HomeMy WebLinkAboutRes2020-002 Sponsored by: Meszaros
CITY OF SEWARD, ALASKA
RESOLUTION 2020-002
A RESOLUTION OF THE CITY COUNCIL OF THE CITY OF SEWARD,
ALASKA, APPROVING THE CITY MANAGER'S APPOINTMENT OF
R. CLINTON CRITES AS FIRE CHIEF
WHEREAS, Seward City Code § 2.20.015 requires the City Manager's appointment for
the Fire Chief position to receive approval from the City Council; and
WHEREAS, the Fire Chief position was opened for recruitment, and Deputy FueChief, R
Clinton Crites applied for and was offered the position; and
WHEREAS, Mr.Crites is an asset to the City's administration team,the Fire Department and
the community; and
WHEREAS, in addition to serving as the City of Seward's Deputy Fire Chief since
September 2018, Mr. Crites has over 21 years of experience in the field of firefighting and
emergency services; and
WHEREAS, Mr. Crites' certifications include Firefighter II, Fire Investigator, Fire
Instructor II, Fire Officer II, Hazardous Material Operations/Hazwoper Technician, Fire Inspector
I&II, State of Alaska Intensive Care Paramedic, and many others too numerous to list,making Mr.
Crites uniquely and highly qualified.
NOW, THEREFORE, BE IT RESOLVED BY THE CITY COUNCIL OF THE
CITY OF SEWARD, ALASKA that:
Section 1. Seward City Council hereby approves the City Manager's appointment of
Clinton Crites as Fire Chief effective immediately.
Section 2. This resolution shall take effect immediately upon adoption.
PASSED AND APPROVED by the City Council of the City of Seward, Alaska, this 6th
day of January, 2020.
7jlEWhi
• KA
, ''risty Ter y, Mayor
iar
CITY OF SEWARD,.ALASKA
RESOLUTION 2020-002
J
AYES: McClure, Osenga, Baclaan, Butts, Lane, Terry
NOES: None
ABSENT: Seese
ABSTAIN: None
ATTEST:
renda J. Ballo MC
City Clerk
(City Seal) , = , .
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Agenda Statement
Meeting Date: January 6, 2020
To: City Council
From: Scott Meszaros, City Manager
Agenda Item: Approval of R. Clinton Crites as Fire Chief
BACKGROUND & JUSTIFICATION:
The City of Seward, Fire Chief position was opened internally following vacancy. An onsite
interview was conducted by the City Manager and an interview committee. Based on education,
experience and communication skills, R. Clinton Crites was selected for the Fire Chief position
via internal promotion.
Mr. Crites has been serving as the Deputy Fire Chief since September 2018, and has served as
the second in command at events during that time. Mr. Crites is extensively qualified and holds
multiple certifications including: Firefighter II, Fire Investigator, Fire Instructor II, Fire Officer
II, Hazardous Material Operations/Hazwoper Technician, Fire Inspector I&II and State of Alaska
Intensive Care Paramedic.
Deputy Chief Crites has over 21years of experience in the firefighting/fire safety field and enjoys
a good working relationship with multiple local fire safety and medical organizations.
CONSISTENCY CHECKLIST: Yes No NIA
1. Comprehensive Plan(documentsource here):section 3.8,public safety
X
2. Strategic Plan(document source here):Pagell,preparefornatural
disasters, establish a plan.Page 18, maintain a safe community. X
3. Other (list): X
INTENT:
To authorize the City Manager to appoint R. Clinton Crites as Fire Chief effective immediately.
ATTORNEY REVIEW: Yes No X
FISCAL NOTE:
Funding for this position is currently in the Fire Department's budget.
Approved by Finance Department:
RECOMMENDATION:
Council approve Resolution 2020-002, authorizing the City Manager's appointment of R.
Clinton Crites as Fire Chief effective immediately.
City of Seward Fire Department
P.O. Box 167, Seward Alaska 99664
Physical Address: 316 Fourth Avenue
Email address: sewardfdO)cityofseward.net
Telephone: 907-224-3445 Fax: 907-224-8633
To: Scott Meszaros, City Manager
Thru: Riley Shurtleff, Personnel
Subject: Fire Chief Position
From: Clinton Crites, Deputy Fire Chief
Date: December 18, 2019
Please accept this as my official notification of my interest in the open position for Fire Chief for the
City of Seward. I am including a copy of the city application,my resume and public safety transcript.
I have enjoyed serving as Deputy Fire Chief for just less than 1.5 years for the City of Seward and
look forward in the opportunity to grow this department in a positive and productive manner. I have
many ideas for improvements to enhance our delivery of service and manage the department
responsibly. Thank you for your consideration.
RUSBY CLINTON CRITES III
rccrites" citvofseward.net
RELATED QUALIFICATIONS
• Autonomic and Team Working Skills, Strong Work Ethic, Public Relations,Organized/Attention
to Detail, Training Programs, Excellent Oral and Written Skills, Microsoft Office/Computer
Skills, Firehouse Software Skills, Personnel Management
EDUCATION
• Columbia Southern University, Orange Beach, AL 2009
o Bachelors of Science Degree in Fire Science(Summa Cum Laude)
• Gainesville State College, Oakwood, GA
o Associate of Applied Science Paramedic Technology 2008
• University of Alaska Southeast, Sitka, AK 2007
o EMS Management and Leadership
• Lanier Technical College,Oakwood, GA
o Diploma, Paramedic Technology 2000,Fire Science Technology 2005
VOLUNTEER EXPERIENCE
Lumpkin County Fire/EMS April 2002-2009
Lumpkin County Park and Recreation assisted with T-Ball 2015,2016
Girl Scout Volunteer 10/2015-7/2017
EXPERIENCE
Deputy Fire Chief, Full-time
City of Seward Fire Department, Seward,AK September 2018-Present
• Recognized Training Officer for the Fire Department and responsible for organizing,
directing and conducting training operations within the department to maintain minimum
local, state and federal training and operational standards.
• Serves as second in command of the Fire Department and has command responsibilities for
firefighting, rescue, emergency responses and other activities of the department.
• Fire & Life Safety Inspections
Security Guard/Paramedic
Denali Universal Services
• Armed Security Officer and Paramedic for Trans AK Pipeline Pump#6.
• Provide Advanced Life Support and non-emergency medical care and Drug screenings to
employees and contractors of Alyeska.
• Remote work setting with limited supervision.
PT Instructor/Rescue Technician
Professional Rescue and Fire Training,Calhoun, GA July 2010-March 2013
• Confine Space stand-by team member
Lieutenant, Full-time
City of Johns Creek Fire Department,Johns Creek,GA September 2008-March 2018
• Lieutenant E61A. Promoted 6/22/14
• Interim Sergeant, Rescue 61-A 2/10-211 1. Promoted to Sergeant 63-A 4/12
• SWAT Medic, Honor Guard Member,Fire Inspector
• Instructor for: Swiftwater Rescue,Fire Officer I& II,Live Fire,Life Safety Code,Rope Rescue
Firefighter IIIParamedic, Full-Thne,Part-time, Volunteer April 2002-August 2007
Lumpkin County Fire/EMS, Dahlonega, GA May 2008-September 2009
• Fire Inspector/Adjunct Training Instructor March 2011-January 2015
• Lt. Training Officer. Develop training programs, Provide In-service to Fire &EMS personnel.
Supervise Firefighters during training, on scenes, and during normal day-to-day operations
Base Manager/Paramedic, Part-time
Klawock EMS/Guardian Flight Inc.,Klawock, AK October 2007-April 2008
• Start up a new EMS system, first paid EMS Department for this Community
• Provide Advanced Life Support to the Community of Klawock
• Develop and provide training, Instruct EMT class
• Administrative duties: Scheduling, Budget, Supplies, Personnel, Public Relations
Paramedic/Safety Manager, Full-time
Alicia Roberts Medical Center, Klawock,AK August 2007-April 2008
• Advanced Life Support to the Community of Prince of Wales Island
• Provide training and facility safety management at ARMC
Adjunct Fire Instructor, Part-time
Georgia Fire Academy,Forsyth,GA September 2005-2009
• Instruct: Fireground Hydraulics, Live Fire Control in Class A, B, and Acquired Structures,
Pressurized Container Fire Control
• Evaluator for NPQ Testing
Firefighter/Paramedic, Part-time
Forsyth County Fire Department, Cumming, GA April 2005-August 2007
• Firefighter and Advanced Life Support for the community of Forsyth County
Paramedic/Emergency Department, Part-time
Chestatee Regional Hospital, Dahlonega, GA August 2003-January 2005
• Advanced Life Support to Customers of Chestatee Regional Hospital
Firefighter II/Parainedic,Full-time
Dawson County Emergency Services,Dawsonville,GA May 1998-August 2007
• Fire Training Officer(Non-Rank Position). Develop training programs,Lead Instructor for
Firefighter Recruit class,Provide In-service to Fire& EMS personnel,Assist in Fire Inspections
• Apparatus Design Committee, Employee Evaluation Committee, Product Research Committee
Rusby Clinton Crites III
Public Safety Transcript
State of Alaska Division of Fire and Life Safety Training and Education Bureau
-Firefighter I & II
-Fire Officer I &11
-Fire Service Instructor II
-Hazardous Materials-Awareness &Operations
-Public Fire and Life Safety Educator I
-Fire Apparatus Driver/Operator: Driver/Pumper
-AKFIT
Alaska Emergency Services Program
-State of Alaska Licensed Mobile Intensive Care Paramedic#671
-Basic Instructor Orientation
-Alaska-Specific Instructor Orientation(ETT&EMT 1)
-Advanced Instructor Orientation (EMT 2&3)
Roswell/Alaharetta Public Safety Training Center
-OSHA HAZWOPER-Hazardous Materials Technician
International Code Council
-Fire Inspector I
Alabama Fire College
-Fire Inspector II
Georgia Search and Rescue Task Force I
Intro to Technical Rescue
Technical Rescue Core Qualifications
Technical Rescue Rope Techniques
