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MONTGOMERY COUNTY EMERGENCY SERVICES DISTRICT #4 Physical: 9430 S.H. 242 East, Conroe, Texas 77385 Mailing: P. O. Box 8009, Spring, Texas 77387 Office (936) 321-0999 Fax: (936) 273-9414
Job Posting for Full Time Firefighter/EMT-B
Montgomery County Emergency Services District (ESD) No. 4 is currently seeking
applicants for Full Time Firefighter/EMT-B. Montgomery County ESD No. 4 is a TCFP
regulated department and is also known as Needham Fire Rescue Co. We are located
approximately 30 miles north of the City of Houston. We currently operate 3 shifts on the 48/96
schedule and run out of 3 stations. We offer a starting probationary annual salary of $36,000.00
which will be subject to an increase, after the probationary period (six (6) months), to
$38,000.00. Then at one (1) year of employment, you will be subject to another increase to
$42,000.000 annual salary per satisfactory performance appraisal. Pay scale is subject to
increase after new budget beginning October 1, 2018.
Benefits
- TCDRS State retirement participant.
- Department paid employee health care through Blue Cross Blue Shield.
- Department paid employee vision and dental through Humana
- Department contributes half of dependents/family dental and vision insurance.
- Paid supplemental Insurance including cancer policy.
- Paid Training for TCFP classes and college degree programs.
- Paid uniform allowance.
- PTO (sick/vacation) up to 194 hours for your first year with increases per years of service.
- 7 Holidays a year, if worked, accrues 12 hours extra hours of PTO.
- Veterans training benefits during first year while on Phase Training.
Job requirements
- You must be at least 18 years old.
- Current certification as a TCFP basic structural firefighter at the time of your application.
- Be a TDHS Certified EMT-B or higher.
- Must pass a background check.
- Must pass a driving record check.
- Must pass a drug test.
- Must be able to obtain a Class B Texas Drivers License within 1 year.
Hiring Process
- Submit an application for employment by going to www.mcesd4.com and clicking on the
application or pick up an application from Station 61 located at 9430 SH 242 East, Conroe,
TX 77385. All applications must be filled out correctly and turned in to Station 61 by
September 14, 2018. (Hand in or email applications to [email protected])
- Submit a complete Resume to Station 61 at the same time you turn in your application.
(Copies of all certifications must be turned in with your resume)
- Submit a letter of intent in a word document to the Deputy Chief at
[email protected] . This intent letter should state that you want this position
and it needs to state why you want to work for Montgomery County ESD No. 4 and why you
should be selected. The intent letters are due by September 14, 2018.
- Written examination will be given at Station 61 on September 21, 2018 at 0900 hrs.
- The Physical Agility Test (PAT) will be September 22, 2018 for all Qualified
Applicants. The test will be at Station 61 at 0700 hrs.
- Interviews for qualified applicants will be September 28, 2018 at Station 61. Times will
be issued after the PAT test.
MONTGOMERY COUNTY ESD NO. 4 IS AN EQUAL OPPORTUNITY EMPLOYER; WE ADHERE TO A POLICY OF MAKING EMPLOYMENT DECSIONS WITHOUT REGARD TO
RACE, COLOR, RELIGION, SEX, NATIONAL ORIGIN, DISABLILITY OR AGE. WE ASSURE YOU, THE APPLICANT, THAT YOUR OPPORTUNITY FOR EMPLOYMENT DEPENDS
SOLEY ON YOU’RE QUALIFICATIONS.
The PAT Test will include the following:
1 Mile run (13 minutes and the applicant can’t stop or walk)
Complete an hose carry up the drill tower in while wearing an SCBA.
The following steps will have a maximum time of 8 mins and requires the
applicant to wear a SCBA, Helmet, and Gloves
Ladder Climb (24 ft. extension)
2-Man Pike Pole
Hi-rise pack
Hose Hoist
Equipment Carry
Victim Drag
Hammer Sled
Charged 2 ½ Hose Drag
- Once all qualified applicants have completed the PAT testing the District will send out dates
and times for a board interview.
