• New Richmond Fire & EMS Job Application

    Please complete the form below to apply for a position.
  • ALL POTENTIAL EMPLOYEES ARE EVALUATED WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER, NATION ORIGIN, AGE, MARITAL OR VETERAN STATUS, THE PRESENCE OF A NON-JOB RELATED HANDICAP OR ANY OTHER LEGALLY PROTECTED STATUS.

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  • ACKNOWLEDGMENT AND AUTHORlZATION

    I certify that answers given herein are true and complete to the best of my knowledge.

    I authorize investigation of all statements contained in this application for employment as
    may be necessary in arriving at an employment decision.

    This application for employment shall be considered active for a period of time not to exceed
    45 days. Any applicant wishing to be considered for employment beyond this time period
    should inquire as to whether or not applications are being accepted at that time.

    I hereby understand and acknowledge that, unless otherwise defined by applicable law, any
    employment relationship with this organization is of an "at will" nature, which means that
    the Employee may resign at any time and the Employer may discharge Employee at any time
    with or without cause. It is further understood that this" at will" employment relationship
    may not be changed by any written document or by conduct unless such change is
    specifically acknowledged in writing by an authorized executive of this organization.

    In the event of employment, I understand that false or misleading information given in my
    application or interview(s) may result in discharge. I understand, also, that I am required to
    abide by all rules and regulations of the employer.

  • APPLICANT’S STATEMENT AND AUTHORIZATION

    In connection with my application for employment with the Village of New Richmond, Ohio,
    I hereby certify that the information set forth above is accurate and I further authorize the
    Village of New Richmond, Ohio and its authorized agents or employees to investigate my
    background including the verification of the information set forth above. I further authorize
    the Village of New Richmond, Ohio and its authorized agents and employees to contact and
    obtain information from my former employers, all public agencies, including federal, state
    and local law enforcement offices, sheriff's offices, the bureau of worker's compensation, the
    bureau of employment compensation, the bureau of vocational rehabilitation, the department
    of motor vehicles, schools, and courts, and consumer reporting agencies to obtain
    information concerning my fitness for employment with the Village of New Richmond, Ohio.

    I further authorize each of the above entities and all public agencies, listed or not, to release
    to the Village of New Richmond, Ohio and its authorized agents and employees, all
    information which the entity or public agency has concerning me, including, without
    limitation any and all files maintained by that entity or public agency and further authorize
    that agency or public entity to release these files or to the Village of New Richmond, Ohio
    and its authorized agents and employees and/or to allow the files to be copied by the Village
    of New Richmond, Ohio or its authorized agents or employees. In addition, I also authorize
    review of this information in the future.

    In addition, I hereby authorize the Village of New Richmond, Ohio and its authorized agents
    and employees to use a copy of this AUTHORIZATION AND RELEASE to gain access to the
    information and for the entity or public agency to maintain a copy of this form with files
    maintained by that entity or agency. Finally, I hereby release and agree to hold harmless, the
    Village of New Richmond, Ohio and its authorized agents or employees and any entity or
    public agency acting in reliance on this AUTHORIZATION AND RELEASE, from any claim
    whatsoever arising out of the use of this form and the release of information to the Village of
    New Richmond, Ohio and its authorized agents and employees.

    THIS AUTHORIZATION AND RELEASE SHALL EXPIRE SIX MONTHS FROM THE DATE
    OF SIGNING.

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