Please complete this application form if you are interested in becoming a Chandler Fire Department Crisis Response volunteer/intern. Once you complete the form, click the Continue button at the bottom.


Contact Information


Area of Interest


Employment


Education


Additional Education


References

Please provide 3 references that you have known for at least one year. Provide at least one US telephone number for each reference. References should not be family members or relatives.




Hours & Availability

The Crisis Response Team strives to be in service and ready to respond 7 days a week, 24 hours a day, 365 days a year. Using the schedule provided below, please check all days/shifts that you would be available to work on a regular basis.



Background Information

The City of Chandler conducts a background investigation of criminal history. Convictions will not automatically be grounds for disqualification from consideration. Each circumstance will be individually reviewed. Relationship to the position will be considered. The Crisis Response Team is under no obligation to accept all interested volunteers/interns.

*Failure to answer truthfully may result in disqualification or dismissal from the Chandler Fire Department Crisis Response Team.



Emergency Contacts


Additional Information


Statement of Accountability

By signing this application form, I certify that all information is true to the best of my knowledge, and any omissions or misrepresentations will be cause for refusal of placement or immediate dismissal at any time during the period of my placement. I give the City of Chandler Fire Department authorization to investigate all matters contained in this application. I understand that it is my responsibility to keep the Fire Department advised about any changes of address or phone number. I agree to obey all rules and procedures established by the City of Chandler Fire Department, and understand that being a volunteer means I have made a commitment to the Department. I further understand that I am a volunteer and therefore not entitled to any benefits (with the exception of Workers’ Compensation) which are provided to employees of the City of Chandler, and that I will be fulfilling job responsibilities without receiving a salary or hourly wage. I will assume all risks and/or hazards associated with participation as a volunteer and do hereby agree to hold harmless the City of Chandler and/or its employees.



I Agree

All statements made in this application and on any attachments submitted are true to the best of my knowledge. I understand that omissions or false statements may be cause for the rejection of this application. I authorize reference checks and verification of all information submitted. I further understand that Chandler Fire Department Crisis Response program is under no obligation to accept this application.