TO:
TO: All Applicants to the South Portland (ME) Fire Department
FROM: JAMES P. WILSON, FIRE CHIEF
SUBJECT: SOUTH PORTLAND FULL TIME FIREFIGHTER APPLICATION
ALL APPLICANTS TO THE FIRE DEPARTMENT MUST MEET THE FOLLOWING MINIMUM QUALIFICATIONS:
1. 20 years old on the date of application;
2. High School graduate or equivalency;
3. Hold a valid motor vehicle driver’s license;
4. Eligible to lawfully remain, accept employment, and work within the United States;
5. No disqualifying criminal conduct or conviction(s) (see page 7 of employment application);
6. Suitable physical condition allowing successful completion of the South Portland Fire Department
Physical Ability Test (PAT) exam.
In order for your application to be deemed complete, it must include the following attachments:
Applicants who are Certified Paramedics* must submit proof of certification
OR
Applicants who are not Certified Paramedics* must submit proof of EMT-Basic certification;
All Applicants must submit proof that they have passed a CPAT exam within the twelve (12) months preceding the date of application; OR take the PAT exam offered through the South Portland Fire Department (see next page);
Photocopy High School Diploma or Equivalency;
Photocopy of the applicant’s current and valid driver’s license;
Copies of relevant verifying documents, as outlined on page 7 of the employment application /
questionnaire.
Only complete applications will be forwarded to the Civil Service Commission and Fire Department for further consideration.
* For purposes of this application, a Certified Paramedic means a person who has graduated from an approved paramedic program and currently holds a valid Maine Paramedic license, OR is a Nationally Registered Paramedic in another state and can be licensed in Maine.
Please return this application, along with the above-noted attachments, to:
Karla Giglio, HR Specialist
City of South Portland
Human Resources Department
25 Cottage Road, P.O. Box 9422
South Portland, ME 04116-9422
The remainder of the hiring process may include, but is not limited to:
1. Preliminary background screening, with potential placement on a hiring eligibility list;
2. Interview with fire department and Civil Service Commission staff;
3. Job Offer, conditioned upon successful completion of:
a. Background Investigation
b. Job Performance Assessment (“Psychological”)
c. Medical (“Physical”) Evaluation
NOTE: Applications remain valid for one (1) year from the date of submission.
For those requiring a valid PAT card, your application will be held at City Hall as incomplete, until such time that you provide documentation of successful PAT completion. The South Portland Fire Department will be conducting a PAT test. In order to participate you need to be an applicant of either the South Portland Fire Department or the Scarborough Fire Department. To summarize, you need to apply before you can take the PAT with SPFD, but your application will not be complete until you pass the PAT.
The tentative date(s) are as follows:
• September 23, 2020 & October 6, 2020 @ South Portland Central Station.
Thank you for your interest in the South Portland Fire Department. For questions or clarification related to the department or this hiring process, please contact Chief James P. Wilson (207.799.3314) or Karla Giglio,
HR Specialist (207.767.7682). For questions related to the PAT contact Firefighter Ray Heal @ rheal@
SOUTH PORTLAND FIRE DEPARTMENT
EMPLOYMENT APPLICATION / QUESTIONNAIRE
PERSONAL
1. Name: _________________________________________ 2. Are you at least 20 years old? Yes / No
Last First Middle (Minimum Age Requirement) (Circle one)
3. Provide maiden or any other name(s) under which you have worked, attended school, attained licensing or certification or been convicted of a criminal offense(s):___________________________
4. Present Address: _____________________________________________________________________
____________________________________________________________________________________
5. Telephone(s):__________________________ 6. Email Address(es):___________________________
7. Do you hold at least a High School Diploma or Equivalency (Required)? Yes / No (Circle one)
8. Do you hold a VALID Motor Vehicle Operator’s License (Required)? Yes / No (Circle one)
9. Are you authorized to lawfully remain, work & accept new employment in the U.S.? Yes / No
10. Were you previously employed by the City of South Portland? Yes / No. If yes, when? _________
By what department? _______________________ In what capacity? ______________________
11. On what date will you be available to work? ______________________________________________
12. Have you ever been convicted of any crime (Felony or Misdemeanor)? Yes / No (Circle one)
If yes to the above, explain: ____________________________________________________________
13. Have you ever been convicted of any traffic violations? Yes / No (Circle one)
If yes to the above, explain: ____________________________________________________________
List below all addresses at which you have resided in the last 15 years:
1. ________________________________________________________ Dates: _______________________
2. ________________________________________________________ Dates: _______________________
3. ________________________________________________________ Dates: _______________________
4. ________________________________________________________ Dates: _______________________
5. ________________________________________________________ Dates: _______________________
List all acquaintances or relatives that are currently members of the department: _________________
_______________________________________________________________________________________
RECORD OF EDUCATION
(High School Diploma or Equivalency Required)
School Name and Address Course of Study Circle Did List
Of School Last yr you Diploma/
Completed Graduate? Degree
High 1 - 2 - 3 - 4
School
_________________________________________________________________________________
College 1 - 2 - 3 - 4
_________________________________________________________________________________
Other 1 - 2 - 3 - 4
(Specify)
_________________________________________________________________________________
MILITARY SERVICE RECORD
(Attach Copy of DD-214)
Were you in the U.S. Armed Forces? ____________ If yes, what Branch? ________________________
Dates of Duty: From _____________________________ To: __________________________________
Rank at discharge: _______________________________ Honorable Discharge: Yes / No (Circle one)
List duties in the Service including special training: __________________________________________
______________________________________________________________________________________
PERSONAL REFERENCES
(Not former employers or relatives)
Name and Occupation Address Phone Number(s) (MANDATORY) _
1. ___________________________________________________________________________________
2. ___________________________________________________________________________________
3. ___________________________________________________________________________________
4. ___________________________________________________________________________________
EMPLOYMENT RECORD
List below ALL present and past employment, beginning with your most recent:
1.
