What are the responsibilities and job description for the Job Application for Colfax Rescue Squad position at VILLAGE OF COLFAX?
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I hereby certify that all statements made in this application are true and complete to the best of my knowledge. I understand that false statements are cause for rejection of this application, removal of my name from the eligibility list, and/or dismissal from any position offered by the Village of Colfax. By typing my full name and the date, I am electronically signing this form.
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- Syria ( 963)
- Taiwan ( 886)
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- Tanzania ( 255)
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Confirm Email
EMT Specific Applicant Information
Are You At Least 18 Years of Age? *
--- Select Choice ---
--- Select Choice ---
--- Select Choice ---
Yes
No
Are you a citizen of the United States or Authorized to work in the United States? *--- Select Choice ---I'm a US CitizenI'm not a US Citizen but I am Authorized to work in the United StatesNo
Driver's License State *--- Select Choice ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Driver's License Number
WI EMT License Number:
WI EMT License Expiry Date
Available Days
- Monday
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- Wednesday
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- Saturday
- Sunday
- Day
- Night
- Weekend
- Misdemeanor
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If you have convictions, provide the Offense, Date, Jurisdiction, and Disposition for each conviction. Enter N/A if this does not apply. *
Are you related to anyone the works for the Village of Colfax? *
- Yes
- No
- Unsure
Please List All Languages You Are Fluent In
Resume
Upload Resume *
List any volunteer activities you would like to be considered:
Additional Information
Please provide any information that has not been asked for that you would like us to consider with your application.
References
1 Reference Name *
Relationship to Applicant *--- Select Choice ---SupervisorCo-WorkerInstructorOther
Are would Additional
Organization/Employer *
Phone
- United States ( 1)
- United Kingdom ( 44)
- Afghanistan ( 93)
- Åland Islands ( 358)
- Albania ( 355)
- Algeria ( 213)
- American Samoa ( 1)
- Andorra ( 376)
- Angola ( 244)
- Anguilla ( 1)
- Antigua & Barbuda ( 1)
- Argentina ( 54)
- Armenia ( 374)
- Aruba ( 297)
- Ascension Island ( 247)
- Australia ( 61)
- Austria ( 43)
- Azerbaijan ( 994)
- Bahamas ( 1)
- Bahrain ( 973)
- Bangladesh ( 880)
- Barbados ( 1)
- Belarus ( 375)
- Belgium ( 32)
- Belize ( 501)
- Benin ( 229)
- Bermuda ( 1)
- Bhutan ( 975)
- Bolivia ( 591)
- Bosnia & Herzegovina ( 387)
- Botswana ( 267)
- Brazil ( 55)
- British Indian Ocean Territory ( 246)
- British Virgin Islands ( 1)
- Brunei ( 673)
- Bulgaria ( 359)
- Burkina Faso ( 226)
- Burundi ( 257)
- Cambodia ( 855)
- Cameroon ( 237)
- Canada ( 1)
- Cape Verde ( 238)
- Caribbean Netherlands ( 599)
- Cayman Islands ( 1)
- Central African Republic ( 236)
- Chad ( 235)
- Chile ( 56)
- China ( 86)
- Christmas Island ( 61)
- Cocos (Keeling) Islands ( 61)
- Colombia ( 57)
- Comoros ( 269)
- Congo - Brazzaville ( 242)
- Congo - Kinshasa ( 243)
- Cook Islands ( 682)
- Costa Rica ( 506)
- Côte d’Ivoire ( 225)
