(Select individuals who can speak to your work quality, reliability, and professional capabilities)

I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false information or significant omissions may disqualify me from consideration or result in disciplinary action or termination of employment if hired.

Applicant Certification: I certify that all information provided in this application is true and complete to the best of my knowledge. I understand that any false information or significant omissions may disqualify me from consideration.

Authorization for Reference Checks and Verifications: If selected as a finalist candidate, I authorize Clark-Cowlitz Fire Rescue, upon notifying me that I’m a finalist, to contact my references and previous employers as indicated in this application, and to verify my education, certifications, and other credentials. I understand that my information will be used solely for employment purposes.

Background Investigation Authorization: If extended a conditional offer of employment, I authorize Clark-Cowlitz Fire Rescue to conduct a comprehensive background investigation in accordance with Washington State's Fair Chance Act (RCW 49.94), including criminal history checks, driving record review, and other verifications as permitted by law. I understand that Social Security Number and date of birth will be collected at that time.

Medical Record Release: If applicable to the position, I authorize the release of medical examination results to Clark-Cowlitz Fire Rescue for employment purposes only, following a conditional offer of employment.

At-Will Employment: I understand that if hired, my employment is at-will and may be terminated by either party at any time with or without cause, except as otherwise provided by law or an applicable employment agreement.

Reasonable Accommodation: I understand that Clark-Cowlitz Fire Rescue is committed to providing reasonable accommodations to qualified employees with disabilities. If I am hired and need accommodation to perform the essential functions of my job, I will notify my supervisor or Human Resources.