- After all interviews have been completed an eligibility list will be made and conditional job
offers will be given for open positions.
The hiring process is based on a point system to access final positioning on the eligibility list.
The list will remain active for one year or as the Fire Chief designates.
If you have any questions regarding this posting please contact Deputy Chief William Dicker at
Station 61 (936) 321-0999.
MONTGOMERY COUNTY EMERGENCY
SERVICES DISTRICT NO. 4
Needham Fire Rescue, Co.
9430 State Highway 242 East, Conroe, Texas 77385
Mail: P.O. Box 8009 Spring, TX 77387
(936) 321-0999 FAX: (936) 273-9414
MEMBERSHIP APPLICATION
Position Applying for:
Select One: ____ Non-Paid Member ____ Part-Time Employee ____ Full-Time Employee
Instructions: Each question should be fully and accurately answered. No action can be taken on this
application until all questions have been answered. Attach a sheet of paper if you need to add more to this
application. If NOT applying online, PLEASE PRINT, except for signature at end of application. All
information you give on this application will be held in strict confidence.
PERSONAL DATA
Last Name ______________________ First Name ____________________ Middle Name ________________
Present Street Address _____________________________ City ________________ State ____ Zip _________
Home Phone _________________ Mobile Phone ______________ Social Security Number _______________
Are you at least 18 years old? Yes _____ No _____ Date of Birth __________ Place of Birth ______________
Email (for application communications)
GENERAL INFORMATION
Driver’s License Number ____________________ State ______ Class ______ Restrictions ________________
EMS Certification? Level _________ TDH No. ______ Fire Certification? Level _________ TCFP No. ______
Have you ever been convicted of a felony or misdemeanor, excluding a minor traffic violation? Yes ___ No ___
If yes, give brief explanation:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
MONTGOMERY COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Needham Fire Rescue, Co.
Page 2 of 14
WORK HISTORY
List names of employers in consecutive order with present or last employer listed first. Account for all
periods of time including military service and any periods of unemployment. If self-employed, give firm
name and supply business references. If you worked in any position under another name, please give
name(s). Please give month and year of beginning and ending employment.
From _________________________ To _________________________
Name of Employer __________________________________________________________________________
Employer Address, City, State, Zip _____________________________________________________________
Name of Last Supervisor ________________________________ Title ________________________________
Telephone: ____________________________________
Reason for leaving:
_________________________________________________________________________________________
_________________________________________________________________________________________
Duties:
_________________________________________________________________________________________
******************************************************************************************
From _________________________ To _________________________
Name of Employer __________________________________________________________________________
Employer Address, City, State, Zip _____________________________________________________________
Name of Last Supervisor ________________________________ Title ________________________________
Telephone: ____________________________________
Reason for leaving:
_________________________________________________________________________________________
_________________________________________________________________________________________
Duties:
_________________________________________________________________________________________
MONTGOMERY COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Needham Fire Rescue, Co.
Page 3 of 14
WORK HISTORY (continued)
From _________________________ To _________________________
Name of Employer __________________________________________________________________________
Employer Address, City, State, Zip _____________________________________________________________
Name of Last Supervisor ________________________________ Title ________________________________
Telephone: ____________________________________
Reason for leaving:
_________________________________________________________________________________________
_________________________________________________________________________________________
Duties:
_________________________________________________________________________________________
******************************************************************************************
From _________________________ To _________________________
Name of Employer __________________________________________________________________________
Employer Address, City, State, Zip _____________________________________________________________
Name of Last Supervisor ________________________________ Title ________________________________
Telephone: ____________________________________
Reason for leaving:
_________________________________________________________________________________________
_________________________________________________________________________________________
Duties:
_________________________________________________________________________________________
MONTGOMERY COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Needham Fire Rescue, Co.
Page 4 of 14
WORK HISTORY (continued)
From _________________________ To _________________________
Name of Employer __________________________________________________________________________
Employer Address, City, State, Zip _____________________________________________________________
Name of Last Supervisor ________________________________ Title ________________________________
Telephone: ____________________________________
Reason for leaving:
_________________________________________________________________________________________
_________________________________________________________________________________________
Duties:
_________________________________________________________________________________________
******************************************************************************************
From _________________________ To _________________________
Name of Employer __________________________________________________________________________
Employer Address, City, State, Zip _____________________________________________________________
Name of Last Supervisor ________________________________ Title ________________________________
Telephone: ____________________________________
Reason for leaving:
_________________________________________________________________________________________
_________________________________________________________________________________________
Duties:
_________________________________________________________________________________________
MONTGOMERY COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Needham Fire Rescue, Co.
Page 5 of 14
Are you now or do you expect to be engaged in any other business or employment. Yes _____ No _____
If yes, explain:
________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
EDUCATION
Name of Current School: _____________________________________________________________________
Address of Current School: ___________________________________________________________________
High School and Location: ___________________________________________________________________
Did you graduate? Yes _____ No _____
Name of College or University: ________________________________________________________________
Major: _______________________________
Degree: ______________________________
Name of College or University: ________________________________________________________________
Major: _______________________________
Degree: ______________________________
Additional Education / Vocational / Technical Training Completed:
School: ____________________________________________________ Training: ______________________
School: ____________________________________________________ Training: ______________________
School: ____________________________________________________ Training: ______________________
School: ____________________________________________________ Training: ______________________
MONTGOMERY COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Needham Fire Rescue, Co.
Page 6 of 14
SKILLS
Please indicate briefly any job-related skills or additional information you feel may be helpful to us in
considering your application:
_________________________________________________________________________________________
_________________________________________________________________________________________
REFERENCES
Give three (3) references, not relatives or former employers.
Name Address Phone Occupation
1._______________________________________________________________________________________
2._______________________________________________________________________________________
3._______________________________________________________________________________________
FIRE DEPARTMENT EXPERIENCE
From _________________________ To _________________________
Name of Fire Department ____________________________________________________________________
Fire Department Address, City, State, Zip ________________________________________________________
Name of Last Supervisor ________________________________ Title ________________________________
Telephone: ____________________________________
Reason for leaving:
_________________________________________________________________________________________
_________________________________________________________________________________________
Duties:
_________________________________________________________________________________________
MONTGOMERY COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Needham Fire Rescue, Co.
Page 7 of 14
FIRE DEPARTMENT EXPERIENCE (continued)
From _________________________ To _________________________
Name of Fire Department ____________________________________________________________________
Fire Department Address, City, State, Zip ________________________________________________________
Name of Last Supervisor ________________________________ Title ________________________________
Telephone: ____________________________________
Reason for leaving:
_________________________________________________________________________________________
_________________________________________________________________________________________
Duties:
_________________________________________________________________________________________
*****************************************************************************************
From _________________________ To _________________________
Name of Fire Department ____________________________________________________________________
Fire Department Address, City, State, Zip ________________________________________________________
Name of Last Supervisor ________________________________ Title ________________________________
Telephone: ____________________________________
Reason for leaving:
_________________________________________________________________________________________
_________________________________________________________________________________________
Duties:
_________________________________________________________________________________________
MONTGOMERY COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Needham Fire Rescue, Co.
Page 8 of 14
AUTHORIZATION FOR RELEASE OF PERSONAL INFORMATION
I, ___________________________________________, do hereby authorize a review of and full disclosure of
all records concerning me by and duly authorized agent of, Montgomery County Emergency Services District
No. 4 and/or Needham Fire Rescue Co., whether the said records are public, private, or of confidential nature.
The intent of this authorization is to give my consent for full and complete disclosure of the records of educational
institutions, financial or credit institutions, medical and psychiatric institutions.
PHYSICAL LIMITATION
I, ___________________________________________, understand that I am applying for the position of
___________________________________________, and am aware of the physical limitations associated with
the position. Should I not be able to perform such duties, listed below is an explanation as to such limitations:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
MONTGOMERY COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Needham Fire Rescue, Co.
