Employment OpportunitiesFire Department Employment ApplicationApply to join the Bessemer City Fire Department.Use this application for firefighter and other Fire Department positions. Questions? Call City Hall at 704-629-5542. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.CURRENT INFORMATION - Step 1 of 7Position Applying ForFirefighterWhen will you be available for employment? *What type of employment are you seeking? *Part-TimeVolunteerName *FirstLastAddress *Address Line 1Address Line 2CityNorth CarolinaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Code crime I you) Email *Phone Number *Are you 18 years or older? Must be 21 to be eligible for full time employment *YesNoIf not at least 18, what is your birth date?MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920NEXTHave you ever been employed with the City of Bessemer City? *YesNoIf so, which department?Have you ever applied for a position with the City of Bessemer City? *NoYesIf so, indicate the position and when you applied. Are you willing to accept the salary/wage within the advertised range? *YesNoThird ChoiceAre you now or were you previously related in any way to a City employee? *NoYesIf yes, give the name, relationship, and department.Are you able to perform all duties of the job you have applied for? *YesNoHave you ever been convicted of a felony? *NoYesThird ChoiceIf yes, please explain. Note- a conviction record WILL NOT necessarily exclude you from employment. Factors such as age at time of offense, rehabilitation efforts, length of time since the offense, and nature of the crime will be taken into consideration. Are you an American Citizen or do you currently have authorization to work in the U.S.? *YesNoDid you receive any of your education or employment experience under another name? *NoYesIf yes, please explain:NextIndicate the highest school year completed: *Select from dropdown89101112What is the name of the high school you attended? Please include the City and State of the school. *Have you received your high school diploma or equivalent? *YesNoPlease indicate the highest level of additional education completed:NoneAssociates DegreeBachelors DegreeMasters DegreePlease upload your college transcripts or diploma here (copy) Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. NextPlease list any knowledge, skills, or abilities you have that you feel are applicable to the position for which you are applying. Include skills with equipment, machinery, software, etc. you can operate. *NextPlease list all registrations, licenses, or certifications you have. Please list the: 1) type, 2) State issued, 3) document number, and 4) expiration date Please list your valid driver's license number and the state in which it was issued. If you do not have a driver's license, please put "none" below. *Is your driver's license a Commercial Driver's License? *NoYesIf yes, indicate the class below:NextPlease record your work history below (past 3-5 positions, if applicable). Please indicate the following for each job: 1) Job Title, 2) Starting Salary, 3) Last Salary, 4) Date Employed, 5) Date Separated, 6) Employer or Company, 7) Employer or Company Address, 8) Name and Title of most current supervisor, 9) Length of employment, 10) Duties in order of importance, 11) reason for leaving or desiring a change *Have you had disciplinary action taken against you in the past 12 months? *NoYesIf yes, please explain (a "yes" does not automatically disqualify you)Have you ever been dismissed or forced to resign from any job held? *NoYesIf yes, please explain (a "yes" does not automatically disqualify you)Please list 3 references, 2 non-related (Name, Phone, Relation)Please upload your NC OSFM Certificates or Transcripts here Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. Please upload your resume and/or cover letter here Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. CERTIFICATION AND RELEASE- To the best of my knowledge and belief, the information given truly represents my background and experience. I understand that if I have knowingly or negligently misrepresented, falsified or omitted any information during the application process, or have made any changes to the format or wording of this application form, I may be disqualified for employment consideration or dismissed from employment with the City. I authorize my current and former employers to give any information regarding me or my employment, whether or not it is on their records. I hereby release them from any damage whatsoever for issuing same. I also authorize educational institutions which I attended to reveal my scholastic ratings, as well as degrees or certificates earned, to the City of Bessemer City; and associations, registration and licensing boards and to others to furnish whatever detail is available concerning my qualifications. Notwithstanding any provision of State or Federal law, I expressly waive any right I have to review information the City receives from an employer or educational institution under a promise of confidentiality. I also permit the City of Bessemer City to conduct a Police, Court, Credit and/or Motor Vehicle Records Investigation of my background where related to the job for which I am applying. I understand that if I apply or have applied for certain jobs, I may be tested for drug and alcohol use to determine if I am currently using or abusing these substances. I consent to the testing and understand that the results could preclude my appointment. I understand and acknowledge that should I be employed by the City of Bessemer City, then I serve "at will". This means that I may be terminated at any time. I further understand that this "at will" employment relationship may not be changed by any written document unless such change is specifically approved by the City Manager *AgreeNextThe City of Bessemer City is an Equal Opportunity Employer. Please complete this form in order for us to comply with the reporting requirements of the Equal Employment Opportunity Commission. This form will be separate from your employment application. Other than the information you provide in Section I, the information on this form will not be used in any way in our selection process or for any personnel action following employment. It will be maintained in personnel files which must be kept confidential under State law. Public disclosure of this information without your consent would be a violation of state general statutes.I understandWhat is your gender?MaleFemaleOtherWhat is your ethnicity?WhiteBlackHispanicAsian or Pacific IslanderAmerican Indian or Alaskan NativeHow did you learn about this opening?InternetNewspaperWord of MouthOther Print MaterialDRUG SCREENING All FINAL applicants for high risk or safety sensitive positions (HRSS) must pass a drug screening process. Further information will be provided at the appropriate time in the employment process.I understandOVERTIME COMPENSATION AGREEMENT For employees subject to the overtime provisions of the Fair Labor Standards Act (FLSA), we generally allow the employee to choose between time off or pay for overtime worked. However, either is subject to supervisory approval and may be affected by budgetary constraints.I understandSELECTIVE SERVICE REGISTRATION- If male and age 18-26, have you registered for Selective Service?YesNoN/ACERTIFICATION- I certify that I have read and understand the information contained in this form, complied with the instructions provided, and have done so truthfully to the best of my knowledge.I agreeSubmit More in Employment OpportunitiesEmployment Opportunities overviewCity Employment ApplicationFirefighter (Part Time & Volunteer)Police OfficerPolice Department Employment ApplicationSeasonal Lifeguard Application