Application for Employment

The Town of Amherst requires that fire rescue applicants fill out a notarized authorization of the release of your personal information.

You may download this 1-page document herePlease fill out and sign this document before a notary public. There are notaries public available at the Amherst Town Hall, as well as other local institutions.

Upon completion of this form, the you may mail it to the Amherst Fire Rescue (P.O. Box 1199, Amherst, NH 03031), or drop it off at the fire station at 177 Amherst Street during business hours (8am-4pm weekdays).

Full Name
Contact Information
Please note that conviction of a crime is not automatically a bar to employment, and factors such as nature, seriousness, and date of the offense, rehabilitation, and relationship to position will be considered.
Please list three personal references, other than members of this organization, who have known you for at least three years.
Education (Enter all information that applies)
Previous Employment - please include: Employer Name, Location, Position Held, Employed From Mo/Yr, Employed Until Mo/Yr, Reason for Leaving
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.