public safety recruitment [email protected]

City of Naperville Fire Department

Public Safety Recruitment 1127 S. Mannheim Rd., #203

Westchester, IL 60154 1-800-343-HIRE

www.publicsafetyrecruitment.com [email protected]

Firefighter/Paramedic Minimum Requirements: • U.S. Citizen • No Felony Convictions • High School Diploma or Equivalent • Valid Driver’s License • EMT-Paramedic License by May 27, 2008 (proof of Illinois certification required at time of conditional offer) • 21 to UNDER 35 years of age on June 14, 2008 or as otherwise exempt from age limitation by Statute • Uncorrected vision 20/100; corrected vision 20/20. • No residency requirement

Salary: Starting Salary: $57,582.67 Ceiling Salary: $ 78,724.16

Application Instructions 1) Visit www.publicsafetyrecruitment.com to complete the online application for the position of

Firefighter/Paramedic. Online applications must be completed and confirmed before 12 noon on Tuesday, May 27, 2008. You will receive a confirmation number when your application is complete; save this number for your records.

2) Return signed Release Forms and other requested documents (SEE CHECKLIST!) to Public Safety Recruitment

before 12 noon on Tuesday, May 27, 2008. Application documents received after 12 noon on Tuesday, May 27, 2008 will not be accepted. Postmarks and faxed release forms will not be accepted. Release Forms & Other Required Documents may be delivered by hand during business hours (M-Th 9a-5p; F 9a-3p; CLOSED ON HOLIDAYS AND WEEKENDS) or sent via TRACABLE carrier (FedEx Express, Certified USPS, UPS, etc.) to ensure timely delivery by noon on May 27.You must submit release forms (see “Required Release Forms” pages 1-23) as well as other required documents as listed below (see also “Check List”) to Public Safety Recruitment by the application deadline:

A copy of your driver’s license A copy of your county-issued birth certificate (Proof of citizenship required for those born outside the US) A copy of your high school diploma or equivalent A copy of your Paramedic License (Proof of Illinois certification required at time of conditional offer) Original signed letter requesting veteran’s points and a copy of your DD-214 (if applicable) Job related education certificates (if applicable) Illinois Paramedic Certification, Firefighter II, Hazardous Materials Operations Level Certification (NFPA), etc. if obtained.

Please note that if you qualify for veteran’s points, you must submit an original signed letter requesting veteran’s points and a copy of your DD-214 (the form must indicate that you have been honorably discharged) with your application. Any veteran’s points requests received after 12:00 noon on Tuesday, May 27, 2008 will not be accepted. Faxed letters will not be accepted.

3) Attend Physical Ability Test, as assigned, on either June 12 or 13, 2008 at Fire Station #4, 1971 Brookdale Road, Naperville, Illinois. Bring a Valid Driver’s License for identification. Candidates who successfully complete all application requirements will be assigned a time to complete the Physical Ability Test. You will be notified of your assigned time by e-mail. Notification letters will be sent out by June 6, 2008. You must respond to notification with either an e-mail or phone call confirming your participation. If you have not received notification by June 6, 2008, contact Public Safety Recruitment at 1.800.343.HIRE. Additional Physical Ability Test information is included in this packet; a demonstration video is available at www.publicsafetyrecruitment.com under Naperville’s “Featured Jobs” listing.

4) Candidates who successfully complete the Physical Ability Test must attend the Mandatory Orientation and

Written Exam on Saturday, June 14, 2008. The mandatory orientation meeting will start promptly at 10:00 A.M. on June 14, 2008 in the Council Chambers of the Naperville Municipal Center, 400 South Eagle Street, Naperville, Illinois. Please arrive by 9:30 A.M. for check-in with your Driver’s License. The written exam will directly follow the orientation. A study guide for the written exam (NFSI) is available by calling (708) 410-0100 or by visiting www.publicsafetyrecruitment.com.

Only the top candidates will be invited for Oral Interviews. Oral interviews will be held at various times throughout the duration of the eligibility list as vacancies arise. All portions of the testing process are mandatory. Failure to attend and complete any portion of the process will result in elimination from employment consideration. Good Luck!

CHECKLIST: NAPERVILLE, ILLINOIS FIRE DEPARTMENT Online Application Deadline: Noon on May 27, 2008

CONFIRMED at www .pub l i c s a f e t y r e c r u i tmen t . c om . WRITE YOUR CONFIRMATION NUMBER HERE:_______ (The confirmation page immediately follows the references section of the online application)

Release Forms: READ CAREFULLY

Deadline: Noon on May 27, 2008

No photocopies or fax copies will be accepted. You must submit the ORIGINAL DOCUMENTS WITH ORIGINAL SIGNATURES. Acceptable witness signatures include adult family members and friends. Physical Fitness Certificate requires a DOCTOR’S SIGNATURE. *Three documents must be NOTARIZED. *Call Public Safety Recruitment with any questions at 1.800.343.HIRE.

Consumer Reports <Pages 1-3>

Alcohol, Drug & Substance Abuse Screening <Page 4>

Behavior Profile <Page 5>

Credit History <Page 6>

Criminal History Information/ Fingerprint <Page 7>

Driving Record <Page 8>

Employment Past and Present <Page 9>

High School, College, University Diploma <Page 10>

Medical Records <Page 11>

Personal Information Release to Municipality <Page 12>

Firefighter Examination <Page 13>

Physical Ability Test <Page 14>

Firefighter/Paramedic Questionnaire <Page 15>

Authorization to Release Information <Page 16>

Background and Credit History <Page 17> Release of Scores <Page 18> City of Naperville Consumer Reports <Page 19> Physical Fitness Certificate <0>

DOCTOR’S SIGNATURE REQUIRED

Affidavit of Application <Page 21> NOTARIZED*

Ordinance No. 88-228 <Page 22> NOTARIZED*

Waiver/Release of Liability <Page 23> NOTARIZED*

Other Required Documents: Deadline: Noon on May 27, 2008 COPY High School Diploma or equivalent (Copy of High School Transcripts with Graduation Date,

Dated GED, or Signed Letter on High School letterhead is acceptable. College transcripts/diploma NOT acceptable.)

COPY Driver’s License (copy of front and back if you received a renewal sticker)

COPY County issued Birth Certificate (hospital copy will NOT be accepted; candidates born outside the U.S. are required to, additionally, provide proof of citizenship)

COPY Paramedic License ORIGINAL SIGNED LETTER requesting Veteran’s Points and COPY of your DD-214 (if applicable) COPY of other job related certifications (if applicable). Include your Illinois Paramedic Certification, Firefighter II, and/or Hazardous Materials Operations Level Certification (NFPA) if obtained.

NOTE: REFERENCE LETTERS will be required at time of Oral Interviews.

Release Forms & Other Required Documents may be delivered by hand during business hours (M-Th 9a-5p; F 9a-3p; CLOSED ON HOLIDAYS AND WEEKENDS) or sent via TRACABLE carrier

(FedEx Express, Certified USPS, UPS, etc.) to ensure timely delivery by noon on May 27. Applications will not be verified until after the deadline has passed. Candidates who submit applications lacking proper documentation as indicated above will not be admitted to orientation or testing and you will be eliminated from employment consideration. I/O Solutions, d.b.a. Public Safety Recruitment, is not responsible for late, misdirected or incomplete application submissions. You must submit all required documents and have successfully CONFIRMED your online application by the deadline in order to be eligible to attend any portion of testing. You may drop your application documents off in person or by mail; however, all documents including your online application are due by the deadline by May 27, 2008 at 12 noon.

Call 1.800.343.HIRE or email [email protected] with any questions.

DO NOT SUBMIT REQUIRED DOCUMENTS TO THE CITY OF NAPERVILLE.SUBMIT ALL RELEASE FORMS AND OTHER REQUIRED DOCUMENTS TO:

PUBLIC SAFETY RECRUITMENT ATTN: NFD 1127 S. MANNHEIM RD, STE. 203,

WESTCHESTER, IL 60154.

©Copyright 2008 by I/O Solutions, Inc. d.b.a. Public Safety Recruitment REQUIRED RELEASE DOCUMENT: 1 of 23 DO NOT SUBMIT WITHOUT ORIGINAL DATED SIGNATURES WHERE REQUIRED. WITNESSES MAY BE ADULT FAMILY MEMBERS OR FRIENDS LIVING WITHIN THE U.S.; DOCTOR SIGNATURE MUST BE OF MD or DO. PAGES 21, 22 & 23

NEED NOTARIZATION. SEE CHECKLIST FOR ALL DOCUMENTS DUE 5/27/08 by 12 NOON.

LAST NAME …………………………………………………….…FIRST NAME……………….…..………………………….. SSN………………………………..

IMPORTANT NOTICE TO APPLICANT: PLEASE READ THIS NOTICE AND CONSENT FORM CAREFULLY BEFORE

SIGNING. YOU WILL BE PROVIDED WITH A COPY OF THIS FORM AT ANY TIME UPON REQUEST

NOTICE AND CONSENT CONCERNING CONSUMER REPORTS FOR EMPLOYMENT PURPOSES

This form, which you should read carefully, has been provided to you because I/O Solutions, Inc. (hereinafter referred to as “the Company”) or the Department(s) to whom you request the Company to forward your application (hereinafter referred to as “the Department(s)” may request consumer reports or investigative consumer reports. Any requests for consumer reports or investigative consumer reports from the Company will be made on behalf of any or all of the Department(s). The consumer reports or investigative consumer reports may then be reviewed by any or all of the Department(s).

For the benefit of the Department(s), the Company may perform applicant background checks and employee investigations. These background checks and investigations may be performed by the Company, in whole or in part, at the Company’s discretion. The Department(s) may also perform applicant background checks and employee investigations. These background checks and investigations may be performed by the Department(s), in whole or in part, at the discretion of the Department(s).

The Company’s and Department(s)’ background checks may also include the use of consumer reporting agencies to gather and report information in the form of consumer or investigative consumer reports regulated by federal law. Such reports, if obtained, will be prepared by consumer reporting agencies and may contain information concerning your credit standing or worthiness, character, general reputation, personal characteristics, or mode of living. Federal law defines a “consumer reporting agency” as any person (or entity) which for monetary fees, dues, or on a cooperative nonprofit basis, regularly engages in whole or in part in the practice of assembling or evaluating consumer credit information or other information on consumers for the purpose of furnishing reports to third parties. The Company is not a consumer reporting agency nor are the Department(s).

The types of reports that may be requested from consumer reporting agencies under this policy, include, but are not limited to, credit reports, criminal records checks, court records checks, driving records, and/or summaries of educational and employment records and histories. The information contained in these reports may be obtained by a consumer reporting agency from public record sources or through personal interviews with your co-workers, neighbors, friends, associates, current or former employers, or other personal



acquaintances. Any information contained in such reports may be taken into consideration by the Department(s) in evaluating your suitability for employment, promotion, reassignment or retention as an employee. Any information contained in such reports may be used for other purposes required by law or ethical business practices.

If the Company or Department(s) request(s) an investigative consumer report to be performed by a consumer reporting agency, as defined by federal law, you will receive a notice indicating that the report has been requested no later than three days after the request is made to the agency. This additional notice, if issued, will provide you with further information pertaining to federal law governing investigative consumer reports. You will not receive such a notice if the investigation is performed by the Company or a person or entity other than a consumer reporting agency.

If any adverse decision is made with regard to your application for employment or subsequent employment by a Department(s), based entirely or in part on the information contained in a consumer report or investigative consumer report prepared by a consumer reporting agency, the Department(s) are required to notify you and give you a copy of the report, as well as a summary of your applicable rights. If you have ever filed for bankruptcy, the Department(s) may not base an employment decision solely on this information.

Your consent is required by law before the Company or the Department(s) may obtain a consumer report or investigative consumer report from a consumer reporting agency pertaining to your submission of an application for employment with a Department. Your signature below indicates that you have carefully read and understand that the Company and the Department(s) may request and review a consumer report or investigative consumer report regarding you, consistent with this policy, in connection with your application for employment and that you consent to the release of such consumer reports or investigative consumer reports to the Company and the Department(s) for employment purposes, including any future decisions concerning your employment, promotion, reassignment or retention. You also consent to release of this information to the Company and the Department(s) for other purposes required by law or ethical business practices. Your signature additionally reflects your understanding that such consent will remain in effect indefinitely until you revoke it (cancel it) in writing, as described below.

Refusal to consent to a consumer report or investigative consumer report as required by this notice may result in rejection of an application, or withdrawal of an offer of employment.

CONSENT STATEMENT

I have carefully read and understand this notice and consent form and, by my signature below, consent to the release of consumer or investigative consumer reports, as defined above, to the City of Naperville or I/O Solutions, Inc. (hereinafter referred to as “the Company”) (and thereby to the departments to whom I have requested the Company to forward my application (hereinafter referred to as “the Department(s)”)). I further understand that this consent will remain in effect until revoked in a written document signed by me. In the event that I wish to refuse or revoke my consent at any time, I understand that I may do so by either signing the Refusal or Revocation of Consent Statement below and returning it to the Company, at 1127 S Mannheim Rd, Suite 203, Westchester, IL 60154, or sending a signed letter or statement to the Company at the same address, indicating that I revoke my consent to the Company’s obtaining consumer reports or investigative reports about me for employment purposes. I further understand that any and all information contained in my job application or otherwise disclosed to the City of Naperville or to the Company by me may be utilized for the purpose of obtaining the consumer reports or investigative consumer reports requested by the Company and confirm that all such information is true and correct.

Name of applicant (Printed)

Social Security Number

Applicant Signature

Date

REFUSAL OR REVOCATION OF CONSENT STATEMENT DO NOT SIGN UNLESS YOU HAVE DECIDED THAT YOU WILL NOT CONSENT, OR WILL NO LONGER CONSENT TO THE City of Naperville OR THE COMPANY OBTAINING CONSUMER REPORTS OR INVESTIGATIVE CONSUMER REPORTS REGARDING YOU FOR EMPLOYMENT OR OTHER PURPOSES.

