Volunteer Firefighter Application Form

Trent Lakes Volunteer Firefighters Application

All pages of the Application Form must be completed in full or the application will not be considered. Resumes may be separately emailed to accompany application forms but will not be substituted for the formal Application Form.

Personal Information

Last Name:
First Name:
Home Phone:
Cell Phone:
Business Phone:
E-mail Address:

Residence Address:

Must include 911 identifier to match application to relevant station, and must include postal code.

Street/911 Address:
Apt/PO Box:
City:
Postal Code:

Mailing Address:

If different from above.

Street/911 Address:
Apt/POBox:
City:
Postal Code:

Hall Preference

Applications will be considered for Hall assignment based on residence address, then upon Applicant choice, for those applicants who reside within a reasonable response time to more than one Hall. Please indicate your preferred choice of Hall assignment below.

Hall 1 - BuckhornHall 2 - CavendishHall 3 - GalwayHall 4 - Oak Shores

Education:

Grade 12 (or equivalent):
College:
Fire-fighter Prep Course (College):
Other, Fire-Related Course or Training:

Employment Experience:

Employer Name:
Position Held:
From: To:

Employer Name:
Position Held:
From: To:

Other Experience:

Previous/Current Firefighting:
Number of Years/Months:

Volunteer or Community Work:
Number Years/Months:

Additional Comments on related work experience:

Driving Experience:

Minimum Ontario Valid Glass "G: Licence required, Select the corresponding box(es):
Class "G"Class "D" or aboveAirbrake "Z" endorsement

Have you had any experience in driving heavy vehicles? If yes, please explain:

Do you possess certification or training in any of the following areas?

CPR - Cardiopulmonary resuscitationCertified Trade - mechanic, electricianFire Safety Systems - alarms, extinguishersRescue procedure - lifeguard, auto extricationFirst AidLeadership CourseKnowledge of breathing apparatus - scuba diving, etcPAD/Defibrillation TrainingComputer Technology/ElectronicsOccupational Health & Safety

Other medical training (please state below)

Other Training (please state below)

What times are you available?

Day
Night
Weekend

Declaration: I understand and agree:

1. That the information contained in this application is true and complete
2. I am legally entitled to work in Canada
3. I have read and fully understand the job description for the position of Volunteer Firefighter as found on the Municipality's website.
4. That, if a successful candidate, I must observe all rules, regulations and instructions governing employment by the Municipality of Trent Lakes in effect at the time of employment, or as established at any subsequent time.
5. That I must attend regular training sessions at assigned Hall(s) and complete mandatory training programs as required by departmental policies and procedures.
6. That I must attend alarm calls in my assigned Hall's primary response area as required by departmental policies and procedures.
7. That all uniforms, gear, protective clothing, equipment and supplies that may be issued to me remain the property of the Fire Rescue Service, and will be maintained and cared for by me in accordance with departmental policies and procedures, and returned to the Fire Rescue Service upon resignation or termination of my employment.
8. In completing and signing this form I give my consent to the municipality to collect and use the information contained within for the purposes of employment and understand that this information is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act, as amended from time to time.

Print Name:
Date of Signature: