PAID-ON-CALL FIREFIGHTER APPLICATION

Applicant Information

Surname

Given Name(s)

Permanent Address

Phone number

Cell number

Email address

BC Driver's Licence No.

Class

Air Brake? Air Brake?

Yes

Height

Weight

Are you between the ages of 19 and 65 (inclusive)? Are you between the ages of 19 and 65 (inclusive)?

Yes

Do you have your own vehicle for transportation? Do you have your own vehicle for transportation?

Yes

Are you legally permitted to work in Canada? Are you legally permitted to work in Canada?

Yes

How long have you lived in the Lake Country area?

Do you have a criminal record? Do you have a criminal record?

Yes

Describe your skills applicable to the Fire Service

Describe your hobbies and interests

Education

Last secondary school grade completed (or equivalent)

Have you completed, or are currently enrolled in, post-secondary, vocational or trade training? Have you completed, or are currently enrolled in, post-secondary, vocational or trade training?

Yes

Additional qualifications or courses

First Aid training (where and when)

Work Experience

Are you presently employed? Are you presently employed?

Yes

I am a student

Would your employer allow you to respond to emergency calls during working hours? Would your employer allow you to respond to emergency calls during working hours?

Always

Usually

Rarely

Never

) Are you normally available to respond to daytime emergencies? (Monday to Friday, 7 a.m. to 5 p.m.)

Always

Usually

Rarely

Never

Can you meet this requirement? If accepted, you are required to attend weekly Monday night practices (approximately 7 to 9:30 p.m.). Can you meet this requirement?

Yes

Why do you think you would be an asset to the Lake Country Fire Department?

Consent

I am applying to enroll as a Paid-on-Call/Volunteer Firefighter for the Lake Country Fire Department. If accepted I will undertake to perform such duties as may be assigned to me by the Fire Chief or delegate.

If my employment, permanent address and/or status of driver’s licence should change after becoming a member of the Lake Country Fire Department, I will notify the Fire Administration Office immediately and my membership will be reviewed in view of the new information.

I am aware that if my application is accepted for review, membership is conditional on successful completion of the following:

Medical Evaluation
Physical Test
A Criminal Record Check
Recruit Training and Probationary Period

By clicking Yes you are giving consent to the Lake Country Fire Department to verify the information given as required.

Yes

Personal information provided to the District of Lake Country is collected, used and disclosed in accordance with the Freedom of Information and Protection of Privacy Act (FOIPPA). Personal information is defined as recorded information about an identifiable individual, including name, phone number, or email address, and is obtained if supplied voluntarily through completing an application for a District program or service. Any personal information we ask you to provide will only be used for that purpose. Questions may be directed to the Freedom of Information Head for the District of Lake Country.

Form Builder

PAID-ON-CALL FIREFIGHTER APPLICATION

Applicant Information

Education

Work Experience

Consent