Recruitment

If you want to join us please fill out the form below:

  • Name:
  • E-mail:

  • Home Phone:
  • Cell Phone:

  • Home Address (Street, PO BOX, City, State, ZIP):

  • Date of Birth:

  • Driver's License No.:
  • Expiration Date:
  • Class:

  • Height:
  • Weight:
  • Eyes:
  • Hair:

  • Physical impairments:

  • Highest Level of Education:
  • Diploma:

  • FRD/EMT Certification:
  • License No.:
  • Expiration Date:

  • CPR Certification:       
  • License No.:
  • Expiration Date:

  • Previous Firefighter Experience:

  • Present Employment:

  • Employer's Phone Number:


Three References:

Reference 1:

  • Name:
  • Phone:
  • Address:


Reference 2:

  • Name:
  • Phone:
  • Address:


Reference 3:

  • Name:
  • Phone:
  • Address:

By signing below and by submitting this form:

The applicant agrees to abide by the Oneida/Wataga Fire Department By-Laws which will be furnished to the applicant upon his/her appointment to the department.

The Board of Trustees and/or the District Fire Chief reserve the right to have a background check and motor vehicle report done on each applicant which may include fingerprinting. This signed application gives the department permission to do these reports.

The District Chief and/or the Board of Trustees reserve the right to accept or reject the application of the applicant.
Electronic Signature of Applicant (Type your full name)



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