FIREFIGHTER/AEMT BIRMINGHAM FIRE DEPARTMENT

FIREFIGHTER/AEMT BIRMINGHAM FIRE DEPARTMENT The City of Birmingham, MI is seeking qualified candidates for the position of Firefighter/AEMT. Duties include fire suppression, emergency medical care, maintaining equipment, apparatus and buildings; participating in daily drills, protecting life and property; performing fire inspection duties & miscellaneous duties as assigned. The City of Birmingham is an Equal Opportunity Employer seeking qualified applicants, without regard to race or other protected status. Requirements: Possession of high school diploma or equivalent; State of Michigan Firefighter II Certification; State of Michigan AEMT or National Registry AEMT certification; Vision correctable to 20/20 in both eyes; Valid Mich. Operator's License w/ good driving record; Physical condition appropriate for the position. Applicants must pass both the written exam and Candidate Physical Ability Test (CPAT) offered through the Conference of Western Wayne (CWW) Firefighter Testing Program prior to submitting an employment application. The written exam score is valid for three (3) years and the CPAT results are valid for one (1) year. Written exam offered January 18, 2014 and February 8, 2014. CPAT offered February 15, 2014. CPAT practice test offered January 11, 2014. Details and registration information available through the Schoolcraft College Assessment Center at 734.462.4806. Base salary of $41,438 - $63,370, with an AEMT premium of up to 8%. Includes a comprehensive benefits package. ALL APPLICANTS MUST SUBMIT: 1. FIREFIGHTER EMPLOYMENT APPLICATION, 2. VALID CWW TEST CERTIFICATES, AND 3. COPIES OF FIREFIGHTER/AEMT CREDENTIALS TO: CITY OF BIRMINGHAM HUMAN RESOURCES DEPARTMENT 151 MARTIN ST, BIRMINGHAM, MI 48009 APPLICATIONS ACCEPTED UNTIL 4:00PM ON FRIDAY, FEBRUARY 28, 2014. www.bhamgov.org/jobs The City of Birmingham Fire Department will respond to an estimated 2,000 emergencies each year. These emergencies include fires, emergency medical service (EMS) calls, rescues, motor vehicle accidents, hazardous materials spills, citizen assists, etc. The Fire Department is responsible for: fire suppression fire prevention fire investigation emergency medical services fire hydrant flow testing and winter checks building maintenance and inspections fire apparatus maintenance emergency management. The Fire Prevention Bureau inspects all business, commercial, industrial and apartment buildings. The Department maintains 11 pieces of fire apparatus. They include three pumpers, one aerial, two life trucks, three staff cars, one utility vehicle, and the Oakway (Mutual Aid) hazardous materials vehicle. More Information: www.bhamgov.org/fire

2014 FIREFIGHTER EMPLOYMENT APPLICATION An Equal Opportunity Employer POSITION APPLIED FOR: FIREFIGHTER / AEMT APPLICATION DATE: Human Resources Department Post Office Box 3001 151 Martin Street Birmingham, MI 48012 Phone: 248.530.1810 www.bhamgov.org/hr MINIMUM SALARY ACCEPTABLE: DATE AVAILABLE FOR WORK: INSTRUCTIONS: Complete all necessary information. Please print or type. This application will be kept on file for a period of three months. Be sure to sign and date this application. _ NAME (Last, First, Middle Initial) SOCIAL SECURITY # - - ADDRESS: CITY/STATE/ZIP CODE: E-MAIL ADDRESS: @_ PHONE NUMBER: / - CELL PHONE NUMBER: / - PRIOR ADDRESSES (Last 5 Years): ARE YOU INTERESTED IN FULL TIME WORK Yes No ARE YOU INTERESTED IN PART TIME WORK Yes No ARE YOU 18 YEARS OF AGE OR OLDER? Yes No DO YOU HAVE ANY RELATIVES NOW OR PREVIOUSLY EMPLOYED BY THE CITY OF BIRMINGHAM? Yes No NAME: _ HAVE YOU EVER BEEN CONVICTED OF A CRIME? Yes No (A positive response to this question does not automatically disqualify you from consideration) IF YES, WHEN, WHERE, AND NATURE OF OFFENSE: ARE THERE ANY FELONY CHARGES PENDING AGAINST YOU? Yes No IF YES, WHEN, WHERE, AND NATURE OF OFFENSE: DO YOU KNOW OF ANY REASON WHY YOU WOULD NOT BE ABLE TO PERFORM THE ESSENTIAL FUNCTIONS OF THE JOB FOR WHICH YOU ARE APPLYING, WITH OR WITHOUT ACCOMMODATION? Yes(Please Explain) No Michigan law requires employers to make accommodations to handicapped applicants and employees where the accommodation does not impose an undue hardship on the employer. Handicapped employees and applicants may request an accommodation of their handicap by notifying the City in writing of the need for accommodation within 182 days of the date the handicapper knows or should know that an accommodation is needed. Failure to notify the City will preclude any claim that the employer failed to accommodate the handicapper.

