINTS ELIGIBILITY •
•
•
•
Rhode Island or ProBoard NFPA 1001 Firefighter I certification. 2.5 POINTS Rhode Island or ProBoard NFPA 1001 Firefighter II certification. 2.5 POINTS An active member of the Cumberland Fire Department call firefighter system with at least one (1) year of experience or member of the Cumberland Rescue Service with at least one (1) year of experience. 1 POINT PER YEAR OF SERVICE UP TO 5 POINTS OR An active, full-‐time firefighter of an agency outside the Town of Cumberland. A full-‐time firefighter is considered the have worked at least 2,080 hours during the previous year (time off due to vacations and illness or injury are included in calculation). 1 POINT PER YEAR OF SERVICE UP TO 5 POINTS Proof (valid DD214) of Honorable Discharge from the Armed Forces. 5 POINTS APPLICATION AND SELECTION PROCESS 1. Written application with required documents submitted. 2. Written examination held. A minimum score of 70% is required for to move onto the next step. 3. The candidates with the top (25) twenty-‐five scores will have an oral interview. 4. The candidates written and oral scores will be averaged. Merit points will be added to the averaged score. A minimum score of 70 is necessary to be placed on the eligibility list. Eligibility list candidates are ranked by score. WRITTEN EXAMINATION INFORMATION •
•
•
The written examination will be a 100 question multiple-‐choice examination. There will be a two-‐hour time limit for the examination. Source material for examination comes from two sources: o 80% from IFSTA’s ESSENTIALS OF FIREFIGHTING 6th edition. § ISBN: 978-‐0-‐87939-‐509-‐4 § Available from www.shop.ifsta.com, www.amazon.com, and other online or local vendors. o 20% from current edition of Rhode Island Prehospital Care Protocols and Standing Orders. § Edition effective August 1, 2011 with all updates up to date of examination. Paramedic protocol questions excluded. § Available online at www.health.ri.gov ESSENTIAL JOB FUNCTIONS Consistent with NFPA 1582 and Cumberland Fire Department Policies and Procedures. 1. While wearing personal protective ensembles and self contained breathing apparatus (SCBA), performing firefighting tasks (e.g., hose line operations, extensive crawling, lifting and carrying heavy objects, ventilating roofs or walls using power or hand tools, forcible entry), rescue operations, and other emergency response actions under stressful conditions including working in extremely hot or cold environments for prolonged time periods 2. Wearing an SCBA, which includes a demand valve–type positive-‐pressure face piece or HEPA filter masks, which requires the ability to tolerate increased respiratory workloads 3. Exposure to toxic fumes, irritants, particulates, biological (infectious) and non-‐biological hazards, and/or heated gases, despite the use of personal protective ensembles and SCBA 4. Climbing six or more flights of stairs while wearing a fire protective ensemble, including SCBA, weighing at least 50 lb (22.6 kg) or more and carrying equipment/tools weighing an additional 20 to 40 lb (9 to 18 kg) 5. Wearing a fire protective ensemble, including SCBA, that is encapsulating and insulated, which will result in significant fluid loss that frequently progresses to clinical dehydration and can elevate core temperature to levels exceeding 102.2°F (39°C) 6. While wearing personal protective ensembles and SCBA, searching, finding, and rescue-‐
dragging or carrying victims ranging from newborns to adults weighing over 200 lb (90 kg) to safety despite hazardous conditions and low visibility 7. While wearing personal protective ensembles and SCBA, advancing water-‐filled hose lines up to 2 ½ inch (65 mm) in diameter from fire apparatus to occupancy [approximately 150 ft (50 m)], which can involve negotiating multiple flights of stairs, ladders, and other obstacles 8. While wearing personal protective ensembles and SCBA, climbing ladders, operating from heights, walking or crawling in the dark along narrow and uneven surfaces that might be wet or icy, and operating in proximity to electrical power lines or other hazards 9. Unpredictable emergency requirements for prolonged periods of extreme physical exertion without benefit of warm-‐up, scheduled rest periods, meals, access to medication(s), or hydration 10. Operating fire apparatus or other vehicles in an emergency mode 11. Critical, time-‐sensitive, complex problem solving