Name and address of Company From To Describe in detail the
and type of business MO/YR MO/YR work you did________
Telephone: ___________________________________________________________________________
Reason for Leaving Name of Supervisor
2.
Name and address of Company From To Describe in detail the
and type of business MO/YR MO/YR work you did________
Telephone: ___________________________________________________________________________
Reason for Leaving Name of Supervisor
3.
Name and address of Company From To Describe in detail the
and type of business MO/YR MO/YR work you did________
Telephone: ___________________________________________________________________________
Reason for Leaving Name of Supervisor
4.
Name and address of Company From To Describe in detail the
and type of business MO/YR MO/YR work you did________
Telephone: ___________________________________________________________________________
Reason for Leaving Name of Supervisor
ADDITIONAL INFORMATION
Describe Specialized Skills (e.g., technologies, written or oral communication, foreign language fluency, etc.):
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Describe any Experience in Public Service or Dealing with the Public:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Describe Current or Past Civic or Community Involvement:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
List Other Relevant Information (e.g., trainings, certifications, internships, experiences):
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
List Names of any City of South Portland Employees Who You Know:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Who Told You or How Did You Learn About This Job Opportunity?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
SELECTION FOR INTERVIEWS
Only applications that are valid (EMT license, HS Diploma, Driver’s License, and current Physical Aptitude Test) will be screened for interviews. Preferences will be given to candidates that have the following areas:
• Paramedic or Advanced EMT
• Certified ProBoard Firefighter I & II
• Hazmat Level: Technician or Operations
• Confined Space Technician
• Bachelor’s Degree (any field) or Associates Degree (any field)
• South Portland Call Company Membership
• Military Experience
• Additional Language Skills
In order to receive proper credit, please ensure to provide documentation of any of the above skills.
NOTICE / WAIVER
The facts set forth above in this application are true and complete and may be used by the City of South Portland to assist in determining my suitability for employment as a Firefighter. Applicants may be removed from the hiring process for reasons, including but not limited to any of the following disqualifying criminal conduct or convictions: Murder; any Class A, B or C crime (felonies); any Class D crime within the past ten (10) years (including OWL, OUI, DTE); certain Class E misdemeanor crimes committed within the past ten (10) years, or crimes involving moral turpitude, domestic abuse or domestic violence, illegal sales of scheduled drugs; or for any illegal use of drugs within the past three years and / or beyond what may constitute experimentation. Other standards, including driving history, will also apply. I UNDERSTAND THAT DELIBERATE INACCURACIES, MISSTATEMENTS, FALSEHOODS, OR OMISSIONS DURING THE HIRING PROCESS ARE GROUNDS FOR IMMEDIATE DISQUALIFICATION FROM CONSIDERATION, OR FOR DISCHARGE / TERMINATION FROM EMPLOYMENT AFTER HIRING. I understand that I may be asked to submit to a pre-employment background check; to include criminal, driver and credit history, as well as polygraph, job assessment, fitness and medical evaluations as a condition of employment. I authorize the police department to make or cause such inquires through means of their choice. I hereby release any individual, agency, employer, entity, and the City of South Portland from all claims of liabilities that might arise from the inquiry into or disclosure of such information, including claims under any federal, state, or local civil rights law and any claims for defamation or invasion of privacy. It will be the applicant’s responsibility to keep the City apprised of any change of address or contact information; and to punctually attend any required appointments. Failure to meet any of the above obligations may result in disqualification from the hiring process.
_________________________________
Signature of Applicant
Date: _____________________________
-----------------------
Check: Date Submitted: ____________________
ÿð Applicant is a Nationally Registered Paramedic in Maine OR another state
State: ________________________ (Attach proof of National Registry Certification)
ÿð Applicant is NO___________________
? Applicant is a Nationally Registered Paramedic in Maine OR another state
State: ________________________ (Attach proof of National Registry Certification)
? Applicant is NOT a Certified Paramedic (Attach proof of EMT-Basic Certification)
? Applicant has a valid CPAT or PAT certificate
(Attach proof of certification within the past twelve (12) months)
-----------------------
FIRE DEPARTMENT
OUR JOB IS OUR LIFE, AND YOURS
JAMES P WILSON
CHIEF OF DEPARTMENT
TELEPHONE
(207) 799-3314
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JWILSON@
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