Confined Space Rescue Technician
Rescue Technician-Trench
Rescue Technician-Structural Collapse Technician
Medical College of Georgia
-Specialized Tactics for Operational Rescue and Medicine (STORM) (SWAT Medic)
National Board on Fire Service Professional Oualifications (NPO)
-NPQ Firefighter I &II
-NPQ Hazardous Materials First Responder at the Awareness&Operations Level
-NPQ Public Fire and Life Safety Educator I
-NPQ Fire Instructor I &II
-NPQ Fire Officer I &II
-NPQ Wildland Firefighter
-NPQ Fire Inspector I& II
-NPQ Incident Safety Officer
-NPQ Driver/Operator of Fire Apparatus with a Fire Pump
-NPQ Rescue Technician-Rope
-NPQ Rescue Technician-Confined Space
-NPQ Rescue Technician-Trench
-NPQ Rescue Technician-Structural Collapse Technician
Georgia Firefighter Standards and Training Council
-Certified Firefighter-State of Georgia##19713-03
-NPQ Evaluator Training Course
-Certified Fire Inspector-State of Georgia#ISP-00306-06
The City of Johns Creek Fire Department
-Fire Officer I and I1, 7CFD Acting Officer in Charge
-Fire Apparatus Operator
-2009 Live Fire Training Instructor
-Swiftwater Rescue Technician/Instructor
-Sexual Harassment-What Supervisors Need to Know
Fire Department Incident Safety Officers Association
-Incident Safety Officer Academy
-Incident Safety Officer Certified#7873
Rescue 3 International
-Swift Water Rescue Technician Unit 1
-Swift Water Rescue Technician-Advanced
-Flood Rescue Boat Operator
-Rescuing Victims from Vehicles in Water
-Rescue 3 Management of Water and Flood Incidents
American Canoe Association
-Swiftwater Rescue
CSX Transportation
-Emergency Response to Railroad Incidents
National Wildfire Coordinating Group
-Firefighter Type II S-130,S-190,I-100,L-180
Emergency Unlimited,Inc.
-Hazwoper Technician Level,29 CFR 1910.120(q)
The:National Fire Academv
-Emergency Response to Terrorism: Self Study
-Incident Command System
-Incident Safety Officer
-Building Construction-Combustible
-Building Construction-Non Combustible&Fire Resistive Construction
-Managing Company Tactical Operations Preparation
-Managing Company Tactical Operations Decision Making
-Managing Company Tactical Operations:Tactics
-Leadership I: Strategies for Company Success
-Leadership II:Strategies for Personal Success
-Leadership III: Strategies for Supervisory Success
-Health and Safety Officer
-Firefighter Safety: Calling the Mayday
-Basic Life Support for Hazardous Materials
-Incident Command for EMS
-Introduction to Fire Inspection Principles and Practices
-Juvenile Firesetter Intervention Specialist I
-Incident Command for High-Rise Operations
-Executive Skills Series:Managing and Leading Change
-Introduction to Wildland/Urban Interface Firefighting for the Structural Company Officer
-Managing a Changing Environment
-Training Operations in Small Departments
-Fire Behavior in a Single Family Occupancy
-Fire Modeling in a Single Family Occupancy
-Strategies and Tactics for the Initial Company Officer
Georgia Public Safety Training Center/Georgia Fire Academv
-Public Fire Safety Education Instructor
-Street Survival For Fire&EMS I
-Technical Rope Rescue Awareness-Ground Support
-Basic Emergency Vehicle Operator
-Basic Fire Fighter Module 1
-Basic Fire Fighter Module II
-Basic Fire Fighter Module III
-Structural Fire Control
-Incident Command System
-Incident Safety Officer
-Handling Flammable& Combustible Liquids
-Pressurized Container Fire Control
-Practical Fire Ground Hydraulics
-Building Construction-Combustible
-Building Construction-Non Combustible
-Managing Company Tactical Operations:Preparation
-Managing Company Tactical Operations: Decision Making
-Managing Company Tactical Operations: Tactics
-Fighting Fires in Sprinklered Buildings
-Hazardous Materials First Responder at the Operations Level
-Leadership I
-Leadership II
-Leadership III
-Health and Safety Officer
-Firefighter Safety and Survival
-Fire Instructor I
-Georgia Fire Incident Reporting System
-Structural Fire Control Instructor
-VFIS Emergency Vehicle Driver Training-Instructor TTT
-Firefighter Survival Techniques
-Rapid Intervention Techniques
-Hazardous Materials: Basic Life Support
-Pump Service Testing
-NIMS-Incident Command System for Emergency Medical Services
-NIMS-Incident Command System fbr Fire Service
-Introduction to Fire Inspection Principles and Practices
-Juvenile Firesetter Intervention Specialist I
-Life Safety Code
-Pressurized Water Systems and Supplies
-Fire Inspector
-Incident Command for High-Rise Operations
-Executive Skills Series: Managing and Leading Change
-Chief Fire Officer Orientation Day 1 &2
-NIMS 300-Intermediate Incident Command System for Expanding Incidents
-NIMS 400-Advanced Command System for Complex Incidents
-Introduction to Wildland/Urban Interface Firefighting for the Structural Company Officer
-Managing a Changing Environment
-Training Operations in Small Departments
-NPQ Fire Instructor II
-Fire Behavior in a Single Family Occupancy
-Fire Modeling in a Single Family Occupancy
-Why the house is still killing us?
-Introduction to Honor Guard
-Acting Officer in Charge for the Fire Service
-Strategies and Tactics for the Initial Company Officer
-Modern Construction Considerations for Comp Ops
-2010 Fire Safety Symposium
-National Fire Fighter Near-Miss Reporting System
-Say it Loud and Clear: Communications Best Practice
-Comprehensive Look at Georgia ADA&Federal Codes
-Modern Construction Considerations for Company Operations
-Succession Development-Preparing Candidates for Fire Chief
-Incident Planning Process-The Planning P
-Conducting Effective Performance Appraisals
-We Regret to Inform You: Providing Sensitive Death Notification with Professionalism
-Due Regard
Disaster Medicine Online Universitv
-Fundamentals of Mass Casualty Care
United States Environmental Protection Agency
-Chain of Custody Procedures for Samples and Data
The University of Alaska Southeast
Workforce Credential"EMS Management and Leadership"
-Foundations of EMS
-EMS;Managing Time and Paperwork
-EMS;Recruitment and Retention
-EMS;Communications
-EMS,Teambuilding for EMS
-EMS;Leadership and Influencing
The Universitv of Georgia
-Georgia Extrication School
-School Bus Extrication School
-Child Safety Seat Technician
-P.R.I.D.E Instructor
University of Nevada Fire Science Academy
-Responding to Terrorist Incidents in Your Community: Flammable-Liquid
Fire Fighting Techniques for Municipal and Rural Firefighters
Fire Service SLT
-Gwinnett County Leadership & Safety Conference,09, 10
-Chief John Salka: Rapid Intervention
-Chief Rick Lasky: Pride& Ownership
-Heavy Lifting and Extrication
-Chief Eddie Buchannan: Leading With Attitude
Curtis Varone Fire Service Legal Training Institute,INC
-Drafting and Implementing Effective Fire Department Policies and Procedures
-Managing Disciplinary Challenges in the Fire Service
David Dodson
-The Art of Reading Smoke
Billy Goldfedder
-Survival Seminar
Society of Fire Protection Engineers
-Professional Development Training 2009,2010
-Fire Safety Seminar
-Tenability and Egress Modeling Seminar
-NFPA 101 Life Safety Code Update(2009 ed)
Georgia Emergency Management Agency
-Crash Victim Extrication
-Infection Control: A Street Sense Approach
-Rescue Specialist
-Awareness for Initial Response to Hazardous Materials Incidents
-Georgia Bus Extrication
ISFSI- International Society of Fire Service Instructors_
-Principles of Modem Fire Attack SLICE-RS
Stanford School of Medicine
716 Annual Stanford Symposium on Emergency Medicine
ProSolutions Training
-Mandated Reporting Requirements: A Track for Georgia Medical Professionals
-Mandated Reporters: Critical Links in Protecting Children
-Transportation Safety: Keeping Kids Safe in Georgia
Stop Believing.Start Knowing
-Fire Dynamics and the Fire Ground
National TIM Responder Training Program
-National Traffic Incident Management Responder Training Course
Federal Emergency Manaeement Agency
-NIMS: IS 100, 100-11C,200-(FW,EMS,FS,and HC),300,400,700,and 800
-IS 235 Emergency Planning
-IS 242 Effective Communication
-IS 250 Emergency Support Function 15 (ESF15)External Affairs
-IS 275 Role of EOC in Community Preparedness,Response&Recovery
-IS 346 Hazardous Materials for Medical Personnel
-IS 546 Continuity of Operations Awareness Course
-IS 547 Introduction to Continuity of Operations
-IS 650 Building Partnerships with Tribal Governments
-IS 706 Intrastate Mutual Aid an Introduction
-IS 804 Emergency Support Function(ESF)#4 Firefighting
-IS 00010 Animals in Disaster,Awareness and Preparedness
-IS 00011 Animals in Disaster,Community Planning
-AWR-144 Port and Vessel Security for Public Safety and Maritime Personnel
The national Emergency Response&Rescue Training Center/TEEX
-Internet-EMS I:Basic Concepts for WMD Incidents
-WMD Terrorism Awareness for Emergency Responders
-Public Works:WMD Basic Concepts
-Canine Emergency Medical Care
-Bacillus Anthracis
-Botulism
-Primary Effects of Primary Blast Injuries
-Avian Flu
-Emergency Management Concerns for the First Responder in Terrorism and Disasters
-Wide Area Search
CFI Trainer