during physical exertion in stressful, hazardous environments, including hot, dark, tightly enclosed spaces, that is further aggravated by fatigue, flashing lights, sirens, and other distractions 12. Ability to communicate (give and comprehend verbal orders) while wearing personal protective ensembles and SCBA under conditions of high background noise, poor visibility, and drenching from hose lines and/or fixed protection systems (sprinklers) 13. Functioning as an integral component of a team, where sudden incapacitation of a member can result in mission failure or in risk of injury or death to civilians or other team members 14. Perform all of the functions of an Emergency Medical Technician Cardiac Level in line with the Rhode Island Department of Health Protocols, rules, regulations and General Orders. CUMBERLAND FIRE DEPARTMENT FIREFIGHTER EMPLOYMENT APPLICATION 3502 Mendon Road Cumberland, RI 02864 (401) 658-‐0544 Application must be typed or printed neatly in blue or black ink. 1. PERSONAL HISTORY Name (Last, Middle, First) Current Address (Street and Number, City, State, Zip) Current Phone Numbers Home: Cell: Work: Email Address Date and Place of Birth Date: City: County: State: Are You a United States Citizen? (If naturalized, submit a copy of official paperwork) q q No Yes Social Security Number: Marital Status: q Single qMarried q Divorced q Separated q Widowed 2. FAMILY MEMBERS List all family members in the following order: spouse, children, including step-‐children, parents, guardians, and any other relatives whom a close relationship exists. Name Relationship Address Home Phone # 3. CHARACTER REFERENCES List three (3) character references. So not include relatives, former employers, or persons living outside the United States. List only character references that have a definite knowledge of your qualifications and fitness for the position for which you are applying. Name Years Address Home Phone # Known 4. RESIDENCE(S) List chronologically all your residences in the last FIVE (5) years. From (mo/yr) To (mo/yr) Address (number, street, city, state, zip) 5. EMPLOYMENT HISTORY Beginning with your current or most recent job, list your work history for the past TEN years. (Include part-‐time, seasonal, and temporary) 1. Name and Address of Employer: Dates worked: From (mm/yy): To (mm/yy): Job Position or Title: Full-‐time Part-‐time
Seasonal Description of Duties: Name and Telephone Number of Supervisor: Reason for Leaving: q q
q 2. Name and Address of Employer: Dates worked: From (mm/yy): To (mm/yy): Job Position or Title: Full-‐time Part-‐time
Description of Duties: Name and Telephone Number of Supervisor: Reason for Leaving: 3. Name and Address of Employer: Dates worked: From (mm/yy): To (mm/yy): Job Position or Title: Full-‐time Part-‐time
Description of Duties: Name and Telephone Number of Supervisor: Reason for Leaving: 4. Name and Address of Employer: Dates worked: From (mm/yy): To (mm/yy): Job Position or Title: Full-‐time Part-‐time
Description of Duties: Name and Telephone Number of Supervisor: Reason for Leaving: q q
q Seasonal q q
q Seasonal q q
q Seasonal 5. Name and Address of Employer: Dates worked: From (mm/yy): To (mm/yy): Job Position or Title: Full-‐time Part-‐time
Description of Duties: Name and Telephone Number of Supervisor: Reason for Leaving: q q
q Seasonal 6. EMPLOYMENT RECORD Have you ever been involuntary terminated from a full or part-‐time job, whether it was termed fired, terminated, suspended, laid-‐off or furloughed? q Yes qNo (If yes, describe the circumstances). Have you ever resigned (quit) after being informed that your employer intended to discharge q q
you? Yes No (If yes, describe the circumstances). Have you ever had any disciplinary actions taken against you at any of your jobs (written reprimands, suspensions with or without pay, forfeiture of benefits or other actions)? q Yes qNo (If yes, describe the circumstances). Do you have any reason to believe that a former employer may give you a negative job reference? q Yes qNo (If yes, name of employer and why). 7. PUBLIC SAFETY HISTORY q Yes qNo Type: q Fire Department q Emergency Medical Services q Law Enforcement/Corrections q Paid Department q Combination paid/Volunteer q Volunteer only Are you currently on another department? (If claiming for minimum requirement, you must provide a letter from agency head stating you had two consecutive years of active service) Please list: Department Name, full address, phone number, and current Chief’s name. 8. EDUCATION HISTORY List chronologically all schools you have attended, include high school, college, trade school, vocational school, and other. Dates Attended School Name Address Date Graduated 9. EDUCATION AND TRAINING Are you NFPA 1001 Firefighter I certified? qYes qNo Certify Agency ___________________ Are you NFPA 1001 Firefighter II certified? qYes qNo Certify Agency __________________ q