IN THE EVENT OF AN EMERGENCY, WHOM DO YOU WISH TO BE NOTIFIED? NAME STREET ADDRESS PHONE NUMBER: CITY/STATE/ZIP EDUCATIONAL BACKGROUND COURSE DID YOU HIGHEST GRADE, SCHOOL NAME AND LOCATION OF SCHOOL OF STUDY GRADUATE? DEGREE OR DIPLOMA HIGH SCHOOL Yes No G.E.D. Yes No VOCATIONAL Yes No COLLEGE Yes No UNIVERSITY Yes No OTHER Yes No REQUIRED CERTIFICATIONS (ATTACH COPIES TO APPLICATION): 1) FIREFIGHTER II CERTIFICATION NUMBER: _ EXP. DATE: AND 2) A) STATE OF MICHIGAN AEMT CERTIFICATION NUMBER: _ EXP. DATE: OR B) NATIONAL REGISTRY AEMT NUMBER: _ EXP. DATE: OTHER PROFESSIONAL LICENSES/CERTIFICATIONS/CREDENTIALS: TYPE: NUMBER: _ EXP. DATE: TYPE: NUMBER: _ EXP. DATE: TYPE: NUMBER: _ EXP. DATE: DRIVER LICENSE NUMBER: _ EXP. DATE: STATE ISSUED: COMPUTER KNOWLEDGE: SYSTEMS: SOFTWARE PROFICIENCY: MILITARY SERVICE BRANCH: FINAL RANK: DATES: _ TYPE OF DISCHARGE:

EMPLOYMENT EXPERIENCE List jobs held in the past 10 years. List your present employment first. List every promotion as a new job. Attach extra pages if necessary. Describe your job duties in detail to enable the reviewer to correctly evaluate your qualifications. List the primary tasks and responsibilities performed in each position held. The information that you provide will be used in determining whether or not you are employed. EMPLOYER: PHONE NUMBER: ADDRESS: JOB TITLE: SUPERVISOR/TITLE: DATES EMPLOYED: FROM TO SALARY RECEIVED: START FINAL FULL OR PART TIME REASON FOR LEAVING: WORK PERFORMED: EMPLOYER: PHONE NUMBER: ADDRESS: JOB TITLE: SUPERVISOR/TITLE: DATES EMPLOYED: FROM TO SALARY RECEIVED: START FINAL FULL OR PART TIME REASON FOR LEAVING: WORK PERFORMED: EMPLOYER: PHONE NUMBER: ADDRESS: JOB TITLE: SUPERVISOR/TITLE: DATES EMPLOYED: FROM TO SALARY RECEIVED: START FINAL FULL OR PART TIME REASON FOR LEAVING: WORK PERFORMED:

Have you ever worked for a company under a different name? Yes No If Yes, what was the name? Have you ever been discharged from any employment? Yes No If Yes, please explain: HOW DID YOU LEARN OF THIS POSITION? CERTIFICATION/SIGNATURE Walk-In City of Birmingham Website City of Birmingham E-Mail Notification (E-notify) Internet (Website) Newspaper (Name) _ School (Name) Other (Please list) I certify the facts set forth in the Application for Employment, in my resume and in the other materials I have submitted are true and complete. I understand and acknowledge that false information provided by me will result in disqualification from employment with the employer (hereinafter the City of Birmingham ) or in dismissal from employment if offer of employment has been made and accepted. I hereby authorize the City of Birmingham, to contact all of my former and current employers, educational institutions and the other references I have provided regarding me and my performance record and work, academic and/or military experience. I also hereby release the City of Birmingham and its employees and agents, and all of my former employers, educational institutions, and other references I have provided, from any and all liability and damages for releasing or using information concerning me and my performance record and work, academic and/or military experience. I also hereby waive any right under the Bullard-Plawecki Right to Know Act, 1978 PA 397, to receive written notice from the City of Birmingham or any former or current employer, that disciplinary report, letter of reprimand, or other disciplinary action taken against me while employed, will be or have been disclosed to a third person or entity. I also understand that the City of Birmingham may, in its sole discretion, conduct or have conducted by an individual or entity of its choice, a criminal background history and driving record search on me. I hereby consent to this search being conducted and to the disclosure of the results of that search by the individual or entity conducting the search, the City of Birmingham, and its employees and agents, from any and all liability, claims and damages, including but not limited to, claims for releasing or using any information revealed as a result of this search. I also understand and acknowledge that convictions may result in disqualification from employment with the City of Birmingham or in dismissal from employment if an offer of employment has been made and accepted. I hereby consent to having a physical and/or psychological examination and/or test(s), including but not limited to drug and/or alcohol testing, conducted by a physician or other professional of the city of Birmingham s choice, and understand that any offer of employment is conditioned upon the results of this examination(s) and/or test(s). I agree not to commence any action or suit relating to my employment with the City of Birmingham more than 180 days after the occurrence of the facts giving rise to the claim, of more than 180 days of the date of my termination of such employment, whichever is earlier, and to waive any statute of limitations to the contrary. If I am employed, I understand that additional personal data will be required for determination of benefit eligibility and for statistical purposes. I will abide by all policies, rules and regulations of the City of Birmingham. Signature: Date: (Print Name) FF Application Rev. 12.13

2014 CONFERENCE OF WESTERN WAYNE FIREFIGHTER TESTING PROGRAM CONFERENCE OF WESTERN WAYNE FIREFIGHTER TESTING PROGRAM JANUARY DECEMBER 2014 2014 WRITTEN TEST AND CANDIDATE PHYSICAL ABILITY TEST (CPAT) New physical ability (CPAT), written tests, and fee structures have been in effect since July 2007. Testing Center McDowell Center 18600 Haggerty Road Livonia, MI 48152-2696 (734) 462-4806 SCHOOLCRAFT COLLEGE PUBLIC SAFETY T R AI NIN G C O M P L E X FIR E TR AININ G IN STITUTE INFORMATION SCHEDULES THE CWW FIREFIGHTER TESTING PROGRAM The Fire Training Institute of Schoolcraft College, in collaboration with the Schoolcraft Testing Center, administers a pre-employment certification test. This test evaluates the written and physical qualifications of firefighter candidates. All CWW applicants are required to take our CWW written and CPAT tests. Successful completion of testing validates a candidate s ability to perform the critical reading and physical skills needed for entry level positions. WRITTEN TEST The written test measures work-related performance factors and basic firefighter knowledge. Successful completion of both tests may be required by the communities of the CWW and other participating municipalities: Belleville Bloomfield Twp. Canton Twp. Dearborn Dearborn Heights Farmington Hills Garden City Huron Twp. Plymouth Twp. Redford Twp. Romulus Sumpter Twp. Van Buren Twp. Wayne Wayne County Airport Authority Fire Department BOARD OF TRUSTEES Brian D. Broderick....... Chair Carol M. Strom...... Vice Chair James G. Fausone..... Secretary Joan A. Gebhardt...... Treasurer Gretchen Alaniz....... Trustee Terry Gilligan........ Trustee Eric Stempien........ Trustee Conway A. Jeffress, Ph.D., President 2014 REGISTRATION Winner SEMCOG Outstanding Public Service Project Award www.schoolcraft.edu Type firefighter in search box. PHYSICAL ABILITY TEST The Candidate Physical Ability Test (CPAT) is a sequence of eight separate events, requiring progression along a predetermined path from event to event in a continuous manner. The pass/fail sequence was developed to determine firefighter candidates ability to perform essential simulated tasks consistent with fire fighting. A description of the CPAT will be provided at registration. Two forms must be submitted at the time of the physical test: 1) a release form signed by your physician and 2) a signed waiver of liability form Forms will be provided at time of registration. Inkster Livonia Northville Northville Twp. Plymouth West Bloomfield Twp. Westland Ypsilanti Ypsilanti Twp. Individual communities may require other qualifications at the time of application.

POLICIES All new program fees are non-refundable. Test fees are transferable up to 60 days after test date. All test dates are Saturdays. Registrations must be received no later than the Thursday preceding test date. Seats are limited for the written test. Photo ID required for admission into testing site. For further information or specific guidelines regarding accommodations or retakes, please contact the Schoolcraft Testing Center at 734-462-4806. FEES Check or money order payable to: Schoolcraft College CPAT... $150 Written Test... $50 First-Time Registration Fee*................ $20 *If you have not tested with us after July 2007, you must include this fee. Policies and fees may be subject to change. 2014 PHYSICAL ABILITY TESTS All CPAT tests will be held at the Radcliff Center, Community Room 115, unless otherwise noted. February 15 April 19 June 7 August 16 October 4 December 13 Free orientation guide with recommended exercises available upon request. Practice sessions available by appointment for a fee. Contact 734-462-4305 to schedule. January 11 March 15 May 17 July 12 September 6 November 15 2014 WRITTEN TESTS All written tests are given at the Livonia Campus, McDowell Center. Written test sessions begin at 10:00 am. Seats are limited. Study guides are available at the Schoolcraft College Bookstores. January 18 February 8 April 5 May 31 June 28 July 19 August 9 September 13 October 18 November 22 AFTER TESTING A Certificate of Completion will be mailed to the candidate within 10 business days of testing. Upon request, additional certificates can be provided within five business days ($10 fee) or 48 hours ($15 fee) per certificate. The written test is valid for three years and may only be taken three times in that three-year period. The CPAT is valid for one year. Some departments may require the most recent written test score. SC TESTING LOCATIONS Radcliff Center Community Room 115 1751 Radcliff St. Garden City, Michigan 48135 Livonia Campus 18600 Haggerty Rd. Livonia, Michigan 48152-2696 734-462-4806 Public Safety Training Complex 31777 Industrial Road Livonia, Michigan 48150 734-462-4305 Registration Contact Information: Testing Center McDowell Center 734-462-4806 Fax: 734-462-4808 www.schoolcraft.edu Type firefighter in search box. PSTC GC RC Detach here before mailing CPAT...$150 Written Test...$50 Return registration form with CHECK or MONEY ORDER payable to: Schoolcraft College, Testing Center 18600 Haggerty Road Livonia, MI 48152-2696 First-Time Registration Fee*....$20 *If you have not tested with us after July 2007, you must include this fee. Birth Date: / / Last 4 digits of Social Security N o : Name Total amount paid...$ Address Street City State Zip Phone ( ) Cell Phone ( ) Ability Test Date Repeat Ability? Yes No Email Written Test Date I authorize release of test results to CWW and municipalities with whom I have applied for employment. Repeat Written? Yes No Candidate must sign here a X OFFICE USE ONLY WWF/CWF Acct #02-5610-1053.00 R 13 Roster Confirmation Label Database Amount paid: