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Fire Protection Services in Shreveport, Louisiana

Fire Protection Services Offered by Our Shreveport Office

Data Center Fire ProtectionFire Sprinkler Systems
Fire Alarm SystemsSpecial Hazards and Commercial Hood
Fire ExtinguishersFire Inspection NFPA Codes
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Since 1973, Mid South Fire Solutions has proudly served businesses throughout the Shreveport area with complete commercial fire protection solutions, including design, installation, inspection, testing, maintenance, and 24/7 emergency service.

About Our Shreveport Office

As the headquarters of Mid South Fire Solutions, our Shreveport office provides comprehensive commercial fire protection services throughout Louisiana, Texas, Arkansas, and Mississippi. Our experienced team is committed to delivering reliable solutions, exceptional service, and code-compliant systems that help protect people, property, and businesses of every size.

Shreveport Office

đź“Ť669 Aero Dr Shreveport, LA 71107
đź“ž(318) 226-9821
🖨️(318) 226-8703
✉️ContactUs@midsouthfire.com
đź•’Mon-Fri 8am - 5pm
Sat & Sun Closed

Regional Fire Protection Services Across Texas, Louisiana, Arkansas, and Mississippi

While our Shreveport office proudly serves Northwest Louisiana and the surrounding region, Mid South Fire Solutions also operates offices in Dallas, Diboll, and New Iberia. Since 1973, our regional network has enabled us to provide consistent fire protection services across multiple states while delivering the responsive, local support our customers rely on.

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Service Area
Contact Us - Mid South Fire Solutions

Memberships and Associations

Associated general Contractors
Siemens
National Safety Council
Amerex
ISNETWORLD
Kidde Fire Systems
American Fire Sprinkler Association
AFAA
Ansul
FSCATX
AFAA Louisiana

Mid South Fire Solutions Application for Employment

Mid South Fire Solutions is committed to fostering a diverse and inclusive workplace. All applicants are considered for employment based solely on their qualifications, without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, marital status, pregnancy, ancestry, disability (physical or mental), medical condition, military or veteran status, citizenship or immigration status, ethnicity, genetic information, or any other characteristic protected by applicable federal, state, or local laws. We proudly uphold equal opportunity principles in all aspects of our hiring and employment practices.

All information and results provided during the application process will be treated with the utmost confidentiality and used exclusively to support employment-related decisions. We respect your privacy and are committed to maintaining the integrity of your personal data throughout the hiring process.

Job descriptions are available and can be provided to applicant upon request.

Name:

GENERAL INFORMATION

Note: If under 18, hire is subject to verification that you are of minimum legal age.

15. Give name and telephone number of three references who are not related to you and are not previous employers.

EDUCATION

School Name

Specialized training, skills, or extracurricular activities

Did you graduate?

HIGH SCHOOL

COLLEGE

GRADUATE/PROFESSIONAL SCHOOL

TRADE SCHOOL

OTHER, please specify
Example: GED

Employment Experience

Start with your present or last job. Include military service assignments if they apply.

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Applicant's Statement and Agreement

Please read and initial each paragraph below. At any time, please ask the employment interviewer any questions regarding the conditions for explanations and/or clarifications.

• DMV records including Driver’s License information, Driving History (Records of traffic violations, accidents, DUI convictions, and points on the license), Vehicle Registration, Title History, Commercial Driving Records (CDL)
• Criminal convictions (Note: All applicants are given equal consideration, and past convictions are reviewed in context with the position requirements.")
• Prior employment history, except contacting my current employer unless my permission is granted above
• Educational background

I affirm that I have read this document in its entirety and consent to all stated conditions.

Clear Signature

Voluntary Affirmative Action Survey (Optional)

Voluntary Affirmative Action Survey

Mid South Fire Solutions Application for Employment

Mid South Fire Solutions is committed to fostering a diverse and inclusive workplace. All applicants are considered for employment based solely on their qualifications, without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, marital status, pregnancy, ancestry, disability (physical or mental), medical condition, military or veteran status, citizenship or immigration status, ethnicity, genetic information, or any other characteristic protected by applicable federal, state, or local laws. We proudly uphold equal opportunity principles in all aspects of our hiring and employment practices.

All information and results provided during the application process will be treated with the utmost confidentiality and used exclusively to support employment-related decisions. We respect your privacy and are committed to maintaining the integrity of your personal data throughout the hiring process.

Job descriptions are available and can be provided to applicant upon request.

Name:

GENERAL INFORMATION

Note: If under 18, hire is subject to verification that you are of minimum legal age.

15. Give name and telephone number of three references who are not related to you and are not previous employers.

EDUCATION

School Name

Specialized training, skills, or extracurricular activities

Did you graduate?

HIGH SCHOOL

COLLEGE

GRADUATE/PROFESSIONAL SCHOOL

TRADE SCHOOL

OTHER, please specify
Example: GED

Employment Experience

Start with your present or last job. Include military service assignments if they apply.

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Applicant's Statement and Agreement

Please read and initial each paragraph below. At any time, please ask the employment interviewer any questions regarding the conditions for explanations and/or clarifications.

• DMV records including Driver’s License information, Driving History (Records of traffic violations, accidents, DUI convictions, and points on the license), Vehicle Registration, Title History, Commercial Driving Records (CDL)
• Criminal convictions (Note: All applicants are given equal consideration, and past convictions are reviewed in context with the position requirements.")
• Prior employment history, except contacting my current employer unless my permission is granted above
• Educational background

I affirm that I have read this document in its entirety and consent to all stated conditions.

Clear Signature

Voluntary Affirmative Action Survey (Optional)

Voluntary Affirmative Action Survey

Mid South Fire Solutions Application for Employment

Mid South Fire Solutions is committed to fostering a diverse and inclusive workplace. All applicants are considered for employment based solely on their qualifications, without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, marital status, pregnancy, ancestry, disability (physical or mental), medical condition, military or veteran status, citizenship or immigration status, ethnicity, genetic information, or any other characteristic protected by applicable federal, state, or local laws. We proudly uphold equal opportunity principles in all aspects of our hiring and employment practices.

All information and results provided during the application process will be treated with the utmost confidentiality and used exclusively to support employment-related decisions. We respect your privacy and are committed to maintaining the integrity of your personal data throughout the hiring process.

Job descriptions are available and can be provided to applicant upon request.

Name:

GENERAL INFORMATION

Note: If under 18, hire is subject to verification that you are of minimum legal age.

15. Give name and telephone number of three references who are not related to you and are not previous employers.

EDUCATION

School Name

Specialized training, skills, or extracurricular activities

Did you graduate?

HIGH SCHOOL

COLLEGE

GRADUATE/PROFESSIONAL SCHOOL

TRADE SCHOOL

OTHER, please specify
Example: GED

Employment Experience

Start with your present or last job. Include military service assignments if they apply.

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Applicant's Statement and Agreement

Please read and initial each paragraph below. At any time, please ask the employment interviewer any questions regarding the conditions for explanations and/or clarifications.

• DMV records including Driver’s License information, Driving History (Records of traffic violations, accidents, DUI convictions, and points on the license), Vehicle Registration, Title History, Commercial Driving Records (CDL)
• Criminal convictions (Note: All applicants are given equal consideration, and past convictions are reviewed in context with the position requirements.")
• Prior employment history, except contacting my current employer unless my permission is granted above
• Educational background

I affirm that I have read this document in its entirety and consent to all stated conditions.

