Applicant Information

Given name:

Surname:

Email:

Birthdate:

Address & Contact Information

Street:

PO BOX:

Town:

Province:

Postal Code:

Phone:

Cell:

Emergency Contact

Name:

Relation:

Telephone:

Education, Training, and Certification

Driver’s License Number:

Classification (G, D, DZ etc.):

Educational Background:

High School Completed: YesNo

College/University: YesNo

Course of Study:

Other Education/Courses:

Briefly state experience in Fire Department and Emergency Services: (if any)

List relevant experience and courses taken which you feel may benefit you within the fire service:

Employment Information

Employer:

Phone number:

Address:

Contact Person:

Will your employer allow you to arrive late/depart early in the event an emergency response is required during your scheduled working hours?YesNo

Do you have daytime availability?YesNo

Previous Employer:

Employer 1

Phone:

Employer 2

Phone:

Reference & Additional Information

Character/Professional references:

Reference Name 1:

Phone:

Relationship:

Reference Name 2:

Phone:

Relationship:

Present clubs/Organizational involvement:

Additional relevant information (why do you want to join the fire department?):

Hiring Process

1. Complete application

2. Submit signed application and job description to the Fire Chief, in person, via email, or through the municipal office.

3. Interview with Fire Chief. Receive criminal records check letter.

4. Submit criminal record check and driver’s abstract to the Fire Chief, in person, or through the municipal office.

5. Recommendation for hiring to Council for approval

6. Once approved, begin attending regular training sessions to receive requisite information.

Your application will remain on file for a period of one year. If successful you will be contacted and asked to attend a weekend-long basic fire fighting course. You will then serve a probationary period of 1 year, at which point, having completed mandatory year 1 training, you will be considered a full volunteer firefighter with the St. Charles fire department.

I understand the conditions and requirements and waive the corporation of the municipality of St. Charles and the St. Charles fire department from any claims due to injuries that may occur during the practical training and evaluations. I further declare that I do not have any known medical conditions which may prohibit the performance of fire fighting duties.