-Digital Photography and the Fire Investigator
-Documenting the Event
-Electrical Safety
-Ethics and the Fire Investigator
-Fire Investigator Scene Safety
-Fundamentals of Interviewing
-Fundamentals of Residential Building Construction
-Introduction to Evidence
-Introduction to Fire Dynamics and Modeling
-Investigating Fatal Fires
-Investigating Motor Vehicle Fires
-Physical Evidence at the Fire Scene
-Search and Seizure
-The HAZWOPER Standard
-The Practical Application of the Relationship Between NFPA 1033 and NFPA 921
-The Scientific Method f'or Fire and Explosion Investigation
-Wildland Fires Investigation
EMS Courses
BLS,Basic Life Support BTLS,Basic Trauma Life Support-Advanced
ACLS,Advanced Cardiac Life Support AMLS,Advanced Medical Life Support
PALS,Pediatric Advanced Life Support GEMS,Geriatric Education for EMS
ABLS,Advanced Burn Life Support AMLS, Advanced Medical Life Support
AHLS-Advanced Haz-Mat Life Support NRP,Neonatal Resuscitation Provider
PHTLS,Pre-Hospital Trauma Life Support BTLS-P,Basic Trauma Life Support-Pediatric
ASHI-BLS and Advanced Life Support Level 8 Instructor
CITY OF SEWARD
Application for Employment P.O.Box 167 Seward,Alaska 99664 • ,
Attn:Personnel Officer
PLEASE NOTE: All applicants MUST be able to HR0dtvofteward.net
successfully pass a criminal background check and druC Phone (907) 224-4074 • Fax: (907) 224-3S77
test.
Equal access to programs,services and employment is available ball persons.Those applicants requiring reasonable accommodation to the
application and/or interview process should notify a representative of the Human Resources Department.
Position(s) applied for Fire Chief Date of application 12/18/19
Referral Source Advertisement Employee 11 Relative Government Employment Agency
1-1 Walk-in F]Private Employment Agency Other
Name of source (if applicable)
Name Crites III Rusby Clinton
LAST FIRST MIDDLE
Address PO Box 715 Seward, AK 99664
STREET CITY STATE ZIP CODE
Telephone f# Mobile/Beeper/Other Phone
Email Address: rccrites@cityofseward.net
Ifnecessary,best time to call you at home is Anytime
-------------------------------------------------------------------------------------------------
Maywecontactyouatwork? ---•••-------•-----------------------•--------•-••---.....- ........... ®Yes ONO
lfyes,work number and best time to call 224.3445_______________________________________•_
If you are under 18 and it is required,can you furnish a work permit? --------------------------------------------------------------------- Yes No
Ifno,pleaseexplain _
Have you submitted an applicationhere before? ___--__-- Yes L_i No
---------------------------------------------------------------------
Ifyes,givedate(s) _May 2018
Have youeverbeenemployedherebefore? ..._----------------------__•-•••........................... __...._... Yes C No
If yes, give dates---------------------- ---•-------------------•-•--.... .................................. ..........From 9/2018 To—Present—
_
Areyou legally eligible for employment in this country?___________________________________________________________________________•___-___•- Yes j No
Date available for work Immediate
Type of employment desired Full-Time Part-Time Temporary Seasonal Educational Co-Op
Will you relocate if job requires it?....Live_inCity__.. /Yes No Willyoutravel ifjob requires it?--------- --------- Yes` No
Areyou abl eto meet the attendance requirements ofthe posi ti on? -____________-__-_____________________________-______--_______._.___•.'Yes No
Will you work overtime if required? ...... -----•-----.------••-----•-----•-------------•---------------- Yes No
Ifno,pleaseexplain
Have youeverbeen bonded? __________________________ --------------------------------------------------- Yes No
Have you been convicted ofa crime in the last seven(7)years? ------------------- --------------------------------------------------------- Yes V No
If yes,please explain
CON VICTION W ILL=NECESSARILY SEA BAR TOE MPLOYMENT.EACH INSTANCE AND E XPLANAT ION W I LL BE CONSIDERED I NRELATION TO THE POSITION FORW HICH YOU ARE APPLYING.
