IMPORTANT INFORMATION
You MUST READ this before continuing with the application

Completing this application is your FIRST STEP in consideration as an applicant. The application servers as a way to determine if you can follow directions.

You MUST follow these directions:
1. Complete all questions and fill in all of the blanks on the forms.
2. Turn in every document with the application. An application will not be accepted if any of the documents are missing.
3. All information must be TRUTHFUL, ACCURATE, and UP-TO-DATE.

REMEMBER
If any portion of the application or the required documentation is missing, the application will NOT be considered for employment until complete.

If any portion of the application of the required documentation is incorrect or false, the application will NOT be considered further for employment.

ABOUT THE WESTERN LAKES FIRE DISTRICT
The Western Lakes Fire District (WLFD) provides fire, rescue, and emergency medical services to ten municipalities in Waukesha, Dodge, and Jefferson counties. WLFD proudly serves the Town of Ashippun, Town of Concord, Village of Dousman, Village of Lac La Belle, City of Oconomowoc, Town of Oconomowoc, Town of Ottawa, Town of Sullivan, Village of Sullivan, and the Village of Summit. WLFD serves over 34,000 residents and covers close to 158 square miles with an annual call volume of approximately 3,200 calls.

WLFD employs tem full-time personnel and approximately 130 part-time and paid-on-call personnel. Four stations are located to provede the best service to the communities and include: Pabst Station #1, 1400 Oconomowoc Parkway in the City of Oconomowoc; Dousman Station #2 at 107 S. Main St in the Village of Dousman; Oconomowoc Station #3 at 212 S. Concord Rd in the City of Oconomowoc; and Sullivan Station #4 at 912 Front Street in the Village of Sullivan.

SALARY

The starting hourly rate for probationary part time personnel is $7.25 per hour for untrained, in-district candidates and $10.25 per hour for probationary candidates that have completed either Firefighter I or EMT – Basic. After a one year probationary period, and certification as a Firefighter I and/or EMT, the hourly rate increases to $17.50 per hour base rate. If previously certified, the hourly rate will take effect after an orientation period. Additional hourly incentives are offered to personnel who either advance EMS levels or get promoted to a company officer.

The hourly standby rate for part-time personnel is $7.25 per hour for weekday coverage and $10.25 for weekend coverage.  Calls are paid at the paid-on-call rate.

BENEFITS

Part-time and paid-on-call personnel are offered a competitive hourly rate, participation in the Wisconsin Retirement System (if hourly requirements are met), paid educational opportunities, and access to the fire station’s workout facilities.

TIME COMMITMENT

Staying proficient and a Firefighter/EMT requires significant time and dedication to keep skills sharp, therefore, personnel are required to attend a specified number of training hours annually.  There are also skill requirements for both firefighters and EMTs which must be met on a yearly basis.  Pool EMTs must also work a minimum of 24 hours per month on the EMS schedule, which scheduled EMT’s work about 72 hours a month.

TRAINING PROGRAM

For new Firefighter/EMTs, the training begins with courses taken at an approved Wisconsin Technical College.

Firefighters will be enrolled in the Firefighter I course which is approximately 128 hours.  The course instructs the student in the basics of firefighting and provides the opportunity to demonstrate and practice the basic skills.  The course is approximately 40% classroom instruction and 60% hands-on practical skill application.

EMTs will be enrolled in the EMT course which is approximately 180 hours.  The course gives students the skills to assess and manager a variety of medical illnesses and traumatic injuries, CPR, airway management, bleeding and shock, emergency childbirth, and automatic external defibrillation are just a few of the topics covered.  The course is approximately 160 hours in a classroom setting, and 20 hours of clinical experience at area hospitals.

For both courses there are written and practical examinations that must be passed before a certification or license can be obtained.

QUALIFICATIONS

Fighting fire, participating in medical calls, and rescue work are physically demanding duties.  Candidates must be in excellent health and have no conditions which would restrict their ability to safely perform these duties.  These conditions must be met at the time of application and must be maintained throughout the application process.  Along with the physical requirements, other requirements are as follows:

  • Minimum age: 18 (At the time that you apply)
  • Must have a valid Wisconsin Driver’s License, with a reasonable driving record and NO DWI/DUI convictions within three years of applying.  (DMV reports will be acquired during a background check and individuals with an excessively poor driving record and/or DWI/DUI convictions within three years will not be considered for hire.)
  • Must have a High School diploma or a GED equivalent.
  • Must pass a physical examination and drug screen.
  • Applicants must NOT have been convicted of a felony or serious misdemeanor.  (Criminal background checks will be run before a final job offer is made.  The Western Lakes Fire District reserves the right to use a criminal background check as a tool in making final decisions with regard to hiring.  The Fire District is a public service and must keep the public’s best interests in mind.)
  • Must be a United States citizen or alien who can provide proof of identity and authorization to work in the United States.
  • Residency: No residency requirements presently exist for part-time or paid-on-call applicants.

EMPLOYMENT PROCEDURE

  1. COMPLETE APPLICATION ACCURATELY
    1. Applications can be picked up at any of the Western Lakes Fire District’s stations, or printed from the this website.  Completed applications can be hand delivered, mailed, faxed, or emailed to: applications@westernlakesfd.org
    2. You MUST furnish copies of your:
      1. Social Security Card
      2. Driver’s License
      3. High School diploma (or transcript showing completion of all requirements) or GED equivalent
      4. College diploma or transcript (if applicable)
      5. Military discharge Form DD-214 (if applicable)
  2. PARTICIPATE IN AN ORAL PANEL INTERVIEW WITH WLFD PERSONNEL
    1. After reviewing the application and supporting documentation, the applicant will be asked to participate in an in-depth oral interview with WLFD staff.
  3. COMPLETE A  BACKGROUND AND REFERENCE CHECK
  4. PARTICIPATE IN A CREW RIDE ALONG WITH WLFD PERSONNEL
    1. Selected applicants will participate in a ride along with a WLFD EMS crew.  This will allow the applicant to learn about the Western Lakes Fire District while continuing the interview process.
  5. PARTICIPATE IN AN ORAL INTERVIEW WITH WLFD CHIEF OFFICERS
    1. Applicants recommended for employment from the previous steps of the process will be scheduled to participate in an oral interview with a panel of Western Lakes Fire District Chief Officers.
  6. PHYSICAL EXAM AND DRUG SCREEN
    1. Once WLFD has calculated the oral interview results, candidates selected for employment will receive a job offer contingent on passing a thorough background investigation, physical examination, and drug screen.  Candidates will be scheduled for a complete physical examination and drug screen through Occupational Health.  Upon satisfactory completion of the background check, physical exam, and drug test, a final offer of employment will be made.

CHECK OFF SHEET

Tear off Pages 1-4 and keep for your records.  Make one complete copy of the application after filling it out.  Keep a copy for your records and turn in the original application and your other documentation.

REQUIRED INFORMATION

  • Investigation Authorization
  • Personal Information
  • Education and Training
  • References (minimum of three)
  • Employment History (minimum of 10 years)
  • Criminal History
  • Signature and Date

REQUIRED DOCUMENTATION

  • Copy of Social Security Card
  • Copy of Driver’s License
  • Copy of High School Diploma (or Transcript) or GED
  • Copy of College Diploma (or Transcript) (if applicable)
  • Copy of Criminal History Records (if applicable)
  • Military Discharge Form DD-214 (if applicable)

ADDITIONAL DOCUMENTATION UPON JOB OFFER

  • Copy of State of Wisconsin EMT License or NREMT
  • Copy of Additional EMS Certifications (if applicable)
  • Copy of CPR Certification (if applicable)
  • Copy of Firefighter Certifications (if applicable)
  • Copy of Driver/Operator Certifications (if applicable)

NOTE: Out of state EMTs must possess NREMT certification in order to be eligible for Wisconsin licensure.  Out of state firefighter and driver/operator certifications must contain an IFSAC seal.

AUTHORIZATION

Authorization and Release to Obtain Information
I, , authorize the Western Lakes Fire District to conduct a personal background investigation with my application for employment.

This investigation may include information from educational institutions, physicians, and/or medical records, insurance companies, police and/or court records, Department of Motor Vehicle records, listed personal references and/or developed references, previous employers and/or present employers, and other appropriate sources. Additionally, this information may include results of background investigations and psychological evaluations as well as information related to substance abuse.

I authorize the release of any information that the Western Lakes Fire District may request from the above sources. I further waive all rights to inspection or review of any information compiled pursuant to my application for employment.

I fully understand that all information gained from such investigations is confidential and will be released only to authorized persons in the employment process.

I agree to give any further information which may be required and hereby certify that there are no willful misrepresentations, omissions, or falsifications in any of the applications and/or documents furnished for the position, and/or answers to the questions. I am aware that should an investigation disclose any willful misrepresentations, omissions, or falsifications, my application may be rejected, or if already employed, my employment terminated.

I hereby release the Western Lakes Fire District or any of its agents or representatives and any persons so furnishing information from any and all liability of every nature and kind arising out of the furnishing or inspection of such documents, records, or other information for the investigation made by the Western Lakes Fire District.

EMPLOYMENT APPLICATION
It is the policy of the Western Lakes Fire District to hire and promote the best qualified individuals available. To this end, no person shall be refused employment, denied promotion or assignment, discharged, or otherwise discriminated against or given preference in any aspect of the employment relationship on the basis of race, gender, religion, age, political affiliation, national origin, sexual orientation, physical or mental disability, or any other non-job related factor, except when certain physical and mental requirements are occupational qualifications. IN AN EFFORT TO MAINTAIN A SAFE AND HEALTHY WORKPLACE, APPLICANTS CONSIDERED FOR EMPLOYMENT ARE TESTED FOR DRUGS.

