IF YOU WISH TO SUBMIT YOUR APPLICATION ELECTRONICALLY PLEASE CONTACT JANA BODE at

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1 This form may be printed out and completed, then mailed or delivered to: Human Resources City of Scottsbluff 2525 Circle Dr. Scottsbluff, NE The deadline for receiving applications is 4:00 P.M., FRIDAY, APRIL 27, 2018 MDT. IF YOU WISH TO SUBMIT YOUR APPLICATION ELECTRONICALLY PLEASE CONTACT JANA BODE at

2 GENERAL INFORMATION The City of Scottsbluff will hold a competitive Civil Service Examination to establish an eligible list for the position of Firefighter. The City of Scottsbluff, Nebraska has a population of approximately 15,000 and is the largest city in the western panhandle of Nebraska. The City is located in Scotts Bluff County. It is the business and shopping center for a large region, attracting consumers from throughout the Panhandle of Nebraska and eastern Wyoming. Scottsbluff is centrally located within two hundred miles of Denver, Colorado and Rapid City, South Dakota. The Scottsbluff Fire Department consists of 17 full time employees, these include a Fire Chief, Fire Prevention Officer, 3 shift Captains and 12 Firefighters. The department is a member of the Scottsbluff County Mutual Aid Association, which consists of 13 area fire departments. The Scottsbluff Fire Department is one of the most active fire departments in the area. The department responded to 2,164 calls for service in The department offers a wide range of services to its customers. These include; fire suppression (structural and wildland), emergency medical service, fire cause determination, and the only hazardous material response team in western Nebraska. Special teams rescue capabilities include confined space, high/low angle rope rescue, and water rescue. The Department also assists law enforcement with SWAT and EOD responses. A New Public Safety Building was built in 2010 which is shared by the Fire Department, Scottsbluff Police Department and Emergency Management. The building is over 21,000 square feet in size with around 8,500 feet of this space utilized for apparatus bays and the remaining square footage as administrative and day space for both departments.

3 CAREER OPPORTUNITY CITY OF SCOTTSBLUFF, NEBRASKA Firefighter Description of the Job: A Firefighter shall perform duties associated with fire suppression, emergency medical assistance, rescue activities, special operations, fire prevention, community services, as well as routine functions to assure the facilities, equipment, and personnel are maintained in a state of constant readiness. The Firefighter shall be required to participate in ongoing training programs as directed, and be able to render skilled emergency services in hazardous situations, under stressful conditions, in potentially dangerous environments. An individual in this position may experience prolonged exposure to potentially dangerous and hazardous events and incidents. This position is subject to emergency recall and the scheduling needs of the department. The Firefighter is supervised by a Fire Captain or an Officer in charge of the shift. Essential Functions of the Job: Respond to minor and major calls for assistance and service; Perform such duties as driving emergency vehicles and apparatus, working on the fire ground or other incident site, serving in an assigned sector, performing exhaustive physical labor, operating apparatus, tools, appliances and other job related equipment; Perform rescue work and administer emergency medical assistance, assist in fire suppression, salvage, overhaul and fire cause determination; Perform daily maintenance work at the fire station and fire departmental facilities, equipment maintenance, janitorial functions, and grounds upkeep; Participate in training programs; Prepare records and reports, both written and computer generated; Participate in code enforcement, inspection program and public education; Participate in assignments on specialized departmental teams; Conduct special community service activities, such as fire extinguisher educational programs; Regular attendance and punctuality required; Knowledge, Skills, and Abilities: Ability to pass a written exam, physical agility test, oral interview, pre-employment physical exam and drug test, psychological evaluation, T.A.B.E., and background investigation. Ability to perform heavy physical work and to lift and carry up to 100 pounds and occasionally heavier weights; ability to move a person. Ability to stand, walk, sit, ride, climb, twist, kneel, bend, crawl, grasp, reach, pick, pinch, push, pull and perform a variety of similar body movements. Ability to perform required duties while wearing a self-contained breathing apparatus. Ability to learn technical fire fighting, rescue, and EMT principles and techniques. Ability to obtain certification as Firefighter I, or equivalent within one (1) year of employment. Ability to obtain and maintain certification as a State of Nebraska Emergency Medical Technician B within one year of employment. Ability to cope with potentially stressful and stress producing events, incidents and situations. Ability to understand and effectively function in a paramilitary organization. Ability to establish and maintain a cooperative relationship with other employees, supervisors, officials and the public.

4 Ability to work a rotating schedule, which includes 48 hours shifts. Ability to work in a team. Ability to respond to emergency calls when off duty. Minimum Qualifications: Must be 21 years of age by date of hire. Education equivalent to completion of the 12 th grade. A valid Operator license. Hearing must be normal and vision must be correctable to 20/30 and a field of vision of 140 degrees per NFPA guidelines. Preferred Qualifications: Previous experience as a volunteer or paid firefighter. State or National certification as an EMT. Certification as a Firefighter I, II, or equivalent. Demonstrated ability to act and react calmly in stressful situations. In-depth knowledge of the City of Scottsbluff Fire Department, its policies and procedures, duties and functions. Knowledge of streets and occupancies within the City of Scottsbluff. This job description is intended to describe the general nature and level of work to be performed by employees assigned to this classification and is not intended to be construed as an exhaustive list of all responsibilities, duties and skills of personnel so classified. Salary range: $40,622 - $54,544. Hours: 24 hour rotating shifts Fringe Benefits: A Firefighter earns 5 work shifts (120 hours) of vacation per year with the opportunity to earn additional vacation after 10, 15, and 20 full years of service. Additional vacation may be earned if no sick leave is used during a full year of service. Sick leave is earned at the rate of 24 hours (1 working day) per calendar month of service for a total of 288 hours per year. There are 10 paid holidays, 1 personal leave day, a retirement program, health and dental insurance and a term life insurance policy provided by the City. Uniforms and equipment are furnished to each Firefighter. The City of Scottsbluff is an Equal Opportunity Employer. The city fully complies with the provisions of the Americans with Disabilities Act. Only United States citizens and aliens lawfully authorized to work in the United States will be hired. All new employees are required to complete a citizenship verification form.

5 APPLICATION AND TESTING INFORMATION APPLICATIONS: Applications must be returned to the Secretary of the Civil Service Commission/ Director of Human Resources at City Hall, 2525 Circle Dr., Scottsbluff, NE Applications must be received by 4:00 P.M., Friday, APRIL 27, PROOF OF EDUCATION: In addition to completing the standard application form and attachments, individuals must provide a copy of high school diploma, high school equivalency or other proof of education equivalent to completion of the 12 th grade, prior to testing. Any applicant failing to do so will not be allowed to test. VETERAN S PREFERENCE: Any applicant who desires to receive veteran's preference credit on the examination and is qualified for veteran's preference, must claim such on the application form and must furnish a copy of honorable discharge papers with the application at time of filing. If this is not accomplished veteran's preference credits will not be allowed. EXAMINATION PROCEDURE WRITTEN EXAMINATION: Registration of applicants will be held Friday, MAY 11, 2018 beginning at 7:00 A.M. at the Public Safety Building, 1801 Avenue B, Scottsbluff, Nebraska. The written test will begin at 7:30 A.M. MDT. Only qualified applicants who have provided a copy of their high school diploma or equivalent will be allowed to test. Additional information will be provided to qualified applicants prior to exam date. PHYSICAL AGILITY TEST: Those who pass the written examination will participate in a physical agility test, which will be held after the written test, time and place to be announced. ORAL EXAMINATION: Only the applicants who have successfully completed the written test and physical agility test will participate in the oral interviews. The interview panel will consist of the three members of the Civil Service Commission, and the Human Resources Director. FINGERPRINTING: Applicants who successfully pass all portions of the testing process will need to go to the Scottsbluff Police Department, 1801 Avenue B, Scottsbluff to be fingerprinted. APPOINTMENT: The eligible list that is established as a result of this examination will expire one year from the date of certification by the Civil Service Commission. Applicants may be removed from the eligible list for just cause. Appointment to a Firefighter position is subject to the successful completion of a physical examination by a physician of the City s choice, a drug screening test, a thorough background check, and a psychological evaluation.