Driver's license number if driving is an essential job function__.. __________________________________state AK
AN EQUAL OPPORTUNITY EMPLOYER V 2019
Employment History ` }
Provide the following information for your past and current employers,assignments or volunteer activities,starting with the most recent
(use additional sheets if necessary).Explain any gaps in employment in comments section below.
_.............----
EMPLOYER TELEPHONE DATES EMPLOYED SUMMARIZE THE TYPE OF WORK
City of Seward 907-224-3445 FROM TO PERFORMED AND JOB RESPONSIBILITIES
A PO Box 167 Seward,AK 99664
9/18 Present Second in command
JOB TITLE HOURLY RATE/SALARY Fire Inspections/Prevention
Deputy Fire Chief STARTING Public Education
IMMEDIATE SUPERVISOR AND TITLE $ PER Provide Training
Scott Meszaros, City Manager 29.54 Hr Supervise 30 volunteers j
REASON FOR LEAVING HOURLY RATEISALARY On call after hours
Currently Employed FINAL Data Entry/Managment
C PER Equipment repairlinventooy
MAY WE CONTACT FOR REFERENCE? ®YES NO ❑LATER 36.44 1 Hr Supervise Emergency Opla
EMPLOYER TELEPHONE DATES EMPLOYED SUMMARIZE THE TYPE OF WORK
FROM TO PERFORMED ANDJOB RESPONSIBILITIES
ADDRESS
JOB TITLE HOURLY RATEISALARY
STARTING
IMMEDIATE SUPERVISOR AND TITLE $ PER
REASON FOR LEAVING HOURLY RATEISALARY
FINAL
$ PER
MAY WE CONTACT FOR REFERENCE? ❑Yrs ❑NO ❑LATER
EMPLOYER TELEPHONE OATES EMPLOYED
SUMMARIZE THE TYPE OF WORK
FROM TO PERFORMED AND JOB RESPONSIBILITIES
ADDRESS
JOB TITLE HOURLY RATEISALARY
STARTING
IMMEDIATE SUPERVISOR AND TITLE S PER
REASON FOR LEAVING HOURLY RATEISALARY
FINAL
$ PER
MAY WE CONTACT FOR REFERENCE? ❑YES ❑NO ❑LATER
EMPLOYER TELEPHONE DATES EMPLOYED
SUMMARIZE THE TYPE OF WORK
FROM TO PERFORMED AND J00 RESPONSIBILITIES
ADDRESS
JOB TITLE HOURLY RATE/SALARY
STARTING
IMMEDIATE SUPERVISOR AND TITLE $ PER
REASON FOR LEAVING HOURLY RATE/SALARY
FINAL
s PER
MAY WE CONTACT FOR REFERENCE? [-I YES ❑NO ❑LATER
CommGIy I`s INCLUDING EXPLANATION OF ANYGAPS INEMPLOYMENT
Skills and Qualifications-Summarize any special training,skills,licenses and/or certificates that may qualify you as being able to perform job-
related functions in the position for which you are applying.
V2019
Employment History
Provide the fallowing information for your past and current employers,assignments or volunteer activities,starting with the most
recent(use additional sheets if necessary).Explain any gaps in employment in comments section helow.
EMPLOYER TELEPHONF DATES EMPLOYED SUMMARIZE THE TYPE OF WORK
Denali Universal Services (907)522-1300 FROM TO PERFORMED AND JOB RESPONSIBILITIES
ADDRESS Armed Security Officer and remote
11500 C Street Suite 100 Anchorage,AK 99515 03/19/18 06/07/18 Medic at Pump Station 6,Trans Alaska
HOURLY RATEISALARY pipeline. Provide security for Alyeska
JOB TITLEproperty and personnel.Provide
Security Officer Medic STARTING Advanced Life Support and
TITLE S rtn on-emergent medical care to
IMMEDIATE SUPERVISOR AND
Sgt Carl Dennis 907-4TITLE 3 24.23 Hr employees and contractors of Alyeska
REASON FOR LEAVING HOURLY RATESALARV ipeGne Services.Work in remote
Currently Employed FINAL
lettings with limited supervision.Work
weeks on 2 week offs.
rr
MAY WE CONTACT FOR REFERENCE? ■YES ❑NO ❑LATER 24.23 Hr
EMPLOYER 1EIT15HONIF CATES EMPLOYED SUM MARI2E THE TYPE OF WORK
City of Johns Creek Fire Department (678)474-1640 FROM TO PERFORMED AND JOB RESPONSIBILITIES
ADDRESS iee`tenant Fire Engine Company 5114
10/07/08 03/16118
10700 Abbotts Bridge Rd Suite 190 Johns Creek,GA 30097 I5 geant Rescue Company 4/12
JOB TITLE HOURLY RATEISALARY Ire Inspector,SWAT Medic,Honor
Fire Lieutenant/Paramedic STARTING :uard Member
IMMEDIATE SUPERVISOR AND TITLE S PER !Instructor:Swiftwater Rescue,Flre
Captain Jeff Johanson 404-569-1613 17.82 Hr 10(ficer I&11,Live Fire Control,Life
REASON FOR LEAVING HOURLY RATEISALARY 'safety Code,Rape Rescue,FAO
Retired from Georgia Fire Service, Moved to AK FINAL Engine and Truck Company
a PER ethnical Rescuer:Trench,Rope
MAY WE CONTACT FOR REFERENCE? ■YES ❑NO ❑LATER 24 93 Hr JSwiflwater,Confined Space,Structural
Collapse
EMPLOYER TFLEPHONE DATES EMPLOYED
SUMMARIZE THE TYPE OF WORK
Lumpkin County Fire/EMS (706)864-3030 FROM TO PERFORMED AND JOB RESPONSIBILITIES
ADDRESS _ ire Inspector and Adjunct Training
57 Pinetree Way Dahlonega,GA 30533 04/12/02 09/12/09 Officer3111-1116.
-- --- ••ieutenant Fire TrainingOfficer:
JOB TITLE • HOURLY RATEISA1,ARY
Part-time Firefighter/Paramedic, Fire Training Officer and Fire Inspector STARTING nevelop training programs, provide
servlcetraining both Fire and EMS.
IMMEDIATE SUPERVLSORANDTITLE S PER Supervise personnel during training
Fire Chief David Wimpy 12.00 Hr evolutions and day to day operations.
REASON FOR LEAVING HOURLY RATEISALARY
Discontinued working part-time FINAL
S PER
MAY WE CONTACT FOR REFERENCE? o YES ❑NO ❑LATER
15.00 Hr II
EMPLOYER TELEPHONE OATFS EMPLOYED
BUMMARI7E THE TYPE OF WORK
SEARHC Alicia Roberts Medical Center (907)755-4800 rROrA TO PERFORMED AND JOB RESPONSIBILITIES
ADDRESS Clinical Skills to include patient care,
7300 Klawock Hwy A,Klawock,AK 99925 08/01/07 04/01/08 -Ray,Laboratory,medication
JOB TTIE HOURLY RATHSALARY
ellvery,EKG,Advanced Life Support,
Paramedic STARTING on-emergent care.
IMMEDIATE SUPERVISOR AND TITLE S PER Facility safety and training.
Nurse Case Manager 20.00 Hr
REASON FOR LEAVING HOURLY RATEISALARY
Due to family obligations,moved back to Georgia. FINAL
3 PER
MAY WE CONTACT FOR REFERENCE? ®YF,J ❑NO ❑LAIER J20.00 Hf
COm11 eats INCLUCING EXPLANATION OF ANY GAPS IN EMPLOYMENT
Please see attached Resume
Skills and Qualifications -Summarize any special training,skills, licenses and/or certificates that may qualify you as being able
to perform job-related functions in the position for which you are applying.
li ationally Registered and AlaskalGeorgia Paramedic and Firefighter II,Flrc Officer 11,Fire Inspector II,, W e Ic, a2erdous MaFeiTttFs an
Rescue Technician. Highly Proficient in NFIRS/Firehouse Reporting.Proficient in various computer applications.Please see attached transcript.
V.2018
Employment History 1.
Provide the following information for your past and current employers,assignments or volunteer activities,starring with the most
recent(use additional sheets if necessary). Explain any gaps in employment-in comments section below.
EMPLOYER TEI. PHONIF DATES EMPLOYFO SUMMARIZE THE TYPE OF WORK
Guardian Flight (907)245-6230 FROM TO PERFORMED AND JOB RESPONSIBILITIES
ADDRESS tarted up new EMS system,first paid
3474 Old International Airport Rd Anchorage,AK 99502 10/01/07 04/01/081 MS department on Pnnce of Wales.
JOB TITLE HOURLY RATLISALARY rovided AK EMT training to new
Base Managerolunteers and employees.
STARTING eveloped scheduling,reporting,and
IMMCOIATE SUPERVISOR AND TITLE S PER n-service training.