Please be sure you complete all sections of this application COMPLETELY, ACCURATELY, and LEGIBLY. This application will be used as part of the overall application process and should represent your best effort.

Position Applying For:

How did you find out about the position you are applying for?

First Name:
Middle Initial:
Last Name:
Suffix:
Address:
City:
State:
ZIP:
Daytime Phone:
Cell Phone:
Email Address:
Date of Birth:
Social Security Number:
List any other names by which you have been known on official records:
Are you legally entitled to work in the United States?YesNo
Do you possess a valid WI Driver's License?YesNo
If yes, License Number:
Do you possess a valid WI Commercial Driver's License?YesNo
If yes, check all that apply:ABCDHN
Special skills or qualifications that may apply to the position:
List any memberships in professional or technical associations:
Current certifications, licenses, or registrations as a member of a trade or profession:

EDUCATION AND TRAINING (Attach copies of diplomas and/or certificates)

Name and Location of High School:
Highest Grade or Year Completed:
Do you have a High School diploma or GED equivalent?
TRAINING BEYOND HIGH SCHOOL
Name and Location:
Dates Attended: To
Graduated? YesNo
Minor/Major:

Name and Location:
Dates Attended: To
Graduated? YesNo
Minor/Major:

Name and Location:
Dates Attended: To
Graduated? YesNo
Minor/Major:

Name and Location:
Dates Attended: To
Graduated? YesNo
Minor/Major:

Describe any education and training which is not covered above, such as vocational school, correspondence courses, in-service training, or volunteer work which you feel is relevant to the job you are applying for:

References:
Name:
Phone Number:
Occupation:
Years Known:

Name:
Phone Number:
Occupation:
Years Known:

Name:
Phone Number:
Occupation:
Years Known:

Name:
Phone Number:
Occupation:
Years Known:

Name:
Phone Number:
Occupation:
Years Known:

EMPLOYMENT HISTORY
Name of Employer:
Location of Employer:
Type of Business:
Job Title:
Full-Time or Part-Time: To
Job Duties:
Supervisor's Name:
Supervisor's Phone Number:
May We Contact? YesNo
Starting Salary
Ending Salary
Reason(s) For Leaving:

Name of Employer:
Location of Employer:
Type of Business:
Job Title:
Full-Time or Part-Time: To
Job Duties:
Supervisor's Name:
Supervisor's Phone Number:
May We Contact? YesNo
Starting Salary
Ending Salary
Reason(s) For Leaving:

Name of Employer:
Location of Employer:
Type of Business:
Job Title:
Full-Time or Part-Time: To
Job Duties:
Supervisor's Name:
Supervisor's Phone Number:
May We Contact? YesNo
Starting Salary
Ending Salary
Reason(s) For Leaving:

Name of Employer:
Location of Employer:
Type of Business:
Job Title:
Full-Time or Part-Time: To
Job Duties:
Supervisor's Name:
Supervisor's Phone Number:
May We Contact? YesNo
Starting Salary
Ending Salary
Reason(s) For Leaving:

CRIMINAL HISTORY
The Fair Employment Act (Sections 111.31-111.395, Wis. Stats.) prohibits employment discrimination on the basis of conviction or arrest record unless the circumstances of the conviction or arrest substantially relate to the circumstances of the particular job or licensed activity. The information requested in this section may be used to determine whether an applicant should be accepted, accepted with limitations, or denied. The information you provide in this section will be verified against criminal information records. Failure to report required information on this form would be considered a false statement on this application.

Have you ever been convicted of any felony or misdemeanor offense(s) in Wisconsin or in
any other state OR do you have any felony or misdemeanor offense(s) pending against you at this time? If yes, list each offense below and provide the following information for each offense: copies of the police report or criminal complaint/information, judgment of conviction and sentence, verification of your compliance with all terms of each sentence, including chemical dependency assessments if ordered by the court, and verification of your compliance/completion of probation or parole.YesNo

Within the last 10 years, has your driver’s license been suspended, revoked, or withdrawn
in Wisconsin or in any other state OR do you have current pending charges that may result in the suspension, revocation, or withdrawal of your driver’s license? If yes, list each offense below and provide a current driver abstract obtained from the Department of Transportation (DOT).YesNo

List all arrest(s), conviction(s), or offense(s), including dates and statuses:

CAREFULLY READ THIS APPLICATION AND YOUR ANSWERS, AND THE DECLARATION BELOW BEFORE SIGNING.

I have read all material in the application packet. I certify that all statements made in this application and any other materials completed or furnished as part of this application process are true, complete, and accurate to the best of my knowledge and belief. I further understand that any false statements or omitted information shall be considered sufficient cause for employment disqualification, or if already employed termination.

Signature of Applicant:
Date:

USE THE FOLLOWING TO UPLOAD YOUR DOCUMENTS:
Social Security Card:
Driver's License:
High School Diploma:
College Diploma or Transcript:
Military Discharge Form:
Firefighter Certification:
EMS Certification:
MPO Certification: