Central Frontenac Fire & Rescue Volunteer Firefighter Application

APPLICANT INFORMATION

Last name:

First name:

Address:

City:

Province:

Postal Code:

CONTACT INFORMATION

Telephone (Home):

Telephone (Work):

Telephone (Cell):

Email:

LICENSE INFORMATION

Driver’s License Class (G, D, etc.):

Air Endorsement (Z)

Yes

No

EMPLOYER INFORMATION

Current Employer:

Job Title:

Hours of work:

Shift

Days

Nights

Contact Name:

Telephone

REFERENCES

Name:

Telephone:

Name:

Telephone:

Community Work:

Yes

No

If Yes, explain

EDUCATION

High School:

Yes

No

College:

Yes

No

University:

Yes

No

Additional Education

Hobbies or Other Interests

Can you provide your own reliable transportation?

Yes

No

Why are you interested in becoming a member of the Central Frontenac Volunteer Fire Department?

Do you agree to the following:

1. Upon request, you must complete and submit the required medical form(s).

Yes

No

2. Upon request, you must successfully complete a Candidate Physical Ability Test (CPAT)

Yes

No

3. Upon request you must submit a current Criminal Record for Vulnerable Sector, along with a current Driver’s Abstract.

Yes

No

CFFR promotes and enforces safe working practices, as such a facial hair grooming policy is in place for your protection.

Successful candidates will be required to complete the recruit training program through CFFR.

Signature:

Date:

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Central Frontenac Fire & Rescue Volunteer Firefighter Application

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