911 Job ApplicationPlease enable JavaScript in your browser to complete this form. - Step 1 of 2 Florence-Lauderdale Emergency Communication District Telecommunicator Job Overview & Hiring ProcessName *FirstMiddleLastApplication Position Public Safety Telecommunicator (Call-Taker/Dispatcher)911 SupervisorECC Training Coordinator911 Alternate SupervisorPositionPart-TimeFull -TimeEmail *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAvailable Start Date Are you currently employed? where?May we contact your employer? YesNoHave you ever been arrested, placed under bond, charged or cited for violations of any law? If so, please explain.Are you a citizen of the United States?YesNoIf not, are you authorized to work in the U.S.?YesNoHave you ever been convicted of a crime?YesNoIf yes, please explain:Name of High School/Location Date Started:Date Ended:Did you graduate?YesNoGED RECEIVED? DATECollegeDate Started: Date Ended:Did you graduate? YesNoDegree/Major: Additional Education:Military ServiceInclude: Branch, Dates of Service, Rank at discharge, Type of Discharge and explain if other than honorable.Previous Employer/Company NameEmployment Dates (Start Date MM/YY to End Date MM/YY) Job TitleSupervisor Company AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhoneJob Responsibilities Reason For LeavingMay we contact your previous supervisor for a reference?YesNo2. Previous Employer/Company NameEmployment Dates (Start Date MM/YY to End Date MM/YY) Job TitleSupervisor Phone Company AddressAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeJob Responsibilities Reason For LeavingMay we contact your previous supervisor for a reference? YesNoAdditional Employers: 1. Reference: Relationship to ApplicantPhoneEmail2. Reference NameRelationship to Applicant Phone Email 3. Reference NameRelationship to ApplicantPhoneEmailDo you have any dispatch training or certifications? If so, please explain.If you have any telecommunications training or certifications, please provide details:Please provide details of any other experience, training, or certifications relevant to the position.Additional comments or information for consideration regarding your qualifications for this position.NextUpload: Driver’s License* (Required) Social Security Card* (Required) Applicable Certifications (GED, Diploma, CPR, EMD, PST, CTO, etc.) Additional Information (Resume, Cover Letter, Letters of Recommendation) * Click or drag files to this area to upload.You can upload up to 4 files. Disclaimer and Signature: I certify that my answers are true and complete to the best of my knowledge. I authorize the Florence-Lauderdale Emergency Communication District to perform a comprehensive background check. I understand that any offer of employment is contingent upon the successful completion of a pre-employment drug and hearing test as part of the application process and periodic drug screening is routine for all employees. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. *Clear SignatureSubmit