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Please provide three references. These people should not be related to you, but should be able to comment on your education, work experience, community involvement, and/or character. You authorize the reference listed below to provide the requested background and personal information to the Princeton First Aid & Rescue Squad, Inc., its officers, directors, and Membership Committee. You acknowledge that the completed reference form is the property of the Princeton First Aid & Rescue Squad, Inc., and you further waive any right you may have to review the reference form. These three references will receive an automated message asking them to submit a reference on your behalf – you can also reach out to them directly and ask that they do so by visiting pfars.org/reference. Please follow up with these three individuals to confirm that they have submitted a reference for you.

I, the undersigned, certify that I have read and fully understand this form in its entirety and that the information herein provided is true and complete to the best of my knowledge. I understand that, should any statement I have made prove to be false, misleading, or erroneous, it may result in the rejection of my application or in my discharge from the Princeton First Aid & Rescue Squad, Inc. By signing below, I hereby authorize the Princeton First Aid & Rescue Squad and its officers or delegates to conduct any background investigations necessary to verify the above information. I understand that any offer of membership is contingent upon successfully passing a medical clearance examination and urine drug screen administered by the Squad’s delegate, and by signing below I give my consent for that examination. I further agree that, if granted membership, I will uphold the rules, regulations, and by-laws of the Princeton First Aid & Rescue Squad, Inc

In connection with my application for membership or employment with Princeton First Aid & Rescue Squad, Inc. I understand that consumer reports, which may contain public record information, may be requested and obtained. These reports may include information related to my previous driving record including court actions, citations, license suspensions and revocations. I AUTHORIZE, WITHOUT RESERVATION, ANY PARTY OR AGENCY CONTACTED TO FURNISH THE ABOVE-MENTIONED INFORMATION. I have the right to obtain information as to the name, address and phone number of any agency providing such information and further, may request of that agency, upon proper identification, the nature and substance of all information in its files on me at the time of request, including all sources of information as well as the recipients of any reports on me which that agency has previously furnished within the two (2) year period preceding my request. This authorization shall remain on file and shall serve as ongoing authorization for the organization named above to procure Motor Vehicle Reports at any time during my employment, membership or contract period.