Required fields are marked with asterisks (*)

Volunteer Fire Fighter Application

Personal Information

First name

Last name

Phone

Address

Town/City

Postal code

Are you legally entitled to work in Canada?

Yes

Are you over the age of 18?

Yes

Have you ever been convicted of a crime for which you have not yet been pardoned?

Yes

Have you ever been employed by Haldimand County?

Yes

Educational Background

Highest level of education successfully completed

Other Licenses and Certificates

CPR

Yes

First Aid

Yes

Defibrillation

Yes

Ontario Driver's License

Yes

Other licenses and certificates

If invited for an interview, please bring copies of all current certifications, licenses and diplomas.

Related Skills or Training

Do you have previous firefighting or emergency response experience?

Yes

Do you have previous military or police experience?

Yes

Do you have other experience that may apply to this position?

Yes

Related Skills: Indicate skill level from 1-3 by checking the box after the appropriate number and providing an explanation

1 - A trade, license, recognized certificate, or extensive experience

2 - Advanced skill level and/or post-secondary courses or apprenticeships

3 - Familiarity acquired through personal experience, high school courses, or related training

Work Experience

Employer 1

Company name

Employment duration

Address

Supervisor

May we contact this employer?

Yes

Employer 2

Company name

Employment duration

Address

Supervisor

May we contact this employer?

Yes

Employer 3

Company name

Employment duration

Address

Supervisor

May we contact this employer?

Yes

Please attach your resume

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Personal information is collected under the authority of the Municipal Freedom of Information and Privacy Act and will be used for candidate selection purposes only. This application form complies with the Ontario Human Rights Code.

For questions regarding this application, please contact Emergency Services Headquarters at 905-318-5932, ext. 6224 or by e-mailing emergencyservices@haldimandcounty.on.ca

Conditions of Acceptance

Please read and confirm all conditions of acceptance

I affirm and certify that the information given on, or attached to, this application is true and correct. I understand that any falsification of statements, misrepresentation, deliberate omission, or concealment of information may be considered just cause for immediate dismissal.

I authorize the Manager of Emergency Services/Fire Chief or designate to contact my references or previous employers as indicated.

I understand that, as a condition of employment, I am expected to complete a Physical Demands Analysis as directed by the County. A firm offer of employment will be contingent on meeting the physical requirements of the position.

I understand that a conditional offer of employment will include the requirement to provide Haldimand County with a current police check, driver abstract, medical report, and proof of full COVID-19 vaccination status.