6 NOTICE OF EXAMINATION FOR THE POSITION OF FIREFIGHTER Pursuant to the Rules of the Civil Service Commission, notice is hereby given that an open entrance examination for the position of Firefighter will be given at the Public Safety Building, 1801 Avenue B, Scottsbluff, Nebraska on Friday, May 11, 2018, beginning at 7:30 A.M. Registration will begin at 7:00 A.M. Minimum passing score is 70% on written portion and 75% on oral portion of the examination. Written portion carries a weight of 50% of the total score and the oral portion carries a weight of 50% of the total score. The physical agility test carries a pass/fail score. An Eligible List established for applicants who pass all phases of the examination will be effective for a period of one (1) year from the date it is established or until it is depleted, whichever occurs first. Appointment is subject to the successful completion of a physical examination, pre-employment drug screening, background check, and a psychological evaluation. Only applications received prior to 4PM MDT on April 27, 2018, will be permitted to participate in the examination. High school diploma or equivalent must be provided prior to testing. To be eligible to claim veteran s preference, a copy of honorable discharge (Form DD214) must be submitted at the time of filing the Application for Employment. An Equal Employment Opportunity Employer, no discrimination of basis of disability, only U.S. citizens and aliens lawfully authorized to work in the United States will be hired and all new employees are required to complete verification form. /s/ Jana Bode, Secretary

7 City of Scottsbluff, Nebraska Application for Employment The City of Scottsbluff is an Equal Opportunity Employer. Race, color, religion, age, sex, disability, marital or veteran status, place of national origin and other categories protected by law are not factors in employment, promotion, compensation or working conditions. Please print or write legibly in ink. Fill in all blanks completely. POSITION APPLIED FOR: DATE OF APPLICATION: Last Name First Name Middle Initial Address: City and State Zip Telephone: Home Cell Work/Business APPLICANT INFORMATION: Do you have a valid driver s license [ ] Yes [ ] No Are you legally eligible to work in the United States? [ ] Yes [ ] No (Proof of citizenship or immigration status will be required upon employment ) *Have you ever been employed with the City of Scottsbluff before? [ ] Yes [ ] No License No. State Exp. date If yes, give date: What Department? Have you ever been dismissed from employment for misconduct, or have you ever resigned [ ] Yes [ ] No on request to avoid discharge? Please explain. Are you currently employed? [ ] Yes [ ] No If yes, may we contact your employer? [ ] Yes [ ] No Are you related to anyone employed by the City of Scottsbluff? [ ] Yes [ ] No If yes, Name of relative: Department: Date you can start: Salary Desired: EDUCATIONAL BACKGROUND: High School or GED Undergraduate College/University Graduate/ Professional School Name and Location Years Completed Diploma/Degree Major and Minor Subjects List Licenses, Professional Registration or other Recognition: List Special Skills or qualifications: MILITARY: Complete this section if you served in the U.S. Armed Forces: Branch of Service Duties and special training: Period of Active Duty: Rank at Discharge: From To Type of Discharge: Are You Claiming Veteran s Preference? [ ] Yes [ ] No If Yes, a copy of honorable discharge papers, (form DD214) must be attached to this application to be eligible. Veteran s Preference only applies when a qualified candidate obtains passing scores on all parts and phases of examination/interviews. For City use only! This application was received by: Date

8 EMPLOYMENT EXPERIENCE: Start with your present or most recent position including any military service and complete the below information fully. If you need additional space, please continue on a separate sheet of paper. Application should be fully completed, without reference to attached resume. In addition, you may include a resume. Name of Employer: Dates Employed (Month & Year) Salary Rate: From: To: Total: Starting: Address: Name of Supervisor: Your Position: End: City State Zip Describe your duties: Telephone Number: Reason for Leaving: Name of Employer: Dates Employed (Month & Year) Salary Rate: From: To: Total: Starting: Address: Name of Supervisor: Your Position: End: City State Zip Describe your duties: Telephone Number: Reason for Leaving: Name of Employer: Dates Employed (Month & Year) Salary Rate: From: To: Total: Starting: Address: Name of Supervisor: Your Position: End: City State Zip Describe your duties: Telephone Number: Reason for Leaving: Name of Employer: Dates Employed (Month & Year) Salary Rate: From: To: Total: Starting: Address: Name of Supervisor: Your Position: End: City State Zip Describe your duties: Telephone Number: Reason for Leaving: REFERENCES: List three references who are neither related to you nor a former employer. Name Address (City, State, Zip) Telephone Number Years Known APPLICANT S STATEMENT: (Read carefully before signing) I certify that answers given in this application are true and complete to the best of my knowledge. I authorize a complete background investigation, including but not limited to all statements contained in the application for employment as may be necessary in arriving at an employment decision. If I am employed by the City based on this application, I understand that false or misleading information given in my application or interview(s) will result in discharge. I understand that if I am hired, my employment is at will, and I can be terminated according to the provisions of the City of Scottsbluff s Personnel Manual. Signed: Date: Revised 4/06

9 CITY OF SCOTTSBLUFF RECRUITMENT INFORMATION FORM FOR THE POSITION OF: FIREFIGHTER Please provide written responses to the following questions and attach to the completed application form. Your Name: How did you learn of this opportunity? 1. Are you able to perform the essential functions of the job as listed on the attached Job Opportunity form? YES NO If no, are there reasonable accommodations that can be made to allow you to perform the essential functions of the job? 2. Why do you want to become a firefighter for the City of Scottsbluff? 3. Have you ever been employed in a position that involved 24 hour shift work? If so, what was the rotation schedule? If not, describe your feelings about working this shift. 4. Describe what interpersonal (people) skills you have to offer the City of Scottsbluff as a Firefighter.

10 ANTI-DRUG PLAN In accordance with the NEBRASKA DRUG FREE WORK PLACE ACT of 1988, and the City of Scottsbluff s Anti-Drug Plan, the City of Scottsbluff has instituted a drug testing program. The City of Scottsbluff has reviewed the legal, operational, social, medical and ethical aspects of instituting this program. I understand that manufacture, distribution, possession, use, sale, transfer, purchase, and transport of illegal drugs will be considered a violation of the City of Scottsbluff s Anti-Drug Plan and shall be grounds for disciplinary action, including termination. This program allows all employees to enjoy a safe, productive, and healthy work environment. Individuals are urged to seek assistance prior to problems affecting on-the-job performance. PRE-EMPLOYMENT: Job applicants who are being considered for employment for positions with particular responsibilities must read the Anti-Drug Plan, sign a consent form, and submit to pre-employment drug testing. CERTIFICATION: I have read, and understand the content of the above Anti- Drug Plan. I understand that compliance with the Anti-Drug will be considered a condition of employment with the City of Scottsbluff. Date Signature

11 CITY OF SCOTTSBLUFF EMPLOYMENT REFERENCE CHECK I authorize the City of Scottsbluff to check previous employment and /or personal references listed on my application and/or resume. I also give my consent to the City of Scottsbluff to obtain the following: Records of educational institutions that I have attended; Driving record and civil and *criminal history records; employment records from previous employers to include evaluations, disciplinary history, complaints or grievances filed by or against me. Pre-employment records from prospective employers. A consumer report that might show financial and credit information, including credit reports and ratings; records from Financial Institutions to include loan performance, loan officer notes and financial statements, understanding that I have rights under the Fair Credit Reporting Act. Any information from Counsel who have represented me in civil or* criminal cases and I specifically waive the attorney client privilege in that regard. The above records may be obtained through a variety of agencies/sources, including the internet. Signature Address Date (Including maiden name) Social Security # _ - - Phone Number Most recent or current Employer Telephone Supervisor s Name Title Date of Employment *The City of Scottsbluff will not conduct a criminal background or history check for you unless and until the City determines that you meet the minimum employment qualifications for the position applied for. This limitation does not apply to applicants for police officer positions.

