The East Thompson Volunteer Fire Department is an equal opportunity employer.
East Thompson
Volunteer Fire Department
P.O. Box 271
Thompson, CT 06277
Est. 1958

December 6, 2017

Job Posting
The East Thompson Volunteer Fire Department is currently seeking applications for part-time paid medical technicians to staff the Thompson Speedway Motorsports Park (TSMP).
The East Thompson Volunteer Fire Department has been providing fire/rescue/EMS services to the TSMP (formerly known as the Thompson International Speedway) for over 35 years. The TSMP opened a 1.7-mile road course which will be operating at the speedway grounds approximately 160 days of the year (May thru November). These positions for paid medical technicians ONLY apply for road course events, track rentals, and racing schools.
Responsibilities
- Provide first responder medical care (BLS level)
- Operate vehicles/equipment (when needed)
- Complete daily checks and tasks assigned by the incident commander or supervisor
- Reports to the incident commander, supervisors, fire chief, and fire officers.
Qualifications:
Required: Previous EMS Experience with EMR, EMT or Paramedic certification.
Valid Driver’s License with clean motor vehicle check.
Clean Background Check
Must be a minimum of 18 years old
Individuals interested in applying for the positions available should submit a completed fire department application with references, cover letter, and copies of all valid certificates/licenses (including driver’s license) by January 15, 2018. Applicants may submit their applications by dropping it off at the station or sending the completed application packets to:
East Thompson Volunteer Fire Department
PO Box 271
Thompson, CT 06277
Attention: Board of Directors

Application for Per-Diem Employees
The East Thompson Volunteer Fire Department is an equal opportunity employer.
East Thompson
Volunteer Fire Department
P.O. Box 271
Thompson, CT 06277
Est. 1958
 
 
 
 
 
 
 
Name: ____________________________________________ Date of Birth: ___/___/______
Physical Address: ____________________________________________________________
Mailing Address: ____________________________________________________________
Cell Phone:_____________________ Social Security #:______________________________
Driver’s License #: ___________________ Class: __________ Exp. Date: ___/___/_______
Emergency Contact: ____________________________________ Phone: _______________
Do you have any conditions that prevent you from performing the duties of a firefighter or medical technician? Yes_______ No_______ If yes, please explain: _________________ ___________________________________________________________________________
Do you require any special accommodations in order to perform the duties of a firefighter or medical technician? Yes:______ No:________ If yes, please explain: __________________
___________________________________________________________________________
Medical Information: Blood Type: ___________
Vaccinations: Hepatitis B:_________ (Date completed series or titer)
Tetanus/TdAP:_________ (Last Booster Date)
Allergies:___________________________________________________________________
Are you a citizen of the United States and/or are you permitted to work in the US?
Yes______ No_______ If no, please explain:______________________________________
Have you ever been convicted of a crime? Yes______ No_______
If yes, please explain:_________________________________________________________
Have you been convicted of any motor vehicle violations in the past 3 years?
Yes______ No_______ If yes, please explain: _____________________________________
Application for Per-Diem Employees
The East Thompson Volunteer Fire Department is an equal opportunity employer.
Are you currently or have ever been a member of any other fire department/EMS agencies:
Yes_______ No_________ If yes, list and when?: ________________________________ ___________________________________________________________________________
Do you have any special training or professional certificates that would be beneficial for the role applying for? Yes_______ No ________ If yes, please list: ______________________ ___________________________________________________________________________
Medical: EMR EMT Paramedic Cert/License #: _____________ Exp. Date: __________
Employment History: May we contact you present/most recent employer: Yes____ No_____
Employer: __________________________________________________________________
Address: ___________________________________________________________________
Supervisor / Phone #: _______________________________ Full time Part Time Per Diem
Job Title: ___________________________ Dates: __________ to ____________
Work Performed: ____________________________________________________________
Reason For Leaving: _________________________________________________________
Previous Employer (if less than 3 years):__________________________________________
Military Service: Branch:____________ Date of Service: ________ Years Served: _______
How did you hear about the East Thompson Volunteer Fire Department?
___________________________________________________________________________
Have you ever been a member of ETVFD? Yes_____ No_____ If so, when: _____________
List any department members who you are acquainted with: __________________________
___________________________________________________________________________
Personal References: Please list 3 references who are not family members, whom we may contact for character references (NOT affiliated with ETVFD):
Name: ______________________________________________ Phone: ________________
# of Year Known: _______ Relationship:_________________________________________
Name: ______________________________________________ Phone: ________________
# of Year Known: _______ Relationship:_________________________________________
Name: ______________________________________________ Phone: ________________
# of Year Known: _______ Relationship:_________________________________________
Application for Per-Diem Employees
The East Thompson Volunteer Fire Department is an equal opportunity employer.
Investigation Authorization
I, ____________________________, hereby authorize the East Thompson Volunteer Fire Department to conduct a routine background check on me. This will consist of their contacting people I listed as personal references, state and/or local law enforcement officials, members that I know within the East Thompson Volunteer Fire Department, and the agencies I listed on this application as being affiliated with, past or present. I understand that this information is to be used only for determining my eligibility for employment with the East Thompson Volunteer Fire Department. I certify that all of the statements made by me on all parts of this application are true, complete and correct to the best of my knowledge. I understand that should any misrepresentation, omission or falsification be discovered, it will constitute grounds for immediate dismissal or reason not to be offered a position for the East Thompson Volunteer Fire Department. I understand and agree that, if employed by this organization; I will abide by all its rules and regulations, which I understand are subject to change. I also understand that my application may either be accepted or rejected for any reason.
Applicant’s Signature: ______________________________________ Date: ___/___/_____
Applicant’s Printed Name: ____________________________________________________
(A photocopy of this authorization is considered as valid as the original that is on file, and by signing this form, permission is granted for up to 6 months from that above date).This organization is prohibited from discriminating on basis of race, color, national origin, gender, sexual orientation, religion, age, disability, marital or family status. The East Thompson Volunteer Fire Department is an Equal Opportunity Employer.
DO NOT WRITE BELOW THIS LINE BOARD OF DIRECTORS USE ONLY
Date Application Rcvd: ______/_______/______ CT W2 ______________
Date of Interview: ______/_______/_______ Fed W2 _____________
Date of Job Offer: ______/_______/_______ I-9 _________________
Reason for No Job Offer: _____________________________________________________
___________________________________________________________________________
Date of Employment: ______/_______/_______ Pay Rate: $___________