Volunteer Fire Fighter Application

Town of Pelham

Fire Department

PLEASE COMPLETE ALL SECTIONS OF THIS FORM

 - Be sure to read this application carefully before completing it

- For any questions, please send to szappitelli@pelham.ca

- Incomplete or unsigned applications will be rejected

- If you desire, you may attach a copy of your resume

CRIMINAL RECORD

Upon request you will be required to provide a current police check obtained at the applicants expense.

EDUCATION

High School:

Trade School:

College:

University:

Rate your working knowledge of any of the following:

OTHER RELATED EXPERIENCE

Please complete the following:

EMPLOYMENT HISTORY

Please provide the names of three (3) people who can tell us more about your work history, job performance, attendance, quality of work and dependability.

EMERGENCY CALLS

Read the following carefully, then sign and fill in today's date.

I hereby declare that the information I have provided is true and complete to the best of my knowledge. I acknowledge that false statement may disqualify me from consideration or may cause my immediate dismissal. I understand that my application is subject to a satisfactory police background check and medical assessment. Further, I hereby authorize The Corporation of the Town of Pelham to contact three persons whose names I have provided for the purpose of obtaining reference information, including information, which may be contained, in my personnel file(s). 

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