Graduation from high school or possession of a High School Equivalency Diploma,. United States ... courses), accredited
POST CONSPICUOUSLY
MUNICIPAL CIVIL SERVICE COMMISSION THIS IS NOT AN OFFER OF EMPLOYMENT 1 Larkin Center, 2nd Floor Yonkers, New York 10701
www.yonkersny.gov A NON-REFUNDABLE $50.00 APPLICATION FEE IS REQUIRED FIREFIGHTER EXAMINATION NO.: 61-174
STARTING SALARY: $64,274
EXAMINATION DATE: March 19, 2016
OFFICIAL FILING PERIOD: November 2, 2015 – December 4, 2015
VACANCIES: As they may occur THE JOB DUTIES: The work is of a hazardous nature, involving responsibility for fire fighting and prevention, salvage and rescue operations and requiring mental acuity and physical stamina in the performance of the duties. The incumbent performs firefighting and prevention duties under the direct supervision of superior officers, while routine custodial work at the station house and maintenance of equipment is performed under general supervision and inspected upon completion. ESSENTIAL FUNCTIONS: Responds to fire alarms, emergency and medical emergency calls with fire company; Lays and connects hose lines and nozzles weighing up to 150 pounds, turns water on and off; Holds fire hose and directs the stream; Operates a pressure pump; Makes openings in burning buildings for ventilation and entrances; Removes persons and property from burning buildings; Performs salvage operations at scenes of fire, such as covering furniture with tarpaulins and cleaning debris; Learns and practices new methods; Drives and operates motor-driven fire fighting equipment; Administers emergency first aid treatment to injured persons; Cleans and maintains fire fighting equipment. RELATED WORK ACTIVITIES: Does related work as required.
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APPLICATIONS Applications are available from September 18, 2015 through December 4, 2015 at the Recruitment Center, Riverfront Library, 1 Larkin Center, 4th Floor, Yonkers, NY, Monday through Friday 8:00 a.m. – 8:00 p.m. and Saturday 9:00 a.m. – 5:00 p.m. The telephone numbers are (914) 207-2990, 2991, 2992. Beginning November 2, 2015 through December 4, 2015 applications will be available at the Civil Service office, 1 Larkin Center, 2nd Floor, Monday through Friday, 8:30 a.m. - 4:30 p.m. APPLICATIONS MUST BE FILED IN PERSON during the indicated hours. YOU MUST BRING WITH YOU: Check or money order in the amount of $50.00 (nonrefundable) payable to the City of Yonkers; proof of age; separation papers (DD214) if applying for veteran’s credits; and proof of residency must be submitted at time of filing. Possession of a valid New York State Class D Driver’s License and proof of education are necessary prior to permanent appointment. REQUIREMENTS RESIDENCE: FOR PURPOSE OF THIS APPLICATION RESIDENCY MEANS DOMICILE Candidates must be legal residents of Westchester County for at least three (3) months immediately preceding the date of the written examination and continuously up to and including the date of appointment. PREFERENCE IN APPOINTMENT WILL BE GIVEN TO SUCCESSFUL CANDIDATES WHO HAVE BEEN LEGAL RESIDENTS OF THE CITY OF YONKERS FOR AT LEAST THREE (3) MONTHS IMMEDIATELY PRECEDING THE DATE OF THE WRITTEN EXAMINATION AND CONTINUOUSLY UP TO AND INCLUDING THE DATE OF APPOINTMENT. AGE: Candidates must be at least 17 years and 6 months of age and not have reached their 29th birthday on the date of the written test. At the time of appointment, candidates must be at least 18 years of age. Applicants who lack one (1) month or less of the minimum age requirement shall be deemed eligible if otherwise qualified. An individual may have a period of military duty, as defined in Sect. 243 (1-b) of the New York State Military Law, deducted from his/her chronological age to meet such age requirements. The amount of time which can be deducted from the maximum age requirement may be up to six (6) years. PROOF OF AGE: Candidate must submit at the time of filing: OR OR
A Birth Certificate with a raised seal; A certified copy of a Birth Certificate with a raised seal; Other evidence of age satisfactory to the Commission (Driver’s license, passport, legal document).
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EDUCATION/WORK EXPERIENCE: At time of appointment, a candidate must have obtained: A)
B)
C)
D)
Graduation from high school or possession of a High School Equivalency Diploma, United States Armed Forces General Education Certification or a diploma, degree, certification or other academic credentials equal to a high school education that is accepted by the New York State Department of Education; or Completion of twenty-four credit hours of college level courses (including fire science courses), accredited by the New York State Department of Education, provided that the applicant obtains from the New York State Department of Education a high school equivalency diploma prior to appointment; or Two (2) years of satisfactory experience as a full-time paid firefighter or fire officer in a municipality other than Yonkers, or a comparable full-time paid position as a firefighter or fire officer in the United States Armed Forces, Coast Guard, or civilian employment with the United States Government, provided that the applicant has remained in good standing up to and including the date of termination; or An equivalent combination of training and experience as defined by the limits of (A) through (C).
Applicants who meet the criteria for application but do not possess all the requisite qualifications for appointment may continue through the application procedure but must meet the qualifications by time of appointment as a Firefighter. The applicant who lacks sufficient educational qualifications or prior work experience may participate in training courses to obtain a High School Equivalency Diploma and may obtain counseling information necessary to obtain a High School Equivalency Diploma from the Recruitment Office. IF YOU THINK YOU DO NOT SATISFY ONE OR MORE OF THE REQUIREMENTS NOW, YOU MAY STILL TAKE THE EXAMINATION, BUT SHOULD CONTACT THE RECRUITMENT OFFICE REGARDING HOW YOU CAN OBTAIN THE QUALIFICATIONS THAT YOU NEED FOR APPOINTMENT. EXAMINATION Portions of the examination include: WRITTEN TEST - Relative Weight 50% CANDIDATES MUST PASS WRITTEN PORTION UNLESS OTHERWISE NOTIFIED, CANDIDATES ARE ALLOWED TO USE QUIET, HANDHELD SOLAR OR BATTERY POWERED CALCULATORS. DEVICES WITH TYPEWRITER KEYBOARDS, “SPELL CHECKERS”, “PERSONAL DIGITAL ASSISTANTS”, “ADDRESS BOOKS”, “LANGUAGE TRANSLATORS”, “DICTIONARIES”, OR ANY SIMILAR DEVICES ARE PROHIBITED. YOU MAY NOT BRING BOOKS OR OTHER REFERENCE MATERIALS. PHYSICAL AGILITY TEST - Relative Weight 50% The physical agility portion of the exam will be offered only to Yonkers residents until such time as hiring needs dictate the necessity to test non-residents. Physical – physical agility requirements must be in accordance with adopted standards as listed on the attached supplement sheets. The standards for the Physical tests are to be considered part of this Notice.
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The physical agility examination prior to appointment is required to make sure that the individual is physically able to perform, in a reasonable manner, the duties and responsibilities of a Firefighter. Medical – Medical requirements must be in accordance with adopted standards as listed on the attached supplement sheets. The standards for the Medical tests are to be considered part of this Notice. The Medical examination is required to make sure that the individual is physically able to perform, in a reasonable manner, the duties and responsibilities of a Firefighter. APPOINTMENTS This examination is being held to fill future vacancies in the Yonkers Fire Department. Successful applicants on the written and physical agility tests will be placed in rank order on the eligible list. Eligibles who receive a conditional offer of employment will be required to pass a qualifying medical examination. FINGERPRINTING: Prior to certification for permanent appointment, candidates will be required to be processed through full fingerprinting. DURATION OF LIST: The eligible list established by the Civil Service Commission will remain in force for at least two (2) years but not more than four (4) years. VETERANS: Disabled and non-disabled veterans who establish eligibility for additional credits and are successful in the examination are entitled to have 10 and 5 points, respectively, added to their earned scores. It is necessary to claim these credits with the filing of your application. You will be allowed the option of waiving these credits after the completion of the examination. SABBATH OBSERVER: The Commission must be notified in advance if an applicant desires special provisions to take the written examination as a Sabbath Observer or disabled person. Justification for such special provisions must be presented in writing at time of filing application. This examination for Firefighter is being given in accordance with the Federal Court consent decrees entered with the Vulcan Society of Westchester County 78 Civ. 911 (ADS), and the United States Justice Department 80 Civ. 0336 (ADS). FREE TRAINING SESSION will be available for preparation for the written examination. Applications and further information are available at: Civil Service Commission Recruitment Center 1 Larkin Center Riverfront Library 2nd Floor 1 Larkin Center, 4th Floor Yonkers, NY 10701 Yonkers, NY 10701 (914) 377-6092 (914) 207-2990, 2991, 2992
www.yonkersny.gov
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SCOPE OF WRITTEN EXAMINATION A Guide to taking the Written Test for Firefighter Series is available on the New York State Department of Civil Service website at: http://www.cs.state.ny.us/testing/localtestguides.cfm, or in the Civil Service office. WRITTEN TEST designed to evaluate knowledge, skills and/or abilities in the following areas: 1.
ADVISING AND INTERACTING WITH OTHERS These questions test for the ability to interact with other people, to gather and present information, and to provide assistance and advice in a courteous and professional manner.
2.
USING LOGICAL REASONING TO DRAW VALID CONCLUSIONS These questions test for the ability to examine true statements and logically evaluate conclusions based on the information in the statements.
3.
MECHANICAL REASONING The questions in this subtest will be accompanied by sketches or descriptions of various mechanical devices, hand tools, dials or gauges. The candidate may be required to demonstrate an understanding of how the devices work or of the underlying mechanical principles involved in the devices’ operation; or be required to recognize, or know the use for, various tools or devices; and also be required to make accurate readings of dials and gauges. The various devices, tools, gauges, etc., pictured or described in this subtest are commonly used and not limited to use in the fire service.
4.
UNDERSTANDING AND INTERPRETING WRITTEN MATERIAL PERTAINING TO FIRE The questions in this subtest test how well the candidate comprehends written material. The candidate is provided with brief reading selections, followed by a set of alternative statements relating to each selection. The candidate is to indicate the most appropriate statement relating to the selection on the basis of whether it: a. b. c.
accurately paraphrases portions of the selection; or adequately summarizes the selection; or presents an inference that can reasonably be drawn from the selection.
The reading selections are drawn from a variety of sources related to the fire fighting field. Knowledge of the subject matter of the reading selection is generally not related to successfully answering the questions. A Guide for the Written Test for Firefighter is available at the New York State Candidates Website: http://www.cs.state.ny.us/testing/localtestguides.cfm. not having access to a computer or the internet may request a copy of the test guide from the municipal civil service office conducting this examination using the contact information found elsewhere on this announcement. PHYSICAL AGILITY TEST DATES TO BE ANNOUNCED FREE TRAINING SESSIONS FOR THOSE SCHEDULED TO TAKE THIS TEST WILL BE MADE AVAILABLE IN PREPARATION FOR THE PHYSICAL AGILITY TEST AND WILL BE
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GIVEN AT THE WESTCHESTER COUNTY FIRE TRAINING FACILITY LOCATED OFF ROUTE 9A IN VALHALLA. FOR FURTHER DETAILS CONTACT: Civil Service Commission 1 Larkin Center, 2nd Floor Yonkers, NY 10701 (914) 377-6092 PHYSICAL AGILITY TEST TO QUALIFY ON THE PERFORMANCE EXAMINATION, A CANDIDATE MUST COMPETE IN ALL SUBTESTS. CANDIDATES SHOULD WEAR CLOTHING APPROPRIATE FOR OPTIMUM PERFORMANCE OF RIGOROUS PHYSICAL ACTIVITIES. RUBBER SOLE FOOTWEAR OR SNEAKERS ARE RECOMMENDED TO PROVIDE FOR MAXIMUM TRACTION. DESCRIPTION OF THE TEST PASS/FAIL TESTS These tests are scored on the basis of passing or failing. You must pass the first two pass/fail tests to be eligible to advance to the timed tests. If you fail either the aerial ladder climb or the ladder lift, you are disqualified and may not proceed to the remainder of the tests. No second attempt will be allowed on any of the pass/fail tests. No point credit is given for any of the pass/fail tests. You must complete the aerial ladder climb within five (5) minutes, the ladder lift within three (3) minutes. No extra credit is given for speed on these tests. 1.
LADDER CLIMB An aerial ladder will be extended to approximately seventy (70) feet and will be at an angle of approximately seventy (70) degrees. You must climb to the top of the ladder, touch the top of the ladder, and return to the starting point on the ground. You may not stop for more than ten (10) seconds at any point in the climb up or down. You must wear the safety belt supplied.
2.
LADDER LIFT A twenty-eight (28) foot extension ladder is hung from the side of a fire truck. The top rail (side) of the ladder is about six and one-half (6 ½) feet above the ground. The bottom rail is about five (5) feet above the ground. You will grab the ladder, lift it off the hooks, and lower it to the ground. You may not drop the ladder. You may not take the ladder off the hooks one end at a time. After you have placed the ladder on the ground, you will step back. The test administrator will then tell you to go ahead and put the ladder back on the truck. You will put the ladder back the same way you removed it, by grabbing it in the middle and lifting it up onto the hooks. You may not lift one end and then the other. You must stand on the ground when taking the ladder from the truck and when putting it back onto the truck.
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TIMED TESTS THE FOUR (4) TIMED TESTS MUST BE PERFORMED IN THE ORDER GIVEN BELOW. 3.
HOSE PULL The start/finish line will be ninety (90) feet before a hydrant. A one hundred (100) foot length of 2½ inch hose will be connected to the hydrant and laid out on the opposite side of the hydrant from the start/finish line. You will stand three (3) feet behind the start/finish line and, on the test administrator’s instruction, run and pick up the nozzle and hose at the far end. You will place the hose over your shoulder and drag it back to the drop zone which is ten (10) feet before the start/finish line. In the drop zone, there will be a designated area in which you will place, not throw, the nozzle. You will then continue across the start/finish line. The time clock is started and stopped as you cross the start/finish line. The 2½ inch hose will not be charged with water. The hose must be carried, as described, over the shoulder. The nozzle must be in front of you and may not drag on the ground. If the hose is dropped, you may pick it up, put it back on your shoulder, and continue the pull. Dropping a hose will cause you to lose several seconds in time. You should be careful not to lose control of the hose. You must have control of the hose when you reach the drop zone.
4.
DONUT LIFT This test must be performed using the gloves provided. The gloves will have leather palms and fingers. Small, medium and large sizes will be available. The test is performed from the roof of the drill tower, which is six (6) stories tall. A donut of 2½ inch hose is placed on the ground. A ¾ inch manila rope is tied to the hose and extends to the roof where the other end is tied. Wearing a safety belt which is provided, you will stand three (3) feet behind the start/finish line and, on the instruction of the test administrator, cross the line, move to the rail, attach the safety belt, pick up the rope, and pull the donut of hose to the top, and over the rail. You will unhook the safety belt and return across the start/finish line. The coil of hose must be lifted by pulling the rope in a hand-over-hand fashion. You may not walk away from the edge of the roof while pulling the rope since you are attached to the rail by the safety belt. You may not release the safety belt until you are ready to move directly to the start/finish line. There are open windows on the floors below where you are working. If you do not pull the rope evenly, the donut of hose will start to swing and may catch on the open windows. To be sure that you perform this test in the shortest time, try to pull the rope as evenly as possible.
5.
HOSE CARRY You must carry a one hundred (100) foot section of 1½ inch hose from the ground up five (5) floors and back to the ground. The hose will be folded and on the ground at the start of the test. The hose weighs approximately fifty-five (55) pounds.
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You must stand three (3) feet behind the start/finish line. On the instruction of the test administrator, you must cross the start/finish line and pick up the hose. The hose must be placed on either shoulder and carried in that manner up the internal stairway of the tower. At the fifth (5th) floor, you must touch the tape marker on the standpipe on that floor with your free hand. This marker will be pointed out to you when you climb to the roof in preparation for the previous test. After touching the marker, you will immediately return to the ground level, place the hose on the ground in the drop zone, and cross the start/finish line. If you drop the hose, you may pick it up. However, the hose must be carried on the shoulder. Dropping the hose will obviously increase the time it takes to complete this test. 6.
OVERHEAD PULLEY This test must be performed using the same type of gloves used for the donut lift. You will use the gloves supplied. A ¾ inch manila rope will be attached to a fifty (50)-pound weight. The rope will extend upward and over a pulley and then down to the ground. For this test, you must pull the weight to a height of twenty feet above the ground and then lower the weight to the ground without losing control of the weight. You will stand three (3) feet behind the start/finish line. On the instruction of the test administrator, you will cross the start/finish line, run to the pulley, and grab the free end of the rope. You must stand on the concrete sidewalk. The weight will be resting in a bluestone area just at the edge of the sidewalk. The rope will be marked with a band of tape at a point twenty (20) feet above the ground. You must pull the rope until you can touch the band of tape to the ground, at which time the weight will be twenty (20) feet above the ground. You will then lower the weight to the ground. The weight must be raised in a handover-hand fashion and lowered in the similar, but reverse, fashion. You must not lose control of the weight. If the rope slips through your hands or you lose your grip on the rope, you are disqualified. After lowering the weight to the ground, you return to the start/finish line.
SCORING OF THE PHYSICAL STRENGTH/AGILITY TEST Evolutions number 1 and 2 are rated Pass/Fail and will not enter into your performance score. Failure to successfully complete any of these two (2) evolutions will result in disqualification. You will be allowed one chance only for each evolution except for equipment failure or procedural error by the examiners. Evolutions 3, 4, 5 and 6 will be timed and scored. The scores will be computed on the basis of the relative performance of each applicant. Points will be awarded based upon a normal curve of all applicants. Each subtest which is timed will be weighted equally in the net score. Pass/Fail tests are not included in that score. Failure on any Pass/Fail test will result in disqualification. AN EQUAL OPPORTUNITY EMPLOYER YONKERS MUNICIPAL CIVIL SERVICE COMMISSION Dated: September 2015 Yonkers, New York
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APPLICATION FOR EXAMINATION Hand deliver with non-refundable application fee of $50.00, to: MUNICIPAL CIVIL SERVICE COMMISSION ONE LARKIN CENTER, 2ND FLOOR, YONKERS, NY 10701 (914) 377-6092 / Fax (914) 377-6838 www.yonkersny.gov
Make check or money order payable to CITY OF YONKERS. Include name and exam number.
NUMBER OF EXAMINATION: 61‐174 TITLE OF EXAMINATION: FIREFIGHTER A SEPARATE APPLICATION MUST BE FILED FOR EACH EXAMINATION NUMBER: ALL STATEMENTS ARE SUBJECT TO VERIFICATION This application is part of your examination. Answer all questions fully and carefully in ink or online. Some questions can be answered by checking the choice which applies to you. Attach additional sheets if necessary in order to give complete and detailed information.
1. FULL NAME
10. Veterans Credit
Last
First
Do you claim additional credits as an honorably discharged WAR VETERAN?
M.I
(A) (B) (C)
Street Address
Apt. No.
(D)
City
State
Zip
Work
E-mail
11. Have you ever taken any other examination given by this
IMMEDIATE NOTICE SHOULD BE GIVEN OF ANY CHANGE IN ADDRESS OR PHONE NUMBER BEFORE OR AFTER EXAMINATION
commission? If “YES” give titles and date. (Attach additional sheets if necessary)
2. DATE OF BIRTH / SEX
Titles of Examinations
(Mandatory for Police Officer, Firefighter, Detention Officer ONLY)
Month Day Year F
If “YES” additional veteran’s credit form must be completed and returned with original DD‐214 (discharge papers)
( ) ‐ ( ) ‐ Telephone-Home
Yes, as a disabled veteran. Yes, as a non‐disabled veteran. No, I have used my credits. No.
Dates
M
-
3. SOCIAL SECURITY NUMBER -
-
4. LEGAL RESIDENCE Fill in the name of the city or village, county, and state of which you are a permanent resident. Show the number of years and months that you have continuously lived in EACH of these units immediately preceding the date of this application.
NAME
City / Village County State
YEARS
MONTHS
-
12. EDUCATION: Read job description for educational requirements, if any. If specialized coursework is required, attach a list of the required courses and semester credit hours you completed.
Do you have a High School or Equivalency Diploma? YES
If Yes, Name and location of High
5. CITIZENSHIP
School or Issuing Governmental Authority:
Only candidates for Public Officer positions (such as Police Officer, etc.) must answer this question
Date Graduated Or Date Issued:
Are you a citizen of the United States? Check One (A) Yes, by birth (B) Yes, by naturalization or derivation (C) No, not a citizen
College, University, Professional or Technical School:
These questions are required by Civil Service Law. By agreement with the Commission on Human Rights, answers will not be revealed to appointing officers. If you are a naturalized citizen or your citizenship is based on naturalization of parent or spouse, submit proof to this commission in person.
To:
6. Except for criminal actions terminated in your favor, youthful offender
Date of Attendance (Month/Year)
Your former employer ? Your present employer ?
YES
NO
YES
NO
Address: (Street, City and State)
Address: (Street, City and State)
THIS AFFIRMATION MUST BE COMPLETED I affirm that the statements made on this application (including any attached papers) are true under the penalties of perjury.
Signature
If answer is yes to either A/B, please explain (Attach additional sheet)
8. Were you ever dismissed from any employment?
NO
Date Degree Received or Expected:
Name:
(B)
No. of Credits Received:
Type of Degree/Major:
If “Yes” to either or both of the above, give the particulars of and the disposition of each charge on a separate sheet and attach the same. A conviction is not an automatic bar to employment. Each case is considered on its individual merits.
regarding your character and qualifications from
Did you Graduate? YES
Name:
7. Have you any objections to this Commission making inquiry
No. of Years Credited:
From:
adjudications, or any sealed convictions (minor traffic infractions or violations), have you ever been convicted of an offense or crime against NO the law? YES Are you now under any pending charges for any crime? YES NO
(A)
NO
YES
NO If answer is Yes please explain (Attach additional Sheet) 9. Do you require special testing arrangements as a religious NO observer or disabled person? YES
DO NOT WRITE BELOW APPROVED CONDITIONAL
DISAPPROVED If answer is Yes please explain (Attach additional Sheet) ALL UNIFORMED SERVICES POSITION APPLICATIONS MUST BE FILED IN PERSON.
Date
13. LICENSE OR CERTIFICATION:
Complete the following if a license, certificate or other authorization to practice a trade or profession is required. If NOT
currently licensed, check this box: Name of Trade or Profession: Specialty:
License Number: Granted by (license agency) City or State: Date License Issued: Current Registration From: (Mo./Yr.) / To: (Mo./Yr.) / 14. DESCRIBE YOUR EXPERIENCE: Beginning with you most recent, list all employment, military service, or volunteer experience that shows you meet the minimum qualifications. We cannot interpret omissions or vagueness In your favor. You are responsible for an accurate and clear description of your experience. Do not send your resume. Under “Duties” describe the nature of the work which you personally performed including the estimated percentage of time spent on each type of activity. If you supervise, state how many people and the nature of such supervision. LENGTH OF EMPLOYMENT FIRM NAME: ADDRESS: CITY AND STATE FROM: TO: EARNINGS $
WK
(Check One) MO YR
TYPE OF BUSINESS
DUTIES:
YOUR EXACT TITLE
NAME OF SUPERVISOR
SUPERVISOR’S TITLE
No. of hours worked per week
(exclusive of overtime):
LENGTH OF EMPLOYMENT FROM: TO: EARNINGS (Check One) $ WK MO YR TYPE OF BUSINESS
FIRM NAME:
ADDRESS:
CITY AND STATE
ADDRESS:
CITY AND STATE
ADDRESS:
CITY AND STATE
DUTIES:
YOUR EXACT TITLE NAME OF SUPERVISOR
SUPERVISOR’S TITLE No. of hours worked per week (exclusive of overtime):
LENGTH OF EMPLOYMENT FROM: TO: EARNINGS $
WK
FIRM NAME:
(Check One) MO YR
TYPE OF BUSINESS
DUTIES:
YOUR EXACT TITLE
NAME OF SUPERVISOR
SUPERVISOR’S TITLE
No. of hours worked per week
(exclusive of overtime):
LENGTH OF EMPLOYMENT FROM: TO: EARNINGS (Check One) $ WK MO YR
FIRM NAME: DUTIES:
TYPE OF BUSINESS
YOUR EXACT TITLE
NAME OF SUPERVISOR
SUPERVISOR’S TITLE
No. of hours worked per week
(exclusive of overtime):
AN EQUAL OPPORTUNITY EMPLOYER
HIRING AND APPOINTMENTS SHALL BE BASED ON INDIVIDUAL CAPABILITY AND MERIT AND ARE MADE IN OBSERVANCE OF CIVIL SERVICE LAW. FEDERAL, STATE, CITY LAWS PROHIBIT DISCRIMINATION IN APPOINTMENTS BASED ON RACE, COLOR, RELIGION, AGE, GENDER, NATIONAL ORIGIN, MARITAL STATUS, DISABILITY, OR POLITICAL ORIENTATION, EX-OFFENDER STATUS AND STATUS AS A VIETNAM ERA VETERAN, UNLESS OTHERWISE SPECIFIED BY LAW.
2016 Firefighteers/Affirmative Action Recruitmen nt Program m Mandatorry Training g Questionna aire/Civil Service Exam mination # 661-174 Please filll in questionn naire to enablee compliance with the disccrimination prrohibition reqquirements off federal an nd state law. * 1. First F Name:__ ___________ ____________ _____ Last N Name: ________________________________ Address: A ____ ___________ __________ City________ C ________ Staate_______ Z Zip code ________ Home: H ( ) _ Cell: ( ) _ Email: E ______ ___________ ____________ ___ 2. Gender: G ___Male ___Fem male Select One 3. Ethnicity: E 4. Veteran: V ___Yes _ ___ _ No 5. High H School Diploma D ___Y Yes ___ No N GED D ___Yes ___ No 6. College/Unive C ersity Degreee: Select One 7. Do D you have a New York State S Driver’s License: ___Yes ___ No 8. How H did you learn l about Yonkers Y Fireefighters Dep partment job b opportunityy? Active Fireefighter News Radio/TV poster/flyer Brochure/p Other: ___ ____________ ___ This is to advise a you, thee applicant, thatt the City of Yonkers will connduct “Traininng Program” inn order to enhannce the candidaates’ achievem ment level on th he Civil Servicee Examinationn for “Firefighteers.” The “Train ning Sessions” will be conduccted between th he application deadline and th the date of adm ministration of tthe written testt. Minimally, the t “Training Sessions” S shall each be of threee (3) hours duuration and shaall be held at leeast once a weeek for six (6) co onsecutive weeeks in Yonkerss during eveninng hours. An appplicant who hhas, or will be approved to t take the writtten test may atttend and or alll of the trainingg sessions withhout payment oof any fee for ssuch sessions, and without satiisfaction of any y registration, or other requirrement other thhan the compleetion of the questionnaaire. Additionaally, those cand didates who haave not already y achieved a Hiigh School Dipploma, or the E Equivalency, w will be provided d the means to obtaining sam me at some poin nt in time folloowing the date oof administratiion of written ttest. Certification I certify that I have been advised of my y rights to atten nd the “Trainingg Sessions” in preparation foor the Firefighteer on. In accordan nce, it is thereffore my intent: Examinatio _____N Not to Attend
______To Attend
kers resident I will w need furtheer information on how I may obtain a High School Equivaalency Diplom ma. As a Yonk _____Y Yes
_____No
_____________ ____________ __ Print Namee: __________ Signature: ____________ ____________ _____________ __
Date: ______/______/________
*This raacial/ethnic and se ex data is being sou ught pursuant to N New York Executivve Law, section 2996 (I) (d), to assist iin determining wh hether this writtten test, in whole e or in part, is unbiased, and to enab ble compliance witth the discriminat ion prohibition requirements of fed deral and statte law. This inform mation will not be used for any purpose except as requuired by order of tthe United States District Court.