Clear Signature

Voluntary Affirmative Action Survey (Optional)

Voluntary Affirmative Action Survey

Mid South Fire Solutions Application for Employment

Mid South Fire Solutions is committed to fostering a diverse and inclusive workplace. All applicants are considered for employment based solely on their qualifications, without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, marital status, pregnancy, ancestry, disability (physical or mental), medical condition, military or veteran status, citizenship or immigration status, ethnicity, genetic information, or any other characteristic protected by applicable federal, state, or local laws. We proudly uphold equal opportunity principles in all aspects of our hiring and employment practices.

All information and results provided during the application process will be treated with the utmost confidentiality and used exclusively to support employment-related decisions. We respect your privacy and are committed to maintaining the integrity of your personal data throughout the hiring process.

Job descriptions are available and can be provided to applicant upon request.

Name:

GENERAL INFORMATION

Note: If under 18, hire is subject to verification that you are of minimum legal age.

15. Give name and telephone number of three references who are not related to you and are not previous employers.

EDUCATION

School Name

Specialized training, skills, or extracurricular activities

Did you graduate?

HIGH SCHOOL

COLLEGE

GRADUATE/PROFESSIONAL SCHOOL

TRADE SCHOOL

OTHER, please specify
Example: GED

Employment Experience

Start with your present or last job. Include military service assignments if they apply.

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Applicant's Statement and Agreement

Please read and initial each paragraph below. At any time, please ask the employment interviewer any questions regarding the conditions for explanations and/or clarifications.

• DMV records including Driver’s License information, Driving History (Records of traffic violations, accidents, DUI convictions, and points on the license), Vehicle Registration, Title History, Commercial Driving Records (CDL)
• Criminal convictions (Note: All applicants are given equal consideration, and past convictions are reviewed in context with the position requirements.")
• Prior employment history, except contacting my current employer unless my permission is granted above
• Educational background

I affirm that I have read this document in its entirety and consent to all stated conditions.

Clear Signature

Voluntary Affirmative Action Survey (Optional)

Voluntary Affirmative Action Survey

Mid South Fire Solutions Application for Employment

Mid South Fire Solutions is committed to fostering a diverse and inclusive workplace. All applicants are considered for employment based solely on their qualifications, without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, marital status, pregnancy, ancestry, disability (physical or mental), medical condition, military or veteran status, citizenship or immigration status, ethnicity, genetic information, or any other characteristic protected by applicable federal, state, or local laws. We proudly uphold equal opportunity principles in all aspects of our hiring and employment practices.

All information and results provided during the application process will be treated with the utmost confidentiality and used exclusively to support employment-related decisions. We respect your privacy and are committed to maintaining the integrity of your personal data throughout the hiring process.

Job descriptions are available and can be provided to applicant upon request.

Name:

GENERAL INFORMATION

Note: If under 18, hire is subject to verification that you are of minimum legal age.

15. Give name and telephone number of three references who are not related to you and are not previous employers.

EDUCATION

School Name

Specialized training, skills, or extracurricular activities

Did you graduate?

HIGH SCHOOL

COLLEGE

GRADUATE/PROFESSIONAL SCHOOL

TRADE SCHOOL

OTHER, please specify
Example: GED

Employment Experience

Start with your present or last job. Include military service assignments if they apply.

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Applicant's Statement and Agreement

Please read and initial each paragraph below. At any time, please ask the employment interviewer any questions regarding the conditions for explanations and/or clarifications.

• DMV records including Driver’s License information, Driving History (Records of traffic violations, accidents, DUI convictions, and points on the license), Vehicle Registration, Title History, Commercial Driving Records (CDL)
• Criminal convictions (Note: All applicants are given equal consideration, and past convictions are reviewed in context with the position requirements.")
• Prior employment history, except contacting my current employer unless my permission is granted above
• Educational background

I affirm that I have read this document in its entirety and consent to all stated conditions.

