MIFD Volunteer Opportunities

We are looking for compassionate individuals who value community service and are interested in making a difference in the community.  The Middleton Fire District accepts applications year-round for firefighters, rehab technicians and fire corps personnel.  If you are interested in volunteering with the Middleton Fire Department for any of these positions, please complete an application.  Once your application is received it will be reviewed.  If approved, you will be contacted for an interview with department staff.

Volunteer Positions

FIREFIGHTERS: No prior fire experience is necessary to apply. All volunteer firefighters who join our team will attend the MIFD’s recruit academy, which is designed to teach new firefighters the necessary skills needed for the job.

REHAB TECHNICIANS: A rehab technician plays a crucial role in assisting with the rehabilitation and well-being of firefighters during and after emergency incidents. Duties include rehab area set up, assist members with hydration and nutrition needs on scene, etc.

FIRE CORPS: Fire Corps personnel assist the department with their specialized skills in a non-emergency capacity.

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Which position are you applying for? *Select the PositionFIREFIGHTERSREHAB TECHNICIANSFIRE CORPS

First Name *

Phone *

Middle Name *

Email *

Last Name *

Social Security Number *

List any Previous Names or nick names used

Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Are you at least 18 years of age? *

• Yes
• No

Are you eligible to work in the United States? *

• Yes
• No

Do you currently hold a valid Wisconsin Drivers License? *

• Yes
• No

Drivers License Number

Are you eligible to apply for WI Drivers Licenses?

Have you ever held a Drivers License in any other state? *

• Yes
• No

What state/s

Have you ever had your Drivers License suspended or revoked? *

• Yes
• No

What state?

What Reason?

Have you ever had or currently have any traffic violation convictions? *

• Yes
• No

(Convictions include any paid fine on any citation or if you went to court and were found guilty.) Do not however, include parking citations. Omissions are grounds for disqualification.

Month/year

Month/year

Month/year

Month/year

Jurisdiction/State

Jurisdiction/State

Jurisdiction/State

Jurisdiction/State

Law Violated

Law Violated

Law Violated

Law Violated

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Criminal History

List ALL convictions of ANY violations of law or pending charges. Violations of law include but are not limited to City Ordinances, State or Federal Laws, both felony and misdemeanor, and convictions by a military court martial. Do not list traffic citations here; they should be listed under Drivers License Information. If you are uncertain where to list a violation, please call and ask for further clarification. Do not list Parking Citations. In accordance with State law, pending criminal charges and prior convictions will not be used or considered unless they are substantially related to the circumstance of this particular job. Failure to fully disclose information in this section is grounds for disqualification.

Have you ever been convicted of a crime? *

• Yes
• No

Month/year

Month/year

Month/year

Month/year

Jurisdiction/State

Jurisdiction/State

Jurisdiction/State

Jurisdiction/State

Violation Type

Violation Type

Violation Type

Violation Type

Drug Use

Ever used / experimented with any controlled substances / illegal drugs? *

• Yes
• No

Name Of Drug

Name Of Drug

Name Of Drug

Date First Used

Date First Used

Date First Used

Date Last Used

Date Last Used

Date Last Used

Total Estimated Use

Total Estimated Use

Total Estimated Use

Education Information

Number of years you attended school *

• -10 or less
• 11
• 12
• 13
• 14
• 15
• 16
• 17
• 18
• 19+

Did you graduate from High School? *

• Yes
• No

What year?

What city?

What State?

Do you have a GED? *

• Yes
• No

Did you attend a College, University or Tech School

• Yes
• No

Name of School

Name of School

Name of School

Name of School

City / State

City / State

City / State

City / State

Area of Study

Area of Study

Area of Study

Area of Study

Dates Attended / Graduation Date

Dates Attended / Graduation Date

Dates Attended / Graduation Date

Dates Attended / Graduation Date

Employment Information

Please list all of your employers for the last 10 years starting with the most current. You can use volunteer work and military experience in this area. Please be as complete as you can. If there is a section that does not apply to you, place N/A on the line.

Employer Name

Dates Employed (From / To)

Supervisors Name

Job Title

Phone

Reason For Leaving

Job 1 Address

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Briefly describe Job Duties

Employer Name

Dates Employed (From / To)

Supervisors Name

Job Title

Phone

Reason For Leaving

Address

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Briefly describe Job Duties

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Employer Name

Dates Employed (From / To)

Supervisors Name

Job Title

Phone

Reason For Leaving

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Please read carefully before signing *

The undersigned is the person presenting this application to the Middleton Fire District for consideration to become a Middleton Fire Department member. I have read and made a complete answer to each question. My answers in each instance are true and correct, contain no misrepresentations, omissions, or falsifications, and are complete. I understand that if any of the information contained in any of the previous answers contains misrepresentations, falsification, or if any material has been omitted, this shall be sufficient cause for disqualification and I will no longer be considered for any position with the Middleton Fire District.

Understanding the Background *

I, the undersigned, understand that the Middleton Fire District may be conducting a background investigation about me to determine my suitability for being employed as a Middleton Fire Department member. I understand that the position of Fire Corp is one that requires a high level of public trust and responsibility. During this investigation they may be contacting past and present employers, co-workers, educational institutions, landlords, roommates, and any other persons who may have information regarding my suitability for employment. I further understand that my driving record in any State may be checked. Federal, State and Local law enforcement agencies may be contacted about any adult records they have about me. I understand and agree to this background investigation.

Authorization for Release of Information *

To Whom It May Concern: I am an applicant for the Middleton Fire District. The District needs to thoroughly investigate my employment background and personal history to evaluate my qualifications to hold the position for which I applied. It is in the publicʼs best interest that all relevant information concerning my personal and employment history be disclosed to the above District. I hereby authorize any representative of the Middleton Fire District bearing this release to obtain any information in your files pertaining to my employment records and I hereby direct you to release such information upon request of the bearer. Any information obtained by the Middleton Fire District will be used only to determine my qualifications for the position. Anyone releasing information based on this request will not be held liable for any decision made by the Middleton Fire District regarding my employment.

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