I do not consent to the City of Naperville or I/O Solutions, Inc. (hereinafter referred to as “the Company”) obtaining consumer reports or investigative reports about me in connection with my employment or any other purposes. If I have previously granted my consent, I hereby revoke it and understand that such revocation will take effect immediately after the Company receives this written revocation and has actual knowledge of it sufficient to communicate the revocation to those employees or agents of the Company whotypically request consumer reports for the Company.

Candidate Name Candidate Signature Date

DO NOT SIGN ABOVE UNLESS YOU DO NOT CONSENT!





ALCOHOL, DRUG AND SUBSTANCE ABUSE SCREENING

CONSENT I hereby consent for the City of Naperville or I/O Solutions, Inc., or either of its authorized representatives to collect blood, urine or saliva samples from me and to conduct other necessary medical tests to determine the presence in my body or use by me of alcohol, drugs or controlled substances. I understand that the presence of certain medications in my blood and/or urine may affect test results. To aid in the analysis of the test results I would like to inform the City of Naperville, I/O Solutions, Inc., and either of its authorized representatives that I have taken the following medications in the last seven (7) days:

________________________________________________________________________________ ________________________________________________________________________________. RELEASE I understand that release of my medical records by this written authorization will results in disclosure of these test results.

hereby consent to the release of the test results and other relevant medical information to authorized representatives ioners, and

Inc., its directors, officers, staff, employees, agents, representatives and assignees from any and

____________________________ Date_______________________

I of the City of Naperville, the City of Naperville Board of Fire and Police Commiss

I/O Solutions,all claims, demands, actions, fees and causes of action, suits at law, proceedings in equity, and liability that may arise by reason of the drug, alcohol and substance abuse screening or due to the disclosure of the test results as authorized herein by me.

Agreed to: ____________________________ Date_______________________ Applicant Name, printed Applicant Signature ____________________________ Date_______________________ Witness Name, printed ____________________________ Date_______________________ Witness Signature



BEHAVIORAL PROFILE ISCLOSURE

or hereby information is r terviews are designed

rugs and alcohol, trustworthiness, and work; to predict your terpersonal skills, personality traits and motivations; and to predict your on the job mental abilities.

ONS

olutions, Inc., or its authorized representative to conduct the necessary ations to determine my Behavioral Profile.

EASE

of my Behavioral Profile by this written authorization will result in

hereby consent to the release of the test and survey results and other relevant information to authorized presentatives of I/O Solutions, Inc. for appropriate review and dissemination to those municipalities and/or olice/ re dep o employment or to which

discharge and hold harmless the City of Naperville, the City of Naperville Board of Fire and Police Commissioners, and I/O Solutions, Inc., its directors, officers, staff, employees, agents, representatives, and assignees from any and all claims, demands, actions, fees and causes of action, suits at law, proceedings in equity, and liability that may arise by reason of the Behavioral Profile or due to the disclosure of the test and survey results as authorized herein by me. In the event that I have a disability which will affect my ability to take any examination, I will so inform I/O Solutions, Inc. prior to the administration of the examinations so that a reasonable accommodation can be made. I/O Solutions, Inc. reserves the right to require medical documentation concerning the need for the accommodation. Agreed to: __________________________________ Date_______________________

Applicant Name, printed __________________________________ Date_______________________

Applicant Signature __________________________________ Date_______________________ Witness Name, printed ___________________________________ Date_______________________ Witness Signature

D This is to inf m you that in processing your application an investigation will be made w

or a Behavio al Profile. The tests, survey and inobtained from you which will be used fto: measure your attitudes regarding din C ENT FOR BEHAVIORAL PROFILE I hereby grant my consent for I/O S

nd administer the necessary examininterviews a REL I understand that release of the results disclosure of those test and survey results. I reP Fi artments (whichever is applicable) t which I have made application for I will make application for employment. By executing this form I release,



CREDIT HISTORY DISCLOSURE This is to inform you that in processing your application an investigation will be made whereby information obtained from private credit reporting agencies as to your credit history. This investigative consumer repoincludes, if applicable, information as to your character, general reputation, personal characteristicsof living. You have the right to make a written request within a reasonable period of time to receive

is rt

, and mode detailed

vestigation.

ory and disclosure vestigation to third parties. I understand that release of my past and present credit

uthorization will result in the disclosure of those records. I understand that this vestigative consumer report can include, if applicable, information as to my character, general reputation,

of the City of Naperville or I/O Solutions, Inc. for appropriate review ich I

ands, actions, fees and causes of action,

I also acknowledge that I have had the opportunity to discuss the importance of this aiver with legal counsel of my own choosing.

Agreed to: _________ Date_______________________ pplicant Name, printed

_________________ Date_______________________ pplicant Signature

_____________ Date_______________________ itness Name, printed

_________________ Date_______________________ Witness Signature

information about the nature and scope of this in

ONSENT AND AUTHORIZATION TO INVESTIGATE CREDIT HISTORY C I hereby authorize and consent to a thorough investigation of my past and present credit histof the results of that inrecords by this written ainpersonal characteristics, and mode of living. RELEASE I hereby consent to the release of the results of the investigation of my credit history and other relevant information to authorized representativesand dissemination to those municipalities and/or Police/Fire departments (whichever is applicable) to whhave made application for employment or to which I will make application for employment. By executing this form I release, discharge and hold harmless the City of Naperville, the City of NapervilleBoard of Fire and Police Commissioners and I/O Solutions, Inc., its directors, officers, staff, employees,agents, representatives, and assignees from any and all claims, demsuits at law, proceedings in equity, and liability that may arise by reason of the investigation of my past and present credit history and the disclosure of the results of that investigation as authorized by me. I waive the right to written notice required of any former employer pursuant to the Personnel Records Review Act, 820 ILCS § 40/7(1). w

__________________________A __________________A ______________________W __________________



CRIMINAL HISTO / FINGERPRINTRY INFORMATION

t agencies.

lts of rmation

tigation to determine my criminal history will be released to representatives of the City of Naperville or I/O Solutions, Inc. for appropriate review and n to those municipalities and/or Police/Fire departments (whichever is applicable) to which I have

ade application for employment or to which I will make application for employment.

nto my criminal

Applicant Name, printed

_________ Date_______________________ pplicant Signature

______________ Date_______________________ itness Name, printed

_____________ Date_______________________

itness Signature

ISCLOSURE D

This is to inform you that in processing your application an investigation will be made whereby information is obtained from State and local law enforcement agencies for any reportable criminal history information concerning you using your fingerprints. This information can include a record of any convictions, which are required by statute to be collected and maintained by governmen RELEASE I agree to be fingerprinted by the City of Naperville and acknowledge that these fingerprints will be used to investigate my criminal history and conviction record. I agree to and understand the release of the resuthe investigation, to determine my criminal history information, will result in the disclosure of infoconcerning whatever criminal history exists regarding me to third parties. I hereby acknowledge the results of the invesauthorized disseminatiomBy executing this form I release, discharge and hold harmless the City of Naperville, the City of Naperville Board of Fire and Police Commissioners, and I/O Solutions, Inc., its directors, officers, staff, employees, agents, representatives, and assignees from any and all claims, demands, actions, fees and causes of action, suits at law, proceedings in equity, and liability that may arise by reason of the investigation ihistory and the disclosure of any of that information. Agreed to: ___________________________________ Date_______________________

__________________________A _____________________W

______________________W



DRIVING RECORD DISCLOSURE This is to inform you that in processing your application an investigation will be made whereby information is obtained from the Secretary of State regarding your driving record. This information can include a record of your current driver's license issuance information (exclusive of information on judicial driving permits); convictions and orders entered revoking, suspending, or canceling your driver's license or privilege.

greed to: ___________________________________ Date_______________________

__________________________________ Date_______________________

___________________________________ Date_______________________

___________________________________ Date_______________________

Witness Signature

RELEASE I hereby acknowledge the results of the investigation of my driving record will be released to authorized representatives of the City of Naperville or I/O Solutions, Inc. for appropriate review and dissemination to those municipalities and/or Police/Fire departments (whichever is applicable) to which I have made application for employment or to which I will make application for employment. By executing this form I release, discharge and hold harmless the City of Naperville, the City of Naperville, and I/O Solutions, Inc. its directors, officers, staff, employees, agents, representatives, and assignees from any and all claims, demands, actions, fees and causes of action, suits at law, proceedings in equity, and liability that may arise by reason of the investigation into and the disclosure of my driving record.

AApplicant Name, printed

_Applicant Signature

Witness Name, printed



EMPLOYM RESENTENT: PAST AND P

ELEASE

understand that by this written authorization my past and present employment records will be disclosed to

r Police/Fire departments (whichever is

staff, employees, gents, representatives, and assignees from any and all claims, demands, actions, fees and causes of action, uits at law, proceedings in equity, and liability that may arise by reason of the investigation of my past and resent employment and the disclosure of the results of that investigation as authorized herein by me.

CONSENT I hereby consent to a thorough investigation of my past and present employment activities and agree to cooperate in such investigation. I hereby authorize my past and present employers to release the requested information and to comment on my work record. R I third parties. I hereby consent to the release of the results of the investigation into my past and present employment and other relevant information to authorized representatives of the City of Naperville and I/O Solutions, Inc. for appropriate review and dissemination to those municipalities and/oapplicable) to which I have made application for employment or to which I will make application for employment. By executing this form I release, discharge and hold harmless the City of Naperville, the City of Naperville Board of Fire and Police Commissioners, and I/O Solutions, Inc., its directors, officers, asp Agreed to: ___________________________________ Date_______________________


___________________________________ Date_______________________ Applicant Signature

___________________________________ Date_______________________ Witness Name, printed

___________________________________ Date_______________________

Witness Signature



HIGH OMASCHOOL, COLLEGE, UNIVERSITY DIPL

igh school (or its equivalent), college, or university diploma City of Naperville or I/O Solutions, Inc.

my

ent and

y f my high school (or its equivalent), college, or university diploma and the disclosure of the results of that vestigation as authorized herein by me.

CONSENT I hereby consent to an investigation to determine the authenticity of my high school or General Education Diploma, college, or University diploma. I hereby authorize my secondary school or its equivalent to release uch information regarding the authenticity of my hs

to representatives of the RELEASE I understand that by this written authorization that information gathered regarding the authenticity of diploma or its equivalent will be disclosed to third parties. I hereby consent to the release of results of the investigation of the authenticity of my diploma or its equivalto authorized representatives of the City of Naperville or to I/O Solutions, Inc. for appropriate reviewdissemination to those municipalities and/or Police/Fire departments (whichever is applicable) to which I have made application for employment or to which I will make application for employment. By executing this form I release, discharge and hold harmless the City of Naperville, the City of Naperville Board of Fire and Police Commissioners, and I/O Solutions, Inc., its directors, officers, staff, employees, agents, representatives, and assignees from any and all claims, demands, actions, fees and causes of action, uits at law, proceedings in equity, and liability that may arise by reason of the investigation of the authenticits

oin Agreed to: ___________________________________ Date_______________________




___________________________________ Date_______________________

Witness Signature



MEDICAL RECORDS CONSENT I hereby consent for I/O Solutions, Inc., or its authorized representative to obtain my medical records fromprimary physician for the period of time that my name appears on the City of Naperville’s Final Eligibility List.

my

that release of my medical records by this written authorization will result in disclosure of my edical records.

ation to those municipalities and/or Police/Fire

icers, staff, employees,

Agreed to: _________ Date_______________________ Applicant Name, printed

______________ Date_______________________

pplicant Signature

_____________ Date_______________________ Witness Name, printed

_________________ Date_______________________

Witness Signature

RELEASE I understandmI hereby consent to the release of my medical records to authorized representatives of the City of Naperville or to I/O Solutions, Inc. for appropriate review and/or dissemindepartments to which I have made application for employment or to which I will make application for employment. By executing this form I release, discharge and hold harmless the City of Naperville, the City of Naperville Board of Fire and Police Commissioners, and I/O Solutions, Inc., its directors, offagents, representatives, and assignees from any and all claims, demands, actions, fees and causes of action, suits at law, proceedings in equity, and liability that may arise by reason of the disclosure of my medical records as authorized herein by me.

__________________________

_____________________A ______________________

__________________



PERSONAL INFOR MUNICIPALITYMATION RELEASE TO

E

be collected and maintained by government agencies.

ELEASE

release of the results of the historical investigation profile will result in the disclosure of

City lity and/or

rtments (whichever is applicable) to which I have made application for employment or to which

liability that may arise by reason of the investigation and the disclosure f any of that information.

DISCLOSUR This is to inform you that in processing your application an investigation has been made whereby information is obtained concerning you. This information can include a record of all personal information, required by statute to R I understand that information regarding me to third parties. I hereby acknowledge the results of the investigation will be released to authorized representatives of the of Naperville or to I/O Solutions, Inc., for appropriate review and dissemination to this municipaPolice/Fire depaI will make application for employment. By executing this form I release, discharge and hold harmless the City of Naperville, the City of Naperville Board of Fire and Police Commissioners, and I/O Solutions, Inc., its directors, officers, staff, employees, agents, representatives, and assignees from any and all claims, demands, actions, fees and causes of action, suits at law, proceedings in equity, and o Agreed to: ___________________________________ Date_______________________




___________________________________ Date_______________________ Witness Signature



FIREFIGHTER EXAMINATION RELEASE

y this written authorization I understand that release of the results of my Written Examination will result in

partments (whichever is applicable) to which I have ade application for employment or to which I will make application for employment.

