Personal Information

Emergency Contact Information

Personal Criminal History

Education / Training

Previous Employment

Military Service

Personal and Professional References

If under the age of 18, a parent or guardian must grant permission and digitally sign below:

CONSENT TO BACKGROUND AND REFERENCE CHECK

I hereby authorize Santa Fe Fire Rescue to initiate an investigation of my background, references, past empoyment, education, driving record and criminal history record. Informationwhich maybe in any state or local files, including those maintained by both public and private organinzations, and all public records, for the purpose of confiirming the information contained in my application and/or obtaining other information which may be material for my qualification for membership.

To the best of my knowledge all the above statements are true and correct. I understand that any false statements may be grounds for termination from Santa Fire & Rescue. I understand that my background will be investigated by the Department Membership Committee before being voted on by the General Membership of Santa Fe Fire & Rescue .  Upon signing this application I agree to follow all of the rules and regulations, Standard Operating Proceedures and constitution of Santa Fe Fire & Rescue.  I further agree to follow the proceedures necessary to obtain eligibility for membership in Santa Fe Fire & Rescue.

By typing my name below and/or selecting “I Agree,” I acknowledge and agree that my electronic signature is the legal equivalent of my handwritten signature. I further consent to be legally bound by the terms, conditions, and agreements contained in this form. I understand that my electronic signature has the same validity and enforceability as a handwritten signature under applicable law, including (but not limited to) the U.S. Electronic Signatures in Global and National Commerce Act (ESIGN) and the Uniform Electronic Transactions Act (UETA).