Page 9 of 14
CRIMINAL HISTORY BACKGROUND
Montgomery County Emergency Services District No. 4 and/or Needham Fire Rescue Co. conducts
Criminal Background and Driving Record Checks on all Public Safety Personnel. Please fill in the required
information, answer the questions, and return this form to the Fire Department. This information is
required for the Criminal History Investigation. This Fire Department is an equal opportunity employer.
Full Name: ____________________________________________________ Attach a copy of Driver’s License
1. _____ Yes _____ No Have you ever been arrested?
If yes, explain:
_______________________________________________________________________________________
_______________________________________________________________________________________
2. _____ Yes _____ No Have you ever been convicted of a Class A Misdemeanor, Felony or Sex Offense,
including Indecent Exposure?
3. _____ Yes _____ No Have you been convicted of a Class B Misdemeanor within the last 10 Years?
4. _____ Yes _____ No Have you receive three (3) Written Citations, tickets, within the last physical
year?
5. _____ Yes _____ No In the past three (3) years, have you had more than three (3) traffic accidents?
6. _____ Yes _____ No Has your Driver’s License ever been suspended or revoked?
If yes, explain:
_______________________________________________________________________________________
_______________________________________________________________________________________
I understand that this information is provided only for the purpose of conducting a Criminal Background
& Driving Record Check and I authorize Montgomery County Emergency Services District No. 4 and/or
Needham Fire Rescue Co. to conduct the check on my behalf. I understand that falsifying information on
this form or during any part of the application process may result in rejection of my application.
___________________________________________________________ ________________________
Applicant’s Signature Date
___________________________________________________________ ________________________
Witness Signature Date
Page 10 of 14
CONSUMER DISCLOSURE AUTHORIZATION FOR BACKGROUND INVESTIGATION
In connection with my application for employment with _NEEDHAM FIRE & RESCUE COMPANY
______________________________hereinafter referred to as my prospective employer, I fully understand that my prospective employer and/or
Houston Medical Testing Services, Inc. (HMTS), as their agent, may request/perform a consumer report/background investigation on me.
The consumer report/background investigation may contain the following types of information: verification of prior employment(s) and dates of
employment, academic achievement, professional licensure, and credit reports. I further understand the report may contain information about any prior
criminal history, civil litigation, social security number verification, driving records, Uniform Commercial Code (UCC) filings, any liens or judgments,
and bankruptcy as a result of a public record(s) search from any federal, state, or any other agency which might contain such records.
Information regarding conviction will not necessarily bar an applicant for employment, but be reviewed in light of all the surrounding circumstances,
including age at the time of the offense, seriousness and nature of the violation, rehabilitation, relationship of the offense to employment and federal
statutory requirements.
I authorize and request all persons, schools, business, corporations, credit bureaus, courts, law enforcement agencies, armed forces, employment
commissions, and all government agencies to release said information without restriction or qualification. I authorize a Photostat or facsimile or fax
of this release to be considered as effective as the original. All results will be proprietary and kept confidential, and will not be provided to any parties
other than my prospective employer named herein or its legal representative. I am aware that I have the right to request the nature and scope of the
results, as reported, from my prospective employer. I voluntarily waive all recourse and release the requested parties from liability for complying with
this request/release.
All background information obtained will be utilized to assist in verification of the employment application. Retrieval and usage of this information
complies with all Equal Opportunity Commission, Americans With Disabilities Act, and the Fair Credit Reporting Act (Laws, Rules, and Regulations).
This employer is an Equal Opportunity Employer, and does not discriminate as to race, color, gender, national or religious origin, age, disabilities or
any other characteristic protected by law. I understand that the request for Date of Birth is for permissible purpose and not for purposes prescribed by
the laws prohibiting age discrimination. The Age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect
to individuals who are at least 40 years of age. It is unlawful for an employer to refuse to hire, discharge, or otherwise discriminate with respect to
compensation, terms, conditions, or privileges of employment because of an individual’s age.
I hereby declare that the answers to the questions on my application and related paperwork which I have been asked to complete, and any
attachments to same, are true and correct and that any misstatements of facts(s) or omissions may form the basis for rejection of my application
or for my dismissal after employment. I authorize HMTS to provide the results of said information to my prospective employer or its representatives.
If hired, this authorization will remain on file and will serve as ongoing authorization for my prospective employer and/or HMTS to procure consumer
reports/background investigations at any time during my employment period. I further release HMTS and my prospective employer, their officers,
employees, and agents, from any and all liability from the results and preparation of any reports concerning my background or myself. I understand
and acknowledge that except as provided in the Fair Credit Reporting Act, I may not bring any action or proceeding against HMTS or my prospective
employer, or any user or furnisher of information, for defamation, invasion of privacy, or negligence with respect to the reporting of information
disclosed pursuant to the Fair Credit Reporting Act, except as to false information furnished with malice or willful intent to injure me. The facts set
forth by me in this application are true and correct to the best of my knowledge and belief.
_______________________________________________________/_____________________/_______/______/___________________/______________________ PRINT NAME (First Middle Last) SS # Gender Race Birth date Telephone Number
Other Names used: _______________________________________________________________________________________________________________________
________________________________________________/__________________________/________/_______________/______________/_____________________
Current Address Street/P.O. Box City State Zip code County Dates
________________________________________________/__________________________/________/_______________/______________/_____________________
Prior Street Address/P.O. Box City State Zip code County Dates
_________________________________/________________/_____YES _____NO /____________________________________________/_____________________
Driver’s License Number State of Issuance CDL APPLICANT SIGNATURE Date
FOR EMPLOYER USE ONLY Authorized Employer MUST sign and date this form and check off which Background checks are required
or background reports WILL NOT be ran!
Signature _______________________________________Date_________
( ) MVR ( ) NATIONAL SS# TRACE WITH ALIAS ( ) COUNTY CRIMINAL
MONTGOMERY COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Needham Fire Rescue, Co.
Page 11 of 14
PERSONAL HISTORY STATEMENT
Tell us about yourself and why you want to be an employee of Montgomery County Emergency Services
District No. 4 and/or Needham Fire Rescue Co.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
MONTGOMERY COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Needham Fire Rescue, Co.
Page 12 of 14
Montgomery County Emergency Services District No. 4 and/or Needham Fire Rescue Co. does not discriminate
in hiring of terms or conditions of employment on the basis of race color, creed, religion, sex, national origin,
age, or any other basis upon which discrimination is prohibited by the municipal, state, or federal law. As part of
the employment process, a background (DL and criminal) check will be completed. It is understood and agreed
to that an employee will be subject to immediate dismissal if it is subsequently discovered, at any time during
employment, that the information contained herein is untrue or that any information has failed to have been
disclosed. It is understood that if employed by Montgomery County Emergency Services District No. 4 and/or
Needham Fire Rescue Co., such employment will occur at will and no contract of employment, expressed or
implied, is created and that no representative of Montgomery County Emergency Services District No. 4 nor
Needham Fire Rescue Co. has any authority to enter into any agreement for employment for any specific period
of time, or to make any agreement contrary to the foregoing.
Further, by my signature below, I certify that all answers and statements on this application are true and complete
to the best of my knowledge. I understand that should an investigation disclose untruthful or misleading answers,
my application may be rejected. In addition, I authorize previous employers and references to release information
as necessary to verify my qualifications and further give my permission for the agency or their agent(s) to conduct
the required background checks including a police records check.
Further, Montgomery County Emergency Services District No. 4 and/or Needham Fire Rescue Co. may require
a pre-employment physical with a physician retained by the agency. Such physical may include a drug-screening
test. My signature below serves as authorization to the physician to release all information relative to the pre-
employment physical and drug testing results. if such results indicate inability to perform the job applied for or
drug use, I understand my application may be rejected or my employment with the agency terminated.
Signature: ___________________________________________
Date: _______________________________________________
MONTGOMERY COUNTY EMERGENCY SERVICES DISTRICT NO. 4
Needham Fire Rescue, Co.
Page 13 of 14
Please scan and attach, if necessary as a separate document:
Current Driver’s License
Social Security Card
Fire School Certificates
Page 14 of 14