this form I release, discharge and hold harmless the City of Naperville, the City of Naperville oard of Fire and Police Commissioners, and I/O Solutions, Inc., its directors, officers, staff, employees,

ility that may arise by reason of the Fire Officer Examination or due

right to require medical documentation concerning the need for the

___________________________________ Date_______________________

_____________ Date_______________________

_________________ Date_______________________

______________ Date_______________________

Bdisclosure of those test results to third parties. I hereby consent to the release of the results of my Written Examination for dissemination to the City of Naperville and to those municipalities and/or Police/Fire demBy executingBagents, representatives, and assignees from any and all claims, demands, actions, fees and causes of action, suits at law, proceedings in equity, and liabto the disclosure of the test and survey results as authorized herein by me. In the event that I have a disability which will affect my ability to take any examination, I will so inform I/O Solutions, Inc. prior to the administration of the examinations so that a reasonable accommodation can be made. I/O Solutions, Inc. reserves the accommodation. Agreed to:


______________________ Applicant Signature

__________________Witness Name, printed

_____________________Witness Signature



PHYSICAL ABILITY TEST RELEASE I understand that as part of the examination process I submit to a Physical Ability Test. I acknowledge must

tion in

City its directors, officers, staff, employees, agents, representatives, and assignees from any

nd all claims, demands, actions, fees and causes of action, suits at law, proceedings in equity, and liability at may arise by reason of my participation in the Physical Ability Tests (including but expressly not limited to:

and all injuries, losses, damage to my person or my death, which shall have been caused by, or ontributed to by or resulted from my physical and/or medical condition) and/or by reason of the disclosure of e results of those tests as authorized herein by me. I further agree that I will not assign any right to which I ay have to a cause of action against any of the foregoing persons or entities, to any person or legal entity. the event that I have a disability which will affect my ability to take any examination, I will so inform I/O olutions, Inc. prior to the administration of the examinations so that a reasonable accommodation can be ade. I/O Solutions, Inc. reserves the right to require medical documentation concerning the need for the

ccommodation. This release is binding on myself, my heirs, assigns, executors and administrators.

Agreed to: _________ Date_______________________ Applicant Name, printed

______________ Date_______________________ Applicant Signature

_____________ Date_______________________ Witness Name, printed

_________________ Date_______________________ Witness Signature

that the Physical Ability Test is strenuous and there are risks of injury or death associated with participathe Physical Ability Test and I voluntarily assume these risks. I certify that I am now in good health and know of no limitations that I have which would prevent me fromperforming the Physical Ability Test or which if communicated to the officers, servants, agents, and employees of I/O Solutions, Inc. would cause them to refuse to permit me to take the Physical Ability Test. I understand that by this written authorization I am consenting to the release of the results of my Physical Ability Test and that release will result in disclosure of those test results to third parties. I hereby consent to the release of my Physical Ability Test results and other relevant information to authorized representatives of the City of Naperville and to I/O Solutions, Inc. for appropriate review and dissemination to those municipalities and/or Police/Fire departments (whichever is applicable) to which I have made application for employment or to which I will make application for employment. By executing this form I release, discharge and hold harmless the City of Naperville, the of Naperville Board of Fire and Police Commissioners, and

O Solutions, Inc., I/athany cthmInSma

__________________________

_____________________

______________________

__________________



BOARD OF FIRE AND POLICE COMMISSIONERS CITY OF NAPERVILLE

FIREFIGHTER/PARAMEDIC TESTING PROCESS

The City of Naperville is an equal opportunity employer. The City maintains information regarding individuals who apply for employment to document selection ratios for various positions. This information will not accompany your application and will not be used in any way to decide whether you will be hired. This information is CONFIDENTIAL. Applicants are encouraged to complete this form, however, this is strictly voluntary and is not a condition of employment. ____/____/____ _______________________________________________Date Name (Please Print)

_____ ____/____/____ Sex: Male Age Birth date Female Ethnic Group:

White (All persons having origins in any of the original peoples of Europe, North Africa or the Middle East.)

African American (All persons having origins in any of the Black racial groups of Africa.) Hispanic (All persons of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish

culture or origin.) Asian or Pacific Islander (All persons having origins in any of the original peoples of the Far East,

Southeast Asia, the Indian Subcontinent, or the Pacific Islands. This area includes, for example, China, ndiAmerican Indian orNor aintain cultural identification through tribal affiliation or community recognition.)

Veteran: YES NO

How did you

New aper: Flyer from Naperville Fire Department

____________________________

I a, Japan, Korea, the Philippine Islands and Samoa.) ve (All persons having origins in any of the original peoples of Alaskan Nati

th America and who m

hear about the position?

spaper - name of newsp

Word of mouth

Inter

____________________________

net - name of website: Other:

____________________________

College Recruitment - college name: ____________________________

____________________________



CITY OF NAPERVILLE, ILLINOIS

AUTHORIZA KGROUND,

her other st obligations and be both physically and emotionally stable.

ioners and other persons and agencies to conduct background that I will take a written test,

of my application, prior background, or other matters mmissioners to be a legitimate matter of

relationship, loyment, credit standing and history, physical characteristics, specific and general

conditpolygrapcatego se subject matterBoardand Police Departments, employees or servants andNaper The origin oard of Fire and Police Commissioners and shauthorizeRELEASE shall have the same validity as an original copy.

_____ day of ____________, 2008. Applicant Signature: ________________________________________

_______________________

Street A _ _ City, State, Zip: ________________________________________

BOARD OF FIRE AND POLICE COMMISSIONERS

TION TO RELEASE INFORMATION CONCERNING BACECONOMIC STATUS AND PHYSICAL AND EMOTIONAL STABILITY

The undersigned is an applicant for employment with the City of Naperville, Illinois, and agrees that a candidate for employment must possess good moral background, be considered a stable and respectable citizen of his or her community, be of high moral character, meet his orju To determine whether the undersigned possesses these characteristics, I authorize the Naperville Board of Fire and Police Commissinvestigations, credit investigations and inquiries, and I agree

assessment, polygraph test, submit to oral interviews and physical aptitude test, psychological physical examinations on any phasedeemed by the Naperville Board of Fire and Police Coinquiry. This authorization to release information concerning my background, family education, emp

ions of my past and present health, emotional stability, psychological evaluations, h tests, and the results of any other matter legitimately included within any of these

ries, is directed to any person who may have information concerning any of thes and is an unqualified authorization to release such information, facts, opinions to the of Fire and Police Commissioners, Naperville Human Resources Office, Naperville Fire

/or any other agent or representative of the ville Board of Fire and Police Commissioners.

al copy of this authorization is on file with the Ball be valid for a period of three years from the date subscribed below. I specifically

the RELEASE OF ANY INFORMATION REQUESTED and agree that a photocopy of this

Dated this _

Applicant Name, printed: _________________

ddress: ________________ __ ____________________

Witness Signature: ________________________________________ Witness Name, printed: ________________________________________



BACKGROUND AND CREDIT HISTORY As part o City of Naperville, Illinoi may be made

hereby information is obtained through personal interviews with the applicant’s neighbors, friends, or others with whom

pplicant has the right under federal law, on request and the presentation of proper identification, to obtain ve named consumer reporting agency the following disclosures:

nish reasonable identification, and the agency may require you to furnish a written statement granting permission to the agency’s personnel to discuss your file in

(2) You may receive the information by of the agency to obtain disclosures by this means.