Jathan Nails Fight Medic 20.00 Hr
REASON FOR LEAVING HOURLY RATEISALARY
Moved back to Georgia FINAL
s
MAY WE CONTACT FOR REFERENCE? ®YES ❑NO ❑LATER 20-00 7Hr
EMPLOYER I.E HONE DATES EMPLOYED SUMMARIZE THE TYPE OF WORK
Forsyth County Fire Department (770)781-2180 FROMT51
TO PERFORMED AND JOB RESPONSIBLITIES
AooRESs 07/01/O7/01/07 IPart-time Firefighter/Paramedic
3520 Settingdown Rd Cumming, GA 30028
- - - -
JOR TITLE HOURLY RATEISALARY
Provided Rescue,Advanced Life
Part-Time Firefighter/Paramedic STARTING Support,Fire Control,Fire Prevention,
hand Public Education.Worked on
IMMEDIATE SUPERVISOR AND TITLE Is P R Engine and Truck Compan es.
Division Chief Brenda Green 15.00 Hr
REASON FOR LEAYING HOURLY RATFJSALARY
Moved to Prince of Wales AK FINAL
S PER
MAY WE CONTACT FOR REFERENCE? ®YES ❑NO LATER 15.00 Hr
EMPLOYER TELEPHONE DATES EMPLOYED
SUMMARIZE THE TYPE OF WORK
Dawson County Emergency Services (706)344-3666 FROM TO +7roviding
FORMED AND JOB RESPONSISLITIES
ADORESS time as a Firefighter Paramedic
393 Memory Lane Dawsonville,GA 30534 03/01/98 07/01/0 Adavanced Life Support and
-ire/Rescue Services.
JOB TIT LE HOURLY RATEISALARY
Firefighter/Paramedic, PT Fire Training Officer STARTING "art-time Fire Training Off cer.
eveloped and instructed
IMMEDIATE SUPERVISOR AND TITLE $ PER tepartment's first NPQ Firefighter
Fire Chief Lanier Swafford 10.00 Hr aining program.Provided in-service
REASON FOR LEAVING HOURLY RATEISALARY aining to all shifts.
Moved to Prince of Wales AK FINAL
Is PER
MAY WE CONTACT FOR REFERENCE? Q YES ❑NO ❑LATER 15.00 Hr
EMPLOYER TELEPHONE I DATES EMPLOYED
SU MMARl2E THE TYPE OF WORK
FROM TO PERFORMED AND JOB RESPONSiBLITES
ADDRESS
JOBTRLE HOURLY RATMALARY
STARTING
IMMEDIATE SUPERVISOR AND TRI.E 5 PER
J
REASON FOR LEAVING HOURLY RATEISALARY
FINAL
S PER
MAY WE CONTACT FOR REFERENCE? [I YES ❑YES NO LATER
Comments INCLUDING EXPLANATION OF ANY GAPS N EMPLOYMENT
Skills and Qualifications -Sunrnrarl2c any special training, skills. licenses andior certificates that may qualify you as being able
to perform job-related functions in the position for Which you are applying.
V.2018
Educational Background IF JOB-RELATED
A.List last three(3)schools attended,starting with most recent.B.List number of years completed.C.Indicate degree or diploma earned, if
any. D.Grade Point Average or Class Rank. E. Major field of study.F. Minor field of study(if applicable).
B.NUMBER OF C.DEGREE D. GPA
A.SCHOOL YEARS COMPLETED DIPLOMA CLASS RANK E.MAJOR F.MINOR
Columbia Southern University 2 B.S. 4.0 Fire Science
Gainesville State College 2 A.A.S. 3.9 Paramed�
University of Alaska S.E. 1 Diploma 4.0 EMS Mamigement
References
List name and telephone number of three business/work references who are not related to you and are not previous supervisors.If
not applicable, list three school or personal references who are not related to you.
NAME TELEPHONE YEARS KNOWN
Battalion Chief David Jugenheimer 20+
Captain Curtis Walther --- 11
Division Chief Kris Boggs 115
Additional Information
List professional, trade, business,or civic associations and any offices held.
EXCLUDE MEMBERSHIPS WHICH WOULDREVEAL SEX.RACE.RELIGION.NATIONAL ORIGIN.AGE,COLOR.DISABILITY OR ANY OTHER SIMILARLY PROTECTED STATUS.
ORGANI2ATION OFFICES HELD
Kenai Penninsula Emergency Services Inc. Secretary
List special accomplishments,publications, awards,etc.
:XCLUDE INFORMATION WHICH WOULD REVEAL SEX.RACE.RELIGION.NATIONAL ORIGIN.AGE.COLOR.DISABILITY OR OTHER PROTECTED STATUS.
2006 Dawson County Rotary Club Paramedic of the Year
2009 Summa Cum Laude Columbia Southern University
2010 City of Johns Creek Firefighter of the Quarter
,ist any additional information you would like us to consider.
V.2019