q
Are you a RI Licensed EMT-‐Basic or higher? Yes No Level: _________________ License Number _______________________ Expiration Date: ________________________ List college major and minor college courses of study and any other special training classes you have taken (NFPA certified courses). Course Certifying Body Date 10. MILITARY SERVICE Branch of Service: Highest Rank Held: Date of Active Service: From (mm/yy) To (mm/yy) Are you still enlisted, when will you be discharged? Unit assigned to and responsibilities: Type of Discharge: Did you receive any disciplinary action while in the military? (if yes, please explain): Have you ever been the defended in a court martial? (if yes, please explain): APPLICANT STATEMENT OF TRUTHFULLNESS This form is to be signed and witnessed in the presence of a Notary Public. Return with application. Please read the following statement and sign to certify your understanding. I certify that all information I have provided in order to apply for and secure employment with the Cumberland Fire Department is true, complete and correct. I understand that all the information I have provided is subject to verification and that any information found to be false, incomplete or misrepresented in any respect, will be sufficient cause to 1) cancel further consideration of this application, or 2) if already appointed, I may be subject to discharge from employment. I have expressly authorized, without reservation, the Cumberland Fire Department, its representatives, employees or agents to contact all references, and any other persons in order to obtain any and all information deemed necessary by them to verify the accuracy of all information provided by me in this application or at other points throughout the entire process including interviews. I understand that the Cumberland Fire Department does not unlawfully discriminate in employment and no question on this application is used for purpose of limiting or excluding any applicant from consideration on a basis prohibited by applicable local, state or federal law. DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT. Before me the undersigned, a Notary Public for ___________________________________ County, State of ___________________________________, personally appeared ____________________________________________. Printed name of applicant And he/she being first duly sworn by me upon his/her oath certified that he/she read and fully understands and accepts all terms of the forgoing Applicant Statement. Signed and sealed this ________________________ day of ________________ , 20________ ____________________________________ ___________________________________ Signature of Applicant Signature of Notary Public SEAL My Commission Expires __________________________ APPLICATION CHECK LIST q Application completed in its entirety. q Copy of Birth certificate or US Passport or Naturalization Papers. q Copy of Motor Vehicle Operator’s License. q Copy of EMT License. q q q Copy of driver’s record (obtained within 90 days prior to application) from the Motor Vehicle Registry of the State in which you reside. Copy of College transcript showing (30) thirty or more college credits OR Copy of DD-‐214 showing (2) two years of military service (DD-‐ 214 required of all prior military members requesting veteran merit points) OR Verification letter from Agency Head showing (2) two years of consecutive public safety experience. q Copy of a valid American Heart Association Healthcare Provider card. q Copies of all fire service credentials and certificates. q Copy of Rhode Island Firefighter Physical Performance Assessment Testing Certificate issued by the Rhode Island Association of Fire Chiefs. ( A registration receipt for April 2015 testing will be accepted) A non-‐refundable processing fee of $25 is due at time of application submission via bank check or money order only. Checks made payable to the “CUMBERLAND FIRE DISTRICT”