Required fields are marked with asterisks (*)

Volunteer Firefighter Application Form

Qualifications

Successful applicants need to meet the following criteria:

Ability to respond to emergencies in a reasonable amount of time.
Must be willing to attend weekly training meetings.
Must be willing to adhere to all department policies.
Must be willing to submit to a drug test.
Must be a team player and capable of taking direction well.
Must be at least 18 years of age.

Should you have any questions or concerns about filling out this application, please contact the Fire Chief at 705-455-2747.

Applicant Details

Applicant Name

Applicant Email Address

Primary Phone Number of Applicant

Secondary Phone Number of Applicant

Address of Applicant

Please select which types of drivers license(s) you have:

Class AZ

Class DZ

Class G

None

Please list any skills and/or experience you may have in firefighting or related fields:

Employment Information

In the following section you will be required to provide details of your current employment as well as information for one former employer.

Current Employment Details

Current Employer

How long have you been employed by your current employer?

Please provide a contact name and number for your current employer.

Please provide your current job title and the duties performed at your job.

Is your employer aware of your intentions to become a member of the Fire Department?

Yes

Would you be allowed to answer alarms during working hours?

Yes

Former Employment Information

Former Employer

Dates of Employment

Please provide a contact name and number for your former employer.

Please provide the job title and the duties performed at your previous job.

What was the reason you left this job?

Education Information

Please provide a record of the various education, training and qualifications you have attained.

Secondary School

Diploma(s)

College and/or University

Courses, Workshops and/or Seminars

First Aid Training and/or Certificates

References

Please provide contact information for two references.

First Reference's Name

First Reference's Contact Number

Relationship with First Reference

Second Reference's Name

Second Reference's Contact Number

Relationship with Second Reference

Health & Safety Requirements

Successful applicants will be contacted by the Fire Chief and will be required to provide the following documentation.

A statement from your Doctor stating that your are physically fit to perform the work of a firefighter.
An OPP criminal background check.
A drivers abstract.
A completed TD1 - Personal Tax Credits Form

Where applicable, we will reimburse you for the cost to obtain these documents (receipts required).

Applicant Signature

By signing below I, (the applicant), authorize the Municipality of Highlands East to contact the persons or organizations listed above for the purpose of obtaining reference information including information contained in my personnel file. These persons are authorized to disclose such information.

Accepted applicants are subject to a twelve-month probationary period and are required to successfully complete minimum training requirements before full status is granted.

I hereby apply for membership as a volunteer firefighter for the Municipality of Highlands East. If found acceptable, I agree to abide by the SOP’s, By-Laws and Regulations of the Municipality of Highlands East Volunteer Fire Department and the Fire Company to which I am applying.

Collection of Personal Information

Personal information collected on this Volunteer Firefighter Application is obtained under the authority of the Municipal Act, 2001 and applicable municipal bylaws governing fire protection services. This information will be used by the Fire Chief and Fire Department to assess applicant suitability, administer the recruitment and selection process, verify qualifications, and maintain related municipal records. Personal information will be protected in accordance with the Municipal Freedom of Information and Protection of Privacy Act (MFIPPA). Questions about the collection, use, or disclosure of this information should be directed to the Fire Chief.

Signature of Applicant

Clear