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General Information

Social Security #First NameMiddle InitLast Name

Present AddressCityStateZip

Home PhoneWork PhoneCell PhoneE-MailApplying For Position
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Background

Are you a U.S. Citizen
If not a U.S. Citizen, have you legally declared you intention to become a U.S. Citizen
If 'NO', explain

Will you be at least 18 years of age and less than 35 years of age on or before October 15, 2014?
(Note: A Person is not eligible for appointment when he/she turns 35 years of age.)

Do you possess a valid driver's license?
(Note: A copy of your valid driver's license must be submitted.)

Are you a high school graduate or equivalent (G.E.D.)?

You ever been convicted of a felony?
If 'YES', give date, place of arrest and offense.

The Civil Service Law prohibits classified employees from holding public office. Do you hold any office of this type at the present time? Such as precinct committee - person?
If 'YES', explain.
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General Information

Have you had any military service?
If so, state type and date of discharge.
Branch Of Military ServiceDate of Discharged

Do you have a Bachelor's Degree
Do you have a Associates's Degree
Are you an Ohio Certified Basic EMT?
Are you an Ohio Certified Basic EMT/PARAMEDIC?
Have You satisfactorily completed the minimum 'full-time paid Firefighter course' and possess a current certificate issued by the Ohio State Department of Education?
Are you in the Canton Safety Forces Mentoring Program?
Will you have been a resident of the City of Canton for the six month period from April 15, 2014 to October 15, 2014?
(SEE DOCUMENTATION STANDARDS FOR EXTRA CREDIT REQUIREMENTS)
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Additional Information

In The Interest of familiarizing yourself with the Skills Assessment Test, The Civil Service Commission will be conducting practice tests. The practice dates and times are as follows:
November 1, 2014 from 11:00 am to 04:00 pm
November 3, 2014 from 09:00 am to 03:00 pm
November 5, 2014 from 03:00 pm to 08:00 pm
You will need to obtain a written permission slip from a physician, and have the Agreement and Release form, and Certification and Waiver of Liability form turned in no later than September 19, 2014 if you plan on attending any / all of the practice tests. Please check the above lines if you plan on attending any / all of the practice tests.
NO ONE WILL BE ALLOWED TO PRACTICE THE SKILL ASSESSMENT TEST WITHOUT THESE FORMS ON FILE

Ethnic Background. ( You are not required to answer this question.)

How did you learn that the City of Canton is seeking applications for Firefighter/Paramedic?
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