**THIS IS NOT AN APPLICATION** Mail to: Orange County Fire Rescue Dept.

Recruitment Bureau P.O. Box 5879

Winter Park, Florida 32793-5879 Phone: 407-836-9024

Toll-free: 844-348-5294 Email: ocfrdcareers@ocfl.net

ORANGE COUNTY FIRE RESCUE VOLUNTEER INTEREST FORM

Thank you for your interest in joining our winning team. The information presented on this form will be used to notify you when the next hiring process begins for the desired position.

PERSONAL INFORMATION Last Name: First Name: Home Phone:

Complete Address: Additional Phone Number:

City, State, Zip Code: Additional Phone Number:

County: E-mail Address: Today's Date:

VOLUNTEER PROGRAMS

□ Explorer Program (Youth Program ages 14-20) □ Reserve Program □ Administrative Support

*Must be a non-user of tobacco products for at least one year**Infrastructure and Support positions that may require education and certifications in areas of assignment, (i.e. HVAC, Plumbing, Electric, General Contracting)

Updated 9/25/14

**THIS IS NOT AN APPLICATION** Mail to: Orange County Fire Rescue Dept.

Recruitment Bureau P.O. Box 5879

Winter Park, Florida 32793-5879 Phone: 407-836-9024

Toll-free: 844-348-5294 Email: ocfrdcareers@ocfl.net

CANDIDATE QUESTIONNAIRE *Answering "YES" to any of the questions below may disqualify you for employment with Orange County*

1. Are you at least 18 years of age as of today? □Yes □No

2. Do you have a valid Florida Driver's License? □Yes □No

3. Have you been convicted of a felony? □Yes □No

4. Within the last 4 years, have you used or possessed illegal drugs? □Yes □No

5. Do you currently have any felony charges or misdemeanor charges pending? □Yes □No

6. Are you currently on probation for a criminal offense? □Yes □No

7. Within the last 3 years, have you been terminated or resigned to avoid termination from a job?

□Yes □No

8. Within the last 3 years, have you been convicted of a crime, pled nolo contendere (no contest),or had the sentence withheld for a crime, including arrestable traffic offenses (e.g. DUI,reckless driving, driving with a suspended license)?

□ Yes □No

9. Within the last 3 years, did you have 4 (or more) moving traffic violations? □ Yes □No

10. Within the last 3 years, did you have 6 (or more) non-moving traffic violations? □Yes □No

Recruitment Survey

How did you initially hear about Employment Opportunities with Orange County Fire Rescue? (Please check all that apply)

Ethnic/Racial Background/Gender (optional: Please check only one)

Additional Comments: ________________________________________________________________________________________

*Must be a non-user of tobacco products for at least one year**Infrastructure and Support positions that may require education and certifications in areas of assignment, (i.e. HVAC, Plumbing, Electric, General Contracting)

Updated 9/25/14

Employee Referral Name Gender