- Croatia ( 385)
- Cuba ( 53)
- Curaçao ( 599)
- Cyprus ( 357)
- Czechia ( 420)
- Denmark ( 45)
- Djibouti ( 253)
- Dominica ( 1)
- Dominican Republic ( 1)
- Ecuador ( 593)
- Egypt ( 20)
- El Salvador ( 503)
- Equatorial Guinea ( 240)
- Eritrea ( 291)
- Estonia ( 372)
- Eswatini ( 268)
- Ethiopia ( 251)
- Falkland Islands (Islas Malvinas) ( 500)
- Faroe Islands ( 298)
- Fiji ( 679)
- Finland ( 358)
- France ( 33)
- French Guiana ( 594)
- French Polynesia ( 689)
- Gabon ( 241)
- Gambia ( 220)
- Georgia ( 995)
- Germany ( 49)
- Ghana ( 233)
- Gibraltar ( 350)
- Greece ( 30)
- Greenland ( 299)
- Grenada ( 1)
- Guadeloupe ( 590)
- Guam ( 1)
- Guatemala ( 502)
- Guernsey ( 44)
- Guinea ( 224)
- Guinea-Bissau ( 245)
- Guyana ( 592)
- Haiti ( 509)
- Honduras ( 504)
- Hong Kong ( 852)
- Hungary ( 36)
- Iceland ( 354)
- India ( 91)
- Indonesia ( 62)
- Iran ( 98)
- Iraq ( 964)
- Ireland ( 353)
- Isle of Man ( 44)
- Israel ( 972)
- Italy ( 39)
- Jamaica ( 1)
- Japan ( 81)
- Jersey ( 44)
- Jordan ( 962)
- Kazakhstan ( 7)
- Kenya ( 254)
- Kiribati ( 686)
- Kosovo ( 383)
- Kuwait ( 965)
- Kyrgyzstan ( 996)
- Laos ( 856)
- Latvia ( 371)
- Lebanon ( 961)
- Lesotho ( 266)
- Liberia ( 231)
- Libya ( 218)
- Liechtenstein ( 423)
- Lithuania ( 370)
- Luxembourg ( 352)
- Macao ( 853)
- Madagascar ( 261)
- Malawi ( 265)
- Malaysia ( 60)
- Maldives ( 960)
- Mali ( 223)
- Malta ( 356)
- Marshall Islands ( 692)
- Martinique ( 596)
- Mauritania ( 222)
- Mauritius ( 230)
- Mayotte ( 262)
- Mexico ( 52)
- Micronesia ( 691)
- Moldova ( 373)
- Monaco ( 377)
- Mongolia ( 976)
- Montenegro ( 382)
- Montserrat ( 1)
- Morocco ( 212)
- Mozambique ( 258)
- Myanmar (Burma) ( 95)
- Namibia ( 264)
- Nauru ( 674)
- Nepal ( 977)
- Netherlands ( 31)
- New Caledonia ( 687)
- New Zealand ( 64)
- Nicaragua ( 505)
- Niger ( 227)
- Nigeria ( 234)
- Niue ( 683)
- Norfolk Island ( 672)
- North Korea ( 850)
- North Macedonia ( 389)
- Northern Mariana Islands ( 1)
- Norway ( 47)
- Oman ( 968)
- Pakistan ( 92)
- Palau ( 680)
- Palestine ( 970)
- Panama ( 507)
- Papua New Guinea ( 675)
- Paraguay ( 595)
- Peru ( 51)
- Philippines ( 63)
- Poland ( 48)
- Portugal ( 351)
- Puerto Rico ( 1)
- Qatar ( 974)
- Réunion ( 262)
- Romania ( 40)
- Russia ( 7)
- Rwanda ( 250)
- Samoa ( 685)
- San Marino ( 378)
- São Tomé & Príncipe ( 239)
- Saudi Arabia ( 966)
- Senegal ( 221)
- Serbia ( 381)
- Seychelles ( 248)
- Sierra Leone ( 232)
- Singapore ( 65)
- Sint Maarten ( 1)
- Slovakia ( 421)
- Slovenia ( 386)
- Solomon Islands ( 677)
- Somalia ( 252)
- South Africa ( 27)
- South Korea ( 82)
- South Sudan ( 211)
- Spain ( 34)
- Sri Lanka ( 94)
- St. Barthélemy ( 590)
- St. Helena ( 290)
- St. Kitts & Nevis ( 1)
- St. Lucia ( 1)
- St. Martin ( 590)
- St. Pierre & Miquelon ( 508)
- St. Vincent & Grenadines ( 1)
- Sudan ( 249)
- Suriname ( 597)
- Svalbard & Jan Mayen ( 47)
- Sweden ( 46)
- Switzerland ( 41)
- Syria ( 963)
- Taiwan ( 886)
- Tajikistan ( 992)
- Tanzania ( 255)
- Thailand ( 66)
- Timor-Leste ( 670)
- Togo ( 228)
- Tokelau ( 690)
- Tonga ( 676)
- Trinidad & Tobago ( 1)
- Tunisia ( 216)
- Türkiye ( 90)
- Turkmenistan ( 993)
- Turks & Caicos Islands ( 1)
- Tuvalu ( 688)
- U.S. Virgin Islands ( 1)
- Uganda ( 256)
- Ukraine ( 380)
- United Arab Emirates ( 971)
- Uruguay ( 598)
- Uzbekistan ( 998)
- Vanuatu ( 678)
- Vatican City ( 39)
