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

Certifications

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

Get In Touch

Firefighter Recruitment Form

Certifications

Get In Touch

Josh Kestner Fire Chief

Doug Harkes Deputy Fire Chief

Cassandra Brodhaecker Public Education Officer

Matt Brodhaecker Training Officer