may be required to provide proper identification. (3) If the consumer credit reporting agency was responsible in any way for the denial of credit to you, you may obtain

of Fire and Police Commissioners of

__________________________________ Date_______________________

t Signature

__________________________________ Date_______________________ itness Name, printed

__________________________________ Date_______________________ itness Signature

ACKNOWLEDGMENT/CONSENT

f the ap nt of theplication process for employment as a Firefighter/Paramedic with the Fire Departmes, the undersigned applicant has been informed and understands that an investigation

wthe applicant is associated or acquainted. This inquiry includes, as appropriate, information as to the applicant’s character, general reputation, personal characteristics, and mode of living. The applicant has the right, within a reasonable period of time, to make a request in writing to receive additional, detailed information about the nature and scope of this investigation. In addition, the undersigned has been informed that part of the background investigation contemplated herein may include the employment of a credit reporting service to obtain information related to the applicant’s credit history. The name of the credit reporting service used as a part of this background investigation is EQUIFAX, INC., and the credit reporting service may be contacted by placing a telephone call to the following number: 404-885-8000. Furthermore, the applicant acknowledges that s/he consents and authorizes the City of Naperville, its agents and or assigns, to request a report of his/her credit history. The applicant also acknowledges that said applicant has been advised of his or her creditor’s rights, as follows:

“Afrom the abo (1) The nature and substance of all information in its files (except medical information) on you at the time of the request. (2) The sources of the information. (3) The creditors to whom the consumer reporting agency has furnished reports within the six month period preceding the request. The reporting agency is required by law to provide trained personnel to explain any information furnished to you, and you may be accompanied by one other person of your choosing when you visit the agency. If you are accompanied by another person, he or she must fur

the other person’s presence. Federal Law provides three methods by which you may obtain these disclosures from the consumer reporting agency: (1) You may appear in person at the agency during normal business hours and on reasonable notice to the agency, provided you furnish reasonable identification. telephone, provided you have first made written request You must pay any toll charge involved, and

from the agency an explanation in writing free of charge.” The undersigned agrees and consents to the release of such information to the Board

e City of Naperville, as the applicant’s prospective employer. th

_Applicant Name, printed ___________________________________ Date_______________________Applican _W _W




aperville Firefighter/Paramedic to the Board of Fire and Police Commissioners of the City of

I further authorize I/O Solutions, Inc., to rele cal assess t rville, Illinois or to its aut zed I furthe auth release the results of my polygraph test to the Board d repres I understand that all tests and assessments and results thereof become the property of the Naperville Board of Fire and Police Commissione ______Applica

_______________________ ___________________________

__________

CITY OF NAPERVILLE, ILLINOIS

Release of Scores for Firefighter/Paramedic Testing Process I hereby authorize I/O Solutions, Inc. to release the results of my written test for the position of NNaperville, Illinois or to its authorized representatives. I further authorize I/O Solutions, Inc. to release the results of my physical aptitude test to the Board of Fire and Police Commissioners of the City of Naperville, Illinois or to its authorized representatives.

ase the results of my in-depth psychologiment o the Board of Fire and Police Commissioners of the City of Napehori representatives.

r orize Theodore Polygraph Service to of Fire and Police Commissioners of the City of Naperville, Illinois or to its authorizeentatives.

rs and I hereby waive the right of review.

_____________________________________ ___________________________ nt Name, printed Date

___________________________________________ ___________________________ Applicant Signature Date ____________________Witness Name, printed Date ___________________________________________ _________________Witness Signature Date



City of Naperville, Illinois

In connection with my application ices), promotion, reassignment or retention as an employee, I understand that investigativ reports or consumer reports which may contain public information may be ds, driving record, ducation, prior em salary history, job erformance, and reasons for termination of past employment. Further, I understand that the City of Naperville

further authorize ongoing procurement of the above-mentioned reports at any time during my employment or

Consumer Reports Authorization Form for employment (including contract for serv

e requested or made on me including consumer credit, criminal recor

ployment verification, and others. These reports will include experience,epwill be requesting information from various Federal, State, local, and other agencies, which contain my past activities. I hereby authorize without reservation, any party or agency contacted by the City of Naperville to furnish the above-mentioned information. I contract.

COMPLETE ALL FIELDS ON THIS FORM!!! NAME (please print) STREET ADDRESS CITY STATE ZIP CODE TELEPHONE NUMBER EMAIL ADDRESS (optional) DRIVER’S LICENSE STATE AND NUMBER EXPIRATION DATE SOCIAL SECURITY NUMBER

OR IDENTIFICATION PURPOSES ONLY:

F DATE of BIRTH RACE GENDER OTHER or FORMER NAMES PROFESSIONAL LICENSES, INCLUDING STATE, TYPE, AND THE NUMBER SIGNATURE DATE



Physical Fitness Certificate I, the undersigned doctor, certify that I am a medical physician, licensed to practice in the state of _________________ ___________________

E R T I F I C A T I O N

Signed this _____day of_________________, 2008.

_____, and that I have examined _______(“Applicant”) and have found that s/he is physically capable of participating in the Physical Ability Examination consisting of various strenuous exercises.

D O C T O R ’ S C

DOCTOR’S SIGNATURE** (M.D. OR D.O. ONLY) **STAMPS NOT ACCEPTABLE;

P, PA or RN NOT ACCEPTABLELN

Doctor’s Name, printed SPECIFY M.D. or D.O.

Street Address, printed

City, State, Zip Code, printed T elephone Number (for verification)

FAX Number (for verification)

A P P L I C A N T ’ S V E R I F I C A T I O N

Signed this_____day of__________________, 2008.

Applicant Signature

Applicant Name, printed Street Address, printed City, State, Zip Code, printed Telephone Number

T any modification (crossing out or dditional notations) made to the Agreement. Signatures must be dated within 12 months PRIOR to the

t or to continue rville Board of

Fire and Police Commissioners. Only ORIGINAL documents with ORIGINAL SIGNATURES will be accepted; no copies or faxes.

This certificate must be returned with your application WITHOUatest date, June 12, 2008. No applicant will be permitted to take the physical ability teswith the written testing process unless this signed certificate is on file with the City of Nape

*ATTACH DOCTOR’S BUSINESS CARD HERE*

*ADDRESS STAMP ACCEPTABLE HERE IF CARD NOT AVAILABLE*

State of Illinois County of DuPage



o: Board of Fire an Naperville, Illinois

AFFIDAVIT OF APPLICATION

he undersigned being duly swo signed has read the

pplication and additional documents dated ___________________________________ of the

n erville for the th igned only representations therein are true.

____________

Applicant Signature

Subscribed and sworn to before me

is _______ day of ______________, 2008.

______ otary Public

T d Police Commissioners

T rn on oath deposes and says that the under a u dersigned for employment with the City of Nap position of Firefighter/Paramedic,

at said application is in the hand-writing of unders , and that the facts, statements and

_____________________Applicant Name, Printed

_________________________________

th ___________________________N

CITY OF NAPERVILLE: ORDINANCE NO. 88-228 NDING SECTION 1-7-8 (CONDITIONS OF EMPLOYMENT) OF CHAPTER 7 (MUNICIPAL PERSONNEL ADMINISTRATIVE) OF THE NAPERVILLE MUNICIPAL CODE

8:

. Anti g relatives of any elected officer are disqualified from holding any appointed office or mployment during the tenure of the office: spouse, child, parent, grandchild, grandparent, brother, sister, half brother, lf sister, aunt, uncle, niece, nephew, or the spouses of any of them. All relationships shall include those arising from

adoption. The following relatives ified from holding any appointed loyment in a position w ver the other during the tenure of

e office or employment: spouse, child, parent, grandchild, grandparent, brother, sister, half brother, half sister, aunt, adoption. This

rovision shall not apply to situations where a relative holds an appointed office or employment, either in the same ate of adoption

reof.

ther appointed fficer or employee in one of the relationships previously listed in this Section, the affected officer(s) and/or employee(s)

cted person(s) r a transfer to

which is both comparable in salary and benefits to the position which the affected fected person(s) is qualified. The term “comparable in salary and benefits” shall mean

onetary compensation of up to ten percent (10%) less or more than the person’s current monetary compensation. Any ch transfer must be completed within the sixty (60) day period provided in this Section. If the affected person(s) has not mplied with the requirements of this Section within the sixty (60) day period established herein, where one or more of the

fficer, and the remaining person(s) is an employee of the City, the City employee(s); and where the affected persons are employees, the City Manager shall

rminate the affected person(s) with the shortest length of employment with the City. This provision applies to all offices nd positions of the City, including those allocated to the exempt service and classified service.

construed to prohibit the employment of any ility lists of the Fire and Police Commission

6. Nothing herein shall be interpreted as requiring an employee at the time of an election be ischarged because a relative described herein has been elected an officer of the City.

t the date of this reading, are you related to any of the ppointed

I have read and understand this Ordinance:

AN ORDINANCE AMEPOLICIES) OF TITLE 1 ( 1-7- CONDITIONS OF EMPLOYMENT 2 -Nepotism: The followineha

of any employee or appointed officer are disqualhere one relative serves in a supervisory capacity ooffice or emp

thuncle, niece, nephew, or the spouses of any of them. All relationships shall include those arising frompdepartment or in a position where one relative serves in a supervisory capacity over the other, as of the dhe

Whenever any appointed officer or employee becomes related, either by marriage or adoption, to anooshall be allowed to remain in his position(s) for a period of sixty (60) days from the date on which the affe

ecame related. During that sixty (60) day period, the affected person(s) shall be permitted to apply fobany available position with the City

erson(s) holds, and for which the afpmsucoaffected person(s) is an elected or appointed oManager shall terminate thetea

The provisions of this subsection, Ordinance No. 86-125, shall not be appeared on the duly established and approved eligibindividual whose name

s of October 6, 198ad

Aabove Naperville employees, elected, or afficials? o

Please circle one. YES NO Candidate Signature

If “YES,” please list names below. Candidate Name Date

Subscribed and sworn before me this ______day of____________________, 2008.

NOTARY PUBLIC

NNNOOOTTTAAARRRYYY SSSEEEAAALLL



WAIVER/RELEASE OF LIABILITY APPLICANT FOR PUBLIC EMPLOYMENT

greement made this ____ day of ___________, 2008, between _______A _________________, an applicant dic with the Naperville Fire Department of the City of Naperville, Illinois, (the

Applicant”) and the City of Naperville, Illinois; its Board of Fire and Police Commissioners; the City’s and the Board of Fire and

Subscribed and sworn to before me this ______day _______________________________

Notary Public

NNNOOOTTTAAARRRYYY SSSEEEAAALLL

for employment as a Firefighter/Parame“Police Commissioners’ employees, agents, representatives and assigns (specifically any testing agency employed by the City or its Board of Fire and Police Commissioners) (hereinafter collectively referred to as the “City”), witness:

Whereas, Applicant has applied to the City for employment as a Firefighter/Paramedic; and,

Whereas, the City is required to subject the Applicant to a competitive testing process; and,

Whereas, the Applicant has agreed to submit to a variety of examinations including a written examination, physical ability, oral interviews, medical examinations and such other examinations, and to undergo a thorough background investigation, as deemed appropriate by the City; and,

Whereas, the City has agreed to administer said exams, on an as needed basis and as provided by the rules and regulations of the City’s Board of Fire and Police Commissioners, without expense to the Applicant; and,

Whereas, both parties hereto agree that the examination process is conducted for the purpose of obtaining well-qualified individuals to fill the position sought by the Applicant, the parties hereto agree as follows: Applicant, in consideration of the payment, by the City, of the fees associated with the conduct of examinations to be taken by the Applicant, hereby agrees to waive any claims the applicant may now have or may have in the future (specifically including any claim as to personal injury and/or damages) arising from Applicant’s participation in any examination (specifically including a physical ability examination) or background investigation conducted by or for the City as part of its pre-employment screening process for the position of Firefighter/Paramedic. The Applicant further states that this waiver is given voluntarily and with the knowledge that the Applicant is waiving any and all liability the City may incur as to the Applicant resulting from the Applicant’s participation in the pre-employment screening process. The Applicant specifically waives the right to written notice required of any former employer pursuant to the Personnel Records Review Act, 820 ILCS, §40/7(1). The Applicant also acknowledges that the Applicant had the opportunity to discuss the import of this Waiver with legal counsel of Applicant’s own choosing. Witness our hands and seals the day and year above written.

APPLICANT __________________________________ Applicant Signature

B

__________________________________ Applicant Name, printed

of _________________, 2008.

©Copyright 2008 by I/O Solutions, Inc. d.b.a. Public Safety RecruitmenDO NOT SUBMIT WITHOUT ORIGINAL DATED SIGNATUMEMBERS OR FRIENDS LIVING WITHIN THE U.S.; DOCT

NEED NOTARIZATION. SEE CHECKLIST FO

FOR USE BY THE CITY OF NAPERVILLE, ILLINOIS


y: _______________________________________ Board Chairman

t REQUIRED RELEASE DOCUMENT: 23 of 23 RES WHERE REQUIRED. WITNESSES MAY BE ADULT FAMILY OR SIGNATURE MUST BE OF MD or DO. PAGES 21, 22 & 23 R ALL DOCUMENTS DUE 5/27/08 by 12 NOON.

City of Naperville Fire Department Physical Aptitude Test Orientation & Preparation Guide

This orientation and preparation guide has been developed to introduce you the Naperville Fire

Department Physical Aptitude Test (PAT) for entry-level Firefighter/Paramedic. The information contained

in this guide will familiarize you with the challenges you will face while taking the physical aptitude test

and offer advice on how to prepare for the experience.

The test consists of a series of job-related tasks designed to ensure that the candidate will be able to

perform the necessary job functions they will face as a Firefighter/Paramedic in the City of Naperville.

These simulation exercises were developed to mirror critical job tasks that Naperville

Firefighter/Paramedics perform, and therefore, is a highly valid and realistic assessment of the physical

aspects of this job.