- Venezuela ( 58)
- Vietnam ( 84)
- Wallis & Futuna ( 681)
- Western Sahara ( 212)
- Yemen ( 967)
- Zambia ( 260)
- Zimbabwe ( 263)
Years Known *
2 Reference Name
Relationship to ApplicantSupervisorCo-WorkerInstructorOther
Organization/Employer
Phone
- United States ( 1)
- United Kingdom ( 44)
- Afghanistan ( 93)
- Åland Islands ( 358)
- Albania ( 355)
- Algeria ( 213)
- American Samoa ( 1)
- Andorra ( 376)
- Angola ( 244)
- Anguilla ( 1)
- Antigua & Barbuda ( 1)
- Argentina ( 54)
- Armenia ( 374)
- Aruba ( 297)
- Ascension Island ( 247)
- Australia ( 61)
- Austria ( 43)
- Azerbaijan ( 994)
- Bahamas ( 1)
- Bahrain ( 973)
- Bangladesh ( 880)
- Barbados ( 1)
- Belarus ( 375)
- Belgium ( 32)
- Belize ( 501)
- Benin ( 229)
- Bermuda ( 1)
- Bhutan ( 975)
- Bolivia ( 591)
- Bosnia & Herzegovina ( 387)
- Botswana ( 267)
- Brazil ( 55)
- British Indian Ocean Territory ( 246)
- British Virgin Islands ( 1)
- Brunei ( 673)
- Bulgaria ( 359)
- Burkina Faso ( 226)
- Burundi ( 257)
- Cambodia ( 855)
- Cameroon ( 237)
- Canada ( 1)
- Cape Verde ( 238)
- Caribbean Netherlands ( 599)
- Cayman Islands ( 1)
- Central African Republic ( 236)
- Chad ( 235)
- Chile ( 56)
- China ( 86)
- Christmas Island ( 61)
- Cocos (Keeling) Islands ( 61)
- Colombia ( 57)
- Comoros ( 269)
- Congo - Brazzaville ( 242)
- Congo - Kinshasa ( 243)
- Cook Islands ( 682)
- Costa Rica ( 506)
- Côte d’Ivoire ( 225)
- Croatia ( 385)
- Cuba ( 53)
- Curaçao ( 599)
- Cyprus ( 357)
- Czechia ( 420)
- Denmark ( 45)
- Djibouti ( 253)
- Dominica ( 1)
- Dominican Republic ( 1)
- Ecuador ( 593)
- Egypt ( 20)
- El Salvador ( 503)
- Equatorial Guinea ( 240)
- Eritrea ( 291)
- Estonia ( 372)
- Eswatini ( 268)
- Ethiopia ( 251)
- Falkland Islands (Islas Malvinas) ( 500)
- Faroe Islands ( 298)
- Fiji ( 679)
- Finland ( 358)
- France ( 33)
- French Guiana ( 594)
- French Polynesia ( 689)
- Gabon ( 241)
- Gambia ( 220)
- Georgia ( 995)
- Germany ( 49)
- Ghana ( 233)
- Gibraltar ( 350)
- Greece ( 30)
- Greenland ( 299)
- Grenada ( 1)
- Guadeloupe ( 590)
- Guam ( 1)
- Guatemala ( 502)
- Guernsey ( 44)
- Guinea ( 224)
- Guinea-Bissau ( 245)
- Guyana ( 592)
- Haiti ( 509)
- Honduras ( 504)
- Hong Kong ( 852)
- Hungary ( 36)
- Iceland ( 354)
- India ( 91)
- Indonesia ( 62)
- Iran ( 98)
- Iraq ( 964)
- Ireland ( 353)
- Isle of Man ( 44)
- Israel ( 972)
- Italy ( 39)
- Jamaica ( 1)
- Japan ( 81)
- Jersey ( 44)
- Jordan ( 962)
- Kazakhstan ( 7)
- Kenya ( 254)
- Kiribati ( 686)
- Kosovo ( 383)
- Kuwait ( 965)
- Kyrgyzstan ( 996)
- Laos ( 856)
- Latvia ( 371)
- Lebanon ( 961)
- Lesotho ( 266)
- Liberia ( 231)
- Libya ( 218)
- Liechtenstein ( 423)
- Lithuania ( 370)
- Luxembourg ( 352)
- Macao ( 853)
- Madagascar ( 261)
- Malawi ( 265)
- Malaysia ( 60)
- Maldives ( 960)
- Mali ( 223)
- Malta ( 356)
- Marshall Islands ( 692)
- Martinique ( 596)
- Mauritania ( 222)
- Mauritius ( 230)
- Mayotte ( 262)
- Mexico ( 52)
- Micronesia ( 691)
- Moldova ( 373)
- Monaco ( 377)
- Mongolia ( 976)
- Montenegro ( 382)
- Montserrat ( 1)
- Morocco ( 212)
- Mozambique ( 258)
- Myanmar (Burma) ( 95)
- Namibia ( 264)
- Nauru ( 674)
- Nepal ( 977)
- Netherlands ( 31)
- New Caledonia ( 687)
- New Zealand ( 64)
- Nicaragua ( 505)
- Niger ( 227)
- Nigeria ( 234)
- Niue ( 683)
- Norfolk Island ( 672)
- North Korea ( 850)
- North Macedonia ( 389)
- Northern Mariana Islands ( 1)
- Norway ( 47)
- Oman ( 968)
- Pakistan ( 92)
- Palau ( 680)
- Palestine ( 970)
- Panama ( 507)
- Papua New Guinea ( 675)
- Paraguay ( 595)
- Peru ( 51)
- Philippines ( 63)
- Poland ( 48)
- Portugal ( 351)
- Puerto Rico ( 1)
- Qatar ( 974)
- Réunion ( 262)
- Romania ( 40)
- Russia ( 7)
- Rwanda ( 250)
- Samoa ( 685)
- San Marino ( 378)
- São Tomé & Príncipe ( 239)
- Saudi Arabia ( 966)
- Senegal ( 221)
- Serbia ( 381)
- Seychelles ( 248)
- Sierra Leone ( 232)
- Singapore ( 65)
- Sint Maarten ( 1)
- Slovakia ( 421)
- Slovenia ( 386)
- Solomon Islands ( 677)
- Somalia ( 252)
- South Africa ( 27)
- South Korea ( 82)
- South Sudan ( 211)
- Spain ( 34)
- Sri Lanka ( 94)
- St. Barthélemy ( 590)
- St. Helena ( 290)
- St. Kitts & Nevis ( 1)
- St. Lucia ( 1)
- St. Martin ( 590)
- St. Pierre & Miquelon ( 508)
- St. Vincent & Grenadines ( 1)
- Sudan ( 249)
- Suriname ( 597)
- Svalbard & Jan Mayen ( 47)
- Sweden ( 46)
- Switzerland ( 41)
- Syria ( 963)
- Taiwan ( 886)
- Tajikistan ( 992)
- Tanzania ( 255)
- Thailand ( 66)
- Timor-Leste ( 670)
- Togo ( 228)
- Tokelau ( 690)
- Tonga ( 676)
- Trinidad & Tobago ( 1)
- Tunisia ( 216)
- Türkiye ( 90)
- Turkmenistan ( 993)
- Turks & Caicos Islands ( 1)
- Tuvalu ( 688)
- U.S. Virgin Islands ( 1)
- Uganda ( 256)
- Ukraine ( 380)
- United Arab Emirates ( 971)
- Uruguay ( 598)
- Uzbekistan ( 998)
- Vanuatu ( 678)
- Vatican City ( 39)
- Venezuela ( 58)
- Vietnam ( 84)
- Wallis & Futuna ( 681)
- Western Sahara ( 212)
- Yemen ( 967)
- Zambia ( 260)
- Zimbabwe ( 263)
Years Known
3 Reference Name
Relationship to Applicant SupervisorCo-WorkerInstructorOther
Organization/Employer
Phone
- United States ( 1)
- United Kingdom ( 44)
- Afghanistan ( 93)
- Åland Islands ( 358)
- Albania ( 355)
- Algeria ( 213)
- American Samoa ( 1)
- Andorra ( 376)
- Angola ( 244)
- Anguilla ( 1)
- Antigua & Barbuda ( 1)
- Argentina ( 54)
- Armenia ( 374)
- Aruba ( 297)
- Ascension Island ( 247)
- Australia ( 61)
- Austria ( 43)
- Azerbaijan ( 994)
- Bahamas ( 1)
- Bahrain ( 973)
- Bangladesh ( 880)
- Barbados ( 1)
- Belarus ( 375)
- Belgium ( 32)
- Belize ( 501)
- Benin ( 229)
- Bermuda ( 1)
- Bhutan ( 975)
- Bolivia ( 591)
- Bosnia & Herzegovina ( 387)
- Botswana ( 267)
- Brazil ( 55)
- British Indian Ocean Territory ( 246)
- British Virgin Islands ( 1)
- Brunei ( 673)
- Bulgaria ( 359)
- Burkina Faso ( 226)
- Burundi ( 257)
- Cambodia ( 855)
- Cameroon ( 237)
- Canada ( 1)
- Cape Verde ( 238)
- Caribbean Netherlands ( 599)
- Cayman Islands ( 1)
- Central African Republic ( 236)
- Chad ( 235)
- Chile ( 56)
- China ( 86)
- Christmas Island ( 61)
- Cocos (Keeling) Islands ( 61)
- Colombia ( 57)
- Comoros ( 269)
- Congo - Brazzaville ( 242)
- Congo - Kinshasa ( 243)
- Cook Islands ( 682)
- Costa Rica ( 506)
- Côte d’Ivoire ( 225)
- Croatia ( 385)
- Cuba ( 53)
- Curaçao ( 599)
- Cyprus ( 357)
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Disclaimer & Signature
I hereby certify that all statements made in this application are true and complete to the best of my knowledge. I understand that false statements are cause for rejection of this application, removal of my name from the eligibility list, and/or dismissal from any position offered by the Village of Colfax. By typing my full name and the date, I am electronically signing this form.
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