Joint Fire Department Background Check Authorization

Eagle Fire Department
126 E. Main St.
Eagle, WI 53119
262.594.3302/Fx 262.594.3393
www.eaglefiredepartment.com

Mukwonago Fire Department
P O Box 206 1111 Fox St.
Mukwonago, WI 53149
262.363.6426/Fx 262.363.6454
www.mukwonagofire.org

Waterford Fire Department
801 Mohr Ave.
Waterford, WI 53185
262.534.7019/Fx 262.534.5373
www.waterfordwi.org

Background Check Authorization For Employment
The Eagle, Mukwonago and Waterford Fire Depart-ments, heretofore, referred to as Employer, are equal opportunity employers and afford equal opportunity to all applicants for all positions without regard to race, color, religion, gender, nationality, disability, veteran status, or any other status protected under local, state, or federal law.
All applicants are subject to a criminal background check as a condition of employment. Note that a criminal record and a pending criminal charge will not automatically bar you from employment.
Please provide the information requested. Confidentiality is maintained in all circumstances.
Name
First Middle Last
Address
Street Address Address Line 2 City State ZIP Code
Email
Birth Date
Date Format: MM slash DD slash YYYY
Driver's License State
Driver's License Number

Background Check Authorization For Employment