Clear Signature

Voluntary Affirmative Action Survey (Optional)

Voluntary Affirmative Action Survey

Mid South Fire Solutions Application for Employment

Mid South Fire Solutions is committed to fostering a diverse and inclusive workplace. All applicants are considered for employment based solely on their qualifications, without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, marital status, pregnancy, ancestry, disability (physical or mental), medical condition, military or veteran status, citizenship or immigration status, ethnicity, genetic information, or any other characteristic protected by applicable federal, state, or local laws. We proudly uphold equal opportunity principles in all aspects of our hiring and employment practices.

All information and results provided during the application process will be treated with the utmost confidentiality and used exclusively to support employment-related decisions. We respect your privacy and are committed to maintaining the integrity of your personal data throughout the hiring process.

Job descriptions are available and can be provided to applicant upon request.

Name:

GENERAL INFORMATION

Note: If under 18, hire is subject to verification that you are of minimum legal age.

15. Give name and telephone number of three references who are not related to you and are not previous employers.

EDUCATION

School Name

Specialized training, skills, or extracurricular activities

Did you graduate?

HIGH SCHOOL

COLLEGE

GRADUATE/PROFESSIONAL SCHOOL

TRADE SCHOOL

OTHER, please specify
Example: GED

Employment Experience

Start with your present or last job. Include military service assignments if they apply.

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Applicant's Statement and Agreement

Please read and initial each paragraph below. At any time, please ask the employment interviewer any questions regarding the conditions for explanations and/or clarifications.

• DMV records including Driver’s License information, Driving History (Records of traffic violations, accidents, DUI convictions, and points on the license), Vehicle Registration, Title History, Commercial Driving Records (CDL)
• Criminal convictions (Note: All applicants are given equal consideration, and past convictions are reviewed in context with the position requirements.")
• Prior employment history, except contacting my current employer unless my permission is granted above
• Educational background

I affirm that I have read this document in its entirety and consent to all stated conditions.

Clear Signature

Voluntary Affirmative Action Survey (Optional)

Voluntary Affirmative Action Survey

Mid South Fire Solutions Application for Employment

Mid South Fire Solutions is committed to fostering a diverse and inclusive workplace. All applicants are considered for employment based solely on their qualifications, without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, marital status, pregnancy, ancestry, disability (physical or mental), medical condition, military or veteran status, citizenship or immigration status, ethnicity, genetic information, or any other characteristic protected by applicable federal, state, or local laws. We proudly uphold equal opportunity principles in all aspects of our hiring and employment practices.

All information and results provided during the application process will be treated with the utmost confidentiality and used exclusively to support employment-related decisions. We respect your privacy and are committed to maintaining the integrity of your personal data throughout the hiring process.

Job descriptions are available and can be provided to applicant upon request.

Name:

GENERAL INFORMATION

Note: If under 18, hire is subject to verification that you are of minimum legal age.

15. Give name and telephone number of three references who are not related to you and are not previous employers.

EDUCATION

School Name

Specialized training, skills, or extracurricular activities

Did you graduate?

HIGH SCHOOL

COLLEGE

GRADUATE/PROFESSIONAL SCHOOL

TRADE SCHOOL

OTHER, please specify
Example: GED

Employment Experience

Start with your present or last job. Include military service assignments if they apply.

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Applicant's Statement and Agreement

Please read and initial each paragraph below. At any time, please ask the employment interviewer any questions regarding the conditions for explanations and/or clarifications.

• DMV records including Driver’s License information, Driving History (Records of traffic violations, accidents, DUI convictions, and points on the license), Vehicle Registration, Title History, Commercial Driving Records (CDL)
• Criminal convictions (Note: All applicants are given equal consideration, and past convictions are reviewed in context with the position requirements.")
• Prior employment history, except contacting my current employer unless my permission is granted above
• Educational background

I affirm that I have read this document in its entirety and consent to all stated conditions.

Clear Signature

Voluntary Affirmative Action Survey (Optional)

Voluntary Affirmative Action Survey

Mid South Fire Solutions Application for Employment

Mid South Fire Solutions is committed to fostering a diverse and inclusive workplace. All applicants are considered for employment based solely on their qualifications, without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, marital status, pregnancy, ancestry, disability (physical or mental), medical condition, military or veteran status, citizenship or immigration status, ethnicity, genetic information, or any other characteristic protected by applicable federal, state, or local laws. We proudly uphold equal opportunity principles in all aspects of our hiring and employment practices.

All information and results provided during the application process will be treated with the utmost confidentiality and used exclusively to support employment-related decisions. We respect your privacy and are committed to maintaining the integrity of your personal data throughout the hiring process.

Job descriptions are available and can be provided to applicant upon request.

Name:

GENERAL INFORMATION

Note: If under 18, hire is subject to verification that you are of minimum legal age.

15. Give name and telephone number of three references who are not related to you and are not previous employers.

EDUCATION

School Name

Specialized training, skills, or extracurricular activities

Did you graduate?

HIGH SCHOOL

COLLEGE

GRADUATE/PROFESSIONAL SCHOOL

TRADE SCHOOL

OTHER, please specify
Example: GED

Employment Experience

Start with your present or last job. Include military service assignments if they apply.

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Applicant's Statement and Agreement

Please read and initial each paragraph below. At any time, please ask the employment interviewer any questions regarding the conditions for explanations and/or clarifications.

• DMV records including Driver’s License information, Driving History (Records of traffic violations, accidents, DUI convictions, and points on the license), Vehicle Registration, Title History, Commercial Driving Records (CDL)
• Criminal convictions (Note: All applicants are given equal consideration, and past convictions are reviewed in context with the position requirements.")
• Prior employment history, except contacting my current employer unless my permission is granted above
• Educational background

I affirm that I have read this document in its entirety and consent to all stated conditions.

Clear Signature

Voluntary Affirmative Action Survey (Optional)

Voluntary Affirmative Action Survey

Mid South Fire Solutions Application for Employment

Mid South Fire Solutions is committed to fostering a diverse and inclusive workplace. All applicants are considered for employment based solely on their qualifications, without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, marital status, pregnancy, ancestry, disability (physical or mental), medical condition, military or veteran status, citizenship or immigration status, ethnicity, genetic information, or any other characteristic protected by applicable federal, state, or local laws. We proudly uphold equal opportunity principles in all aspects of our hiring and employment practices.

All information and results provided during the application process will be treated with the utmost confidentiality and used exclusively to support employment-related decisions. We respect your privacy and are committed to maintaining the integrity of your personal data throughout the hiring process.

Job descriptions are available and can be provided to applicant upon request.

Name:

GENERAL INFORMATION

Note: If under 18, hire is subject to verification that you are of minimum legal age.

15. Give name and telephone number of three references who are not related to you and are not previous employers.

EDUCATION

School Name

Specialized training, skills, or extracurricular activities

Did you graduate?

HIGH SCHOOL

COLLEGE

GRADUATE/PROFESSIONAL SCHOOL

TRADE SCHOOL

OTHER, please specify
Example: GED

Employment Experience

Start with your present or last job. Include military service assignments if they apply.

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Applicant's Statement and Agreement

Please read and initial each paragraph below. At any time, please ask the employment interviewer any questions regarding the conditions for explanations and/or clarifications.

• DMV records including Driver’s License information, Driving History (Records of traffic violations, accidents, DUI convictions, and points on the license), Vehicle Registration, Title History, Commercial Driving Records (CDL)
• Criminal convictions (Note: All applicants are given equal consideration, and past convictions are reviewed in context with the position requirements.")
• Prior employment history, except contacting my current employer unless my permission is granted above
• Educational background

I affirm that I have read this document in its entirety and consent to all stated conditions.

