Florence Regional Airport Airport Safety Officer I Application Instructions May 2015 Thank you for your interest in this opportunity. Please use the following steps to complete and submit your application for this position. 1. Complete the attached Pee Dee Regional Airport District Employment Application. You may print the document and fill-in the required entries long-hand or type your answers into the blanks on the form and save the form for submission. 2. Review the attached Position description and make copies of the most recent training certificates of courses for this position –Firefighter I & II Certification, FAA Basic Aircraft Rescue Fire-Fighting Course, First Responder First Ad Training Course, NIMS 100,200,700,800 and Emergency Vehicle Driver Training Certification. When complete, you may print and mail your completed application and copies of the high school/college diploma and training certificates to: The Florence Regional Airport 2100 Terminal Drive Florence, SC 29501 Attn: Marshell Johnson You may also submit your application package electronically by emailing it to mjohnson@florencescairport.com or by faxing it to (843) 665-4751. Application deadline is Friday, May 29, 2015 at 12:00 Noon. If you have any questions about this position, or the application process, please contact Marshell Johnson, Manager of Human Resources, Florence Regional Airport at (843) 519-0551. Pee Dee Regional Airport District Florence Regional Airport Position Title: Department: Classification: Start Rate: Reports to: Airport Safety Officer I Airport Safety Hourly $13.00 - $15.00 Chief, Airport Safety Department Position Summary Under the direction of the Airport Safety Chief, the Airport Safety Officer-I is responsible for the safety of people and property at the Florence Regional Airport. Airport Safety Officers (ASO’s) provide Aircraft Rescue Fire-Fighting, airfield safety inspection, airfield condition reporting, and facility safety services on behalf of the Airport District. This position does not include law enforcement duties. This is a non-supervisory, hourly position. Minimum Qualifications and Training High School Diploma Firefighter I & II Certification Completion of an FAA-approved Basic Aircraft Rescue Fire Fighting Course Completion of a 40-Hour first responder first aid training course NIMS 100, 200, 700, 800 Emergency Vehicle Driver Training Course Essential Duties and Responsibilities Airport Safety Officers (ASO’s), under the direction of the Chief of Airport Safety, maintain compliance with all Federal Aviation Administration Regulation (FAR) Part 139 airport safety and certification requirements. Typical duties include: Provide aircraft rescue-firefighting services, Perform periodic airport facility and equipment safety inspections, Provide basic first aid services as needed, Provide non-law enforcement airport security services, and Other duties as required. Airport Safety Officers must be physically capable of operating departmental firefighting equipment, computer equipment, small tools, two-way radios, emergency vehicles and other necessary equipment. Remains on-call for after-hours emergencies. FLORENCE REGIONAL AIRPORT 2100 Terminal Drive Florence, South Carolina 29506 PHONE (843) 669-5001 FAX (843) 665-4751 APPLICATION FOR EMPLOYMENT We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by law. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the organization. Position applied for _______________________________ Date _________________________ Applicant Name _______________________________________________________________ Address _____________________________________________________________________ Primary Telephone # ______________ Secondary Telephone # _________________________ Best Time to Contact you by Phone _______________________________________________ E-Mail Address _______________________________________________________________ How did you learn of the position: _________________________________________________ Are you eligible for employment in this country? _____Yes _____No (Proof of U.S. citizenship or immigration status will be required upon employment) Do you have any relatives working with the Florence Regional Airport? Driver’s license number _______________________________ _____Yes _____No State___________________ Have you ever been convicted of a crime in the past (7) years? (This will not necessarily affect your application. The nature and severity of the offense in relation to the position for which you are applying are considered) Yes No If yes, please describe conditions: ________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ EMPLOYMENT HISTORY – Past ten years Employer ______________________________________________________________ Position(s) Held ________________________________________________________ Address _______________________________________________________________ Telephone _____________________________________________________________ Supervisor and Title _____________________________________________________ Dates employed From ___________To ____________Salary_____________________ Job Summary __________________________________________________________ Reason for Leaving ______________________________________________________ Employer ______________________________________________________________ Position(s) Held ________________________________________________________ Address _______________________________________________________________ Telephone _____________________________________________________________ Supervisor and Title _____________________________________________________ Dates employed From ___________To ____________Salary____________________ Job Summary __________________________________________________________ Reason for Leaving ______________________________________________________ Employer ______________________________________________________________ Position(s) Held ________________________________________________________ Address _______________________________________________________________ Telephone _____________________________________________________________ Supervisor and Title _____________________________________________________ Dates employed From ___________To ____________Salary____________________ Job Summary __________________________________________________________ Reason for Leaving ______________________________________________________ OTHER RELEVANT SKILLS AND QUALIFICATIONS Summarize any job-related training skills, licenses, certificates, and/or other qualifications ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ EDUCATION High School Name ______________________________________________________ Address _______________________________________________________________ College Name__________________________________________________________ Address _______________________________________________________________ Degree Earned ______________ Major Field of Study __________________________ Other College, Technical or Specialty Training School/Institution Name __________________________________________________ Address _______________________________________________________________ Description of Technical or Specialized Training _______________________________ ______________________________________________________________________ ______________________________________________________________________ List any additional information you would like us to consider on your behalf. Attach additional sheets, if necessary ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ STATEMENT OF DISCLOSURE I hereby authorize the potential employer to contact, obtain and verify the accuracy of information contained in this application from all previous employers, educational institutions and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering and using such information to make employment decisions and all other persons or organizations for providing such information. I agree to submit to a drug screen if required for the position. I understand the results of such analysis may be grounds for disqualifying me or terminating my employment. I understand that any misrepresentation or omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered. I represent and warrant that I have read and fully understand the foregoing and that I seek employment under these conditions. Applicant Signature_______________________________ Date _________________________