Based on the expert judgment of command-rank personnel from the Naperville Fire Department, the

following six (6) physical aptitude test components were identified:

Aerial Ladder Climb

28-foot extension ladder raise

Charged hoseline advance

Stair climb with equipment

Confined space victim search simulation

Victim rescue dummy drag

Physical aptitude is one of several components that Firefighter/Paramedics are selected on, however, due

to the extreme physical nature of this job, the inability of a candidate to pass this test will eliminate

him/her from the selection process. The passing score will be based on times of current Naperville

Firefighter/Paramedics, so expect to be required to perform at a high level. We encourage you to be as

well prepared for this test as possible. This guide will help you on your way. Best of luck!

Introduction to the PAT The Physical Aptitude Test will consist of 6 events designed to simulate such Firefighter/Paramedic activities

as: climbing an aerial ladder, raising an extension ladder, moving with a charged hoseline into position,

climbing stairs carrying hoseline and other equipment, search for victims in low visibility environments, and

removing an unconscious victim from a building. The following points will help to familiarize you with the

testing process:

Candidates must wear a self-contained breathing apparatus (SCBA and composite bottle weigh approximately 25 pounds) through all of the PAT exercises except the aerial ladder climb component. The SCBA equipment will be provided at the test site.

Candidates will begin the PAT with an untimed aerial ladder climb. After this event is successfully

completed, the candidate will move on to the final five components of the PAT which will be timed as a series. There will be no breaks between these five components. The inability of the candidate to complete any of the six components will disqualify him/her from the testing process.

During the sequence of timed events, candidates will be permitted to run, walk, or rest between

components if they wish to do so. If the candidate chooses to rest, the clock keeps ticking! Given the extremely demanding nature of this test, it is recommended that candidates pace themselves in order to complete the entire series of events. If you are not successful at a particular component you may continue trying until you successfully complete that component. You will not be allowed to continue to the next component until the previous one has been successfully completed.

Due to the nature of the simulated tasks, expect to get dirty during the PAT. Also, applicants must

wear athletic shoes and long pants for safety purposes.

Prior to the actual test, a test administrator will provide an orientation and a test walk-through for all candidates. During the walk-through, candidates will not be allowed to touch any of the testing equipment. Candidates will be given a demonstration of each test component. We encourage you to ask questions concerning each component during the walk-through.

Test monitors will time candidates as they proceed through the test components, and additional

monitors will be located at each test station.

The test is timed and failure to complete the PAT in the specified time will result in disqualification. Candidates will also be disqualified for failure to complete any of the individual components.

Test Components and Suggested Preparation UNTIMED EVENT

1. Aerial Ladder Climb

For this event you must climb up 50 feet on an aerial ladder apparatus and return back down. The ladder will be set at a 70-degree climbing angle. You will be wearing a safety harness for protection. You must ascend and descend the ladder without stopping to successfully complete this component. You will only be allowed two attempts to complete this component. Candidates will not wear the SCBA for this event, but must wear a safety helmet.

Purpose: This event is designed to measure your coordination and balance and to assess any fear of heights that you may have. Preparation: To prepare for this event you may want to practice climbing a sturdy ladder to the height of a typical two-story house. Practice carefully and slowly climbing up and down the ladder. This event is not timed so do not rush.

TIMED EVENTS

* Remember that you will be wearing a SCBA during each of the five following components. These components will be consecutive and timed as a series.

2. Ladder Extension

You must extend a ladder and bring it back down without dropping it using the halyard (extension rope). You must hoist the halyard in a hand over hand fashion until the ladder is fully extended. You must then lower the ladder in a hand over hand fashion. You must not lose control of the rope or drop the ladder. If this happens, you will be required to start this event over.

Purpose: The purpose of this event is to test upper body strength and endurance. This event will also assess grip strength and ladder control.

Preparation: To prepare for this event, you might attach a 75lb. bag to one end of a rope threaded through a pulley or hung over a smooth round wooden or metal pole. The pole or pulley should be located 20 feet above the ground. Make sure the weighted bag moves freely. You can practice pulling the weighted bag up to the top of the pole or pulley and back down again using a hand over hand movement throughout the process. Maintaining control over the bag is the most important element of this exercise.

3. Charged Hoseline Advance

You must pick up and advance a charged (water-pressurized) 13/4" hoseline for a distance of 100 feet. The nozzle will be closed on the hoseline. Purpose: The purpose of this event is to test overall muscular strength and endurance. This exercise will test leg and upper body strength. Preparation: To prepare for this event, you might tie a 20-foot rope to a bag or object weighing approximately 50 lbs. You can then throw the end of the rope over your shoulder, grasp it, and drag the weight a distance of 100 feet. Because the weight of the charged line increases as you approach the finish line, it might be a good idea to use a 100 lb. weight to practice for this event as well.

4. Stair Climb with Equipment

You must pick up a 13/4" high-rise hosepack (i.e., wrapped hose) and carry it up to the fourth floor using the stairway and then carry it back down the stairs. The hosepack weighs approximately 50 lbs. Please note that this is an extremely difficult test component given the weight of the equipment worn and carried. Do not underestimate its difficulty.

Purpose: The purpose of this event is to test muscular strength and endurance as well as general stamina and cardiovascular endurance.

Preparation: This is an extremely demanding physical event. To prepare for this exercise, you might carry a duffel bag or similar object weighing 60 lbs., up and down four stories. In preparing for this exercise, you should be aware that you will be wearing a self-contained breathing apparatus weighing approximately 25 lbs.

5. Confined Space Victim Search

You will wear a blackened facepiece to block your vision and be directed to enter a room where you will have to crawl on your hands and knees up and down following a 50-foot laid out hoseline. Due to the nature of this event, you will get dirty.

Purpose: The purpose of this event is to test muscular strength and endurance, as well as the ability to maintain spatial orientation and freedom from claustrophobia.

Preparation: To prepare for this event, you might practice maneuvering on all fours wearing a backpack weighing approximately 25 lbs. It would be a good idea to do this with your eyes closed or in a darkened room. Be sure to have a friend/helper if you are maneuvering in an area and you cannot see.

6. Victim Rescue Dummy Drag

You must drag a 165-pound human form dummy for a distance of 50 feet. Purpose: The purpose of this event is to test muscular strength, power, and stamina.

Preparation: To prepare for this event, you might practice dragging a duffel bag weighing 165 lbs. In preparing for this exercise, you should be aware that you will be wearing a self-contained breathing apparatus weighing approximately 25 lbs.

PAT Score

Your score on the physical aptitude test will be determined by the amount of time that passes

from the start of the ladder extension component to the completion of the dummy drag

component. The passing score is based on the times of present Naperville Firefighter/Paramedics

who proceeded through the course at a pace they would use when performing the actual job.

You will be informed of your pass/fail status after you have completed the testing session.

PAT Layout

1. Aerial Ladder Climb

2. Ladder Extension (clock starts)

3. Charged Line Advance

100

feet

4. Stair Climb 5. Victim Search

6. Dummy Drag (clock stops)

50 feet