12 FAIR CREDIT REPORT ACT DISCLOSURE & AUTHORIZATION DISCLOSURE As an applicant for employment or a current employee of the City of Scottsbluff, you are a consumer with rights under the Fair Credit Reporting Act. When any of the following circumstances exits, the City of Scottsbluff may choose to obtain and use information contained in either a consumer report or an investigative consumer report from a consumer reporting agency about you: (1) when considering your application for employment, (2) when making a decision to offer you employment, (3) when deciding whether to continue your employment (if you are hired), or (4) when making other employment-related decisions directly affecting you. For explanation purposes, a consumer reporting agency is a person or business which, for monetary fees, dues, or on a cooperative nonprofit basis, regularly assembles or evaluates consumer credit information or other information on consumers for the purpose of furnishing consumer reports to others, such as the City of Scottsbluff. A consumer report means any written, oral or other communication of any information by a consumer reporting agency bearing on your credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living which is used or expected to be used or collected in whole or in part for the purpose of serving as a factor in establishing your eligibility for employment purposes. An investigative consumer report means a consumer report or portion thereof in which information on your character, general reputation, personal characteristics, or mode of living is obtained through personal interviews with your neighbors, friends, or associates reported on or with other with whom you are acquainted or who may have knowledge concerning any such items of information. In the event an investigative consumer report is prepared, you may request additional disclosures regarding the nature and scope of the investigative requested as well as a written summary of your rights under the Fair Credit Reporting Act. AUTHORIZATION By signing below, I,, hereby voluntarily authorize the City of Scottsbluff to obtain a consumer report or an investigative consumer report about me from a consumer reporting agency and to consider this information when making decisions regarding my employment at the City of Scottsbluff. I understand that I have rights under the Fair Credit Reporting Act, including the rights discussed above. Name Date

13 Para informacion en espanol, visite o escribe a la FTC Consumer Response Center, Room 130-A 600 Pennsylvania Ave. N.W., Washington, D.C A Summary of Your Rights Under the Fair Credit Reporting Act The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell information about check writing histories, medical records, and rental history records). Here is a summary of your major rights under the FCRA. For more information, including information about additional rights, go to or write to: Consumer Response Center, Room 130-A, Federal Trade Commission, 600 Pennsylvania Ave. N.W., Washington, D.C You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment or to take another adverse action against you must tell you, and must give you the name, address, and phone number of the agency that provided the information. You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your file disclosure ). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if: a person has taken adverse action against you because of information in your credit report; you are the victim of identify theft and place a fraud alert in your file; your file contains inaccurate information as a result of fraud; you are on public assistance; you are unemployed but expect to apply for employment within 60 days. In addition, by September 2005 all consumers will be entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See for additional information. You have the right to ask for a credit score. Credit scores are numerical summaries of your creditworthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender. You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See for an explanation of dispute procedures. Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate. Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old. Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need -- usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access. You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to

14 You may limit prescreened offers of credit and insurance you get based on information in your credit report. Unsolicited prescreened offers for credit and insurance must include a toll-free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt-out with the nationwide credit bureaus at OPTOUT ( ). You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court. Identity theft victims and active duty military personnel have additional rights. For more information, visit States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. Federal enforcers are: TYPE OF BUSINESS: Consumer reporting agencies, creditors and others not listed below National banks, federal branches/agencies of foreign banks (word "National" or initials "N.A." appear in or after bank's name) Federal Reserve System member banks (except national banks, and federal branches/agencies of foreign banks) Savings associations and federally chartered savings banks (word "Federal" or initials "F.S.B." appear in federal institution's name) Federal credit unions (words "Federal Credit Union" appear in institution's name) State-chartered banks that are not members of the Federal Reserve System Air, surface, or rail common carriers regulated by former Civil Aeronautics Board or Interstate Commerce Commission Activities subject to the Packers and Stockyards Act, 1921 CONTACT: Federal Trade Commission: Consumer Response Center - FCRA Washington, DC Office of the Comptroller of the Currency Compliance Management, Mail Stop 6-6 Washington, DC Federal Reserve Consumer Help (FRCH) P O Box 1200 Minneapolis, MN Telephone: Website Address: Address: ConsumerHelp@FederalReserve.gov Office of Thrift Supervision Consumer Complaints Washington, DC National Credit Union Administration 1775 Duke Street Alexandria, VA Federal Deposit Insurance Corporation Consumer Response Center, 2345 Grand Avenue, Suite 100 Kansas City, Missouri Department of Transportation, Office of Financial Management Washington, DC Department of Agriculture Office of Deputy Administrator GIPSA Washington, DC

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