Clear Signature

Voluntary Affirmative Action Survey (Optional)

Voluntary Affirmative Action Survey

Mid South Fire Solutions Application for Employment

Mid South Fire Solutions is committed to fostering a diverse and inclusive workplace. All applicants are considered for employment based solely on their qualifications, without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, marital status, pregnancy, ancestry, disability (physical or mental), medical condition, military or veteran status, citizenship or immigration status, ethnicity, genetic information, or any other characteristic protected by applicable federal, state, or local laws. We proudly uphold equal opportunity principles in all aspects of our hiring and employment practices.

All information and results provided during the application process will be treated with the utmost confidentiality and used exclusively to support employment-related decisions. We respect your privacy and are committed to maintaining the integrity of your personal data throughout the hiring process.

Job descriptions are available and can be provided to applicant upon request.

Name:

GENERAL INFORMATION

Note: If under 18, hire is subject to verification that you are of minimum legal age.

15. Give name and telephone number of three references who are not related to you and are not previous employers.

EDUCATION

School Name

Specialized training, skills, or extracurricular activities

Did you graduate?

HIGH SCHOOL

COLLEGE

GRADUATE/PROFESSIONAL SCHOOL

TRADE SCHOOL

OTHER, please specify
Example: GED

Employment Experience

Start with your present or last job. Include military service assignments if they apply.

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Applicant's Statement and Agreement

Please read and initial each paragraph below. At any time, please ask the employment interviewer any questions regarding the conditions for explanations and/or clarifications.

• DMV records including Driver’s License information, Driving History (Records of traffic violations, accidents, DUI convictions, and points on the license), Vehicle Registration, Title History, Commercial Driving Records (CDL)
• Criminal convictions (Note: All applicants are given equal consideration, and past convictions are reviewed in context with the position requirements.")
• Prior employment history, except contacting my current employer unless my permission is granted above
• Educational background

I affirm that I have read this document in its entirety and consent to all stated conditions.

Clear Signature

Voluntary Affirmative Action Survey (Optional)

Voluntary Affirmative Action Survey

Mid South Fire Solutions Application for Employment

Mid South Fire Solutions is committed to fostering a diverse and inclusive workplace. All applicants are considered for employment based solely on their qualifications, without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, age, marital status, pregnancy, ancestry, disability (physical or mental), medical condition, military or veteran status, citizenship or immigration status, ethnicity, genetic information, or any other characteristic protected by applicable federal, state, or local laws. We proudly uphold equal opportunity principles in all aspects of our hiring and employment practices.

All information and results provided during the application process will be treated with the utmost confidentiality and used exclusively to support employment-related decisions. We respect your privacy and are committed to maintaining the integrity of your personal data throughout the hiring process.

Job descriptions are available and can be provided to applicant upon request.

Name:

GENERAL INFORMATION

Note: If under 18, hire is subject to verification that you are of minimum legal age.

15. Give name and telephone number of three references who are not related to you and are not previous employers.

EDUCATION

School Name

Specialized training, skills, or extracurricular activities

Did you graduate?

HIGH SCHOOL

COLLEGE

GRADUATE/PROFESSIONAL SCHOOL

TRADE SCHOOL

OTHER, please specify
Example: GED

Employment Experience

Start with your present or last job. Include military service assignments if they apply.

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Dates of Employment

Employer Name/City, State/Phone Number

Position

Reason for Leaving

Applicant's Statement and Agreement

Please read and initial each paragraph below. At any time, please ask the employment interviewer any questions regarding the conditions for explanations and/or clarifications.

• DMV records including Driver’s License information, Driving History (Records of traffic violations, accidents, DUI convictions, and points on the license), Vehicle Registration, Title History, Commercial Driving Records (CDL)
• Criminal convictions (Note: All applicants are given equal consideration, and past convictions are reviewed in context with the position requirements.")
• Prior employment history, except contacting my current employer unless my permission is granted above
• Educational background

I affirm that I have read this document in its entirety and consent to all stated conditions.

Clear Signature

Voluntary Affirmative Action Survey (Optional)

Voluntary Affirmative Action Survey