Required fields are marked with asterisks (*)

Volunteer Firefighter Application

Welcome to the Plympton-Wyoming Fire Department's Volunteer Firefighter Application Form

Please complete the following questions and information to apply as a Volunteer (Part-time/On-call) Firefighter for the Plympton-Wyoming Fire Department (Camlachie and Wyoming Fire Stations).

IF YOU …..

Want to help others and serve in your community.

Enjoy working as a team.

Enjoy continuous learning.

You may be an ideal candidate for a challenging position as a Volunteer Firefighter

Applicants First Name

Applicants Middle Name

Applicants Last Name

Street Address 1

Street Address 2

City

Province

Postal Code

Daytime Phone

Mobile Phone

E-mail address:

Confirm E-mail address

Applicants Employer

Employers Address (Street Address, City)

Applicants Date of Birth

Please indicate the fire station you would prefer:

Camlachie Fire Station (6715 Camlachie Road, Camlachie)

Wyoming Fire Station (530 Main Street, Wyoming)

Please list any community service experience and/or volunteer experience

Please list any Courses, Certificates, Special Skills or Trades

Are you proficient in English both written and spoken

Yes, I am proficient in English both written and spoken

No, I am only proficient in written English

I confirm that I am legally entitled to work in Canada.

Yes

Have you been convicted of a Criminal Offence that a pardon has not been granted

Yes

I understand and agree:

If successful, I will observe all rules, regulations, instructions, policies, procedures and guidelines governing my employment with the Town of Plympton-Wyoming.

If successful, all uniforms, gear, protective clothing, equipment and supplies that may be issued to me remain the property of the department, and will be maintained and cared for in accordance with departmental policies and procedures.

If successful I will attend regular training sessions at assigned Station(s) and complete mandatory training programs as required by departmental policies and procedures.

If successful I will attend alarm calls for my assigned Station’s primary response area, when I am available, as required by departmental policies and procedures.

My family supports my application and my family and I understand and accept the commitment as a Volunteer Firefighter to training and responding to emergencies which will often interrupt normal schedules.

Yes

I confirm that I have a reliable means of transportation that is always at my disposal.

Yes

My employer supports my application and my employer is willing to sign a waiver indicating your ability to leave your place of work to respond to an emergency

Yes

Unsure

No, not at this time or I have not asked

Please list at least one Character reference, preferably a current Volunteer Firefighter, with their daytime phone number

Please list at least one Employer reference, with their daytime phone number

I understand and agree that if successful I will be required to provide the following at the request and at cost of the department: Please check all to proceed.

Vehicle Drivers Abstract

Medical Certificate(s)

Police Vulnerable Sector Screening Certificate

By completing this form, I give consent to the Town to collect and use the information contained within for the purposes of employment.

Yes and understand that this information is collected pursuant to the Municipal Freedom of Information and Protection of Privacy Act, as amended from time to time.

I understand and agree:

That any misrepresentation made by me in connection with this application will be sufficient cause for cancellation of the application and, if employed, for separation from the Town of Plympton-Wyoming.

Please feel free to upload a cover letter, your resume or any other document(s) in support of your application. PDF documents recommended.

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Volunteer Firefighter Application