Volunteer Fire Fighter Application

A - Personal Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email*

Are you legally entitled to work in Canada?*

Are you over the age of 18 years?*

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

If a conditional offer of employment is made, we will require a current police check.

Have you ever been employed by Haldimand County?*

Date of employment

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Mechanics
Pumps, Valves, or Sprinklers
Electrical Systems
Electronic Systems
Computer Technology
Breathing Apparatus or Scuba Diving
Building Construction or Design
Blueprint Reading
Firefighting Tasks
Rescue Procedures
Athletic Sports or Skills
Languages
Occupational Health and Saftey
Office Equipment
Keyboarding, Filing, or Telephone Skills
Public Speaking
Teaching, Facilitation, or Coaching
Events Coordination, e.g, Fundraising
Radio Communication
Medical or Health Sciences
Professional Driver
Heavy Equipment Operation