Firefighter Recruitment Form

Howick Township Fire Department is not currently recruiting Volunteer Firefighters, but is always accepting applications and willing to answer any questions in regard to the becoming a Volunteer Firefighter. Successful Candidates will demonstrate an ability to perform a number of tasks including: fire protection and rescue services, fire inspection and public education within established policies and guidelines.

Personal Information

Name of Applicant

First Name

Last Name

Home Phone

Cell Phone

Address

Address 1

Address 2

City

ZIP / Postal Code

State / Province

Employment Information

Current Employer Name

Current Position

Employer Address

Address 1

City

ZIP / Postal Code

State / Province

Education Information

Level Achieved

School Attended

Firefighter Training Information

Standard First Aid

Yes

CPR

Yes

Licence Class

Firefighter Training Courses

Additional Training Courses

Previous Firefighting Experience (Department Name/Dates)

Truck Driving Experience (Department Name/Dates)

References

Name

Phone Number

Name

Phone Number

Name

Phone Number

Reason(s) for becoming a firefighter:

Please Acknowledge

Successful applicants will be required to pass a Doctor’s Physical examination and submit a Driver’s Abstract.

I have read, understand and agree to the terms listed above

Signature of Applicant