Required fields are marked with asterisks (*)

Volunteer Firefighter Application

Township of Champlain Fire Department is looking for Volunteer Firefighters. Being a Volunteer Firefighter can be a very rewarding experience as you contribute to the safety of the entire community.

Make a lifesaving difference and get:

A skill set you take with you for life
Personal growth, training and development
Team building and lifelong friendships
Tremendous sense of accomplishment and pride

You only need to submit one application every 12 months. We would like to thank all applicants for your interest in becoming a team member with the Champlain Fire Department.

Personal Information

Last Name

First Name

Phone Number

Is this a residential or cellphone number?

Home

Cellphone

Work

Other

Other Phone Number

Is this a residential or cellphone number?

Home

Cellphone

Work

Other

Email Address

Street Address

Town

Postal Code

Volunteer Questionnaire

All applicants must have a Grade 12 or approved equivalent, have more then 18 years of age and must be physically able to perform the essential duties of a Volunteer Firefighter.

Are you legally entitled to work in Canada?

Yes

Have you ever been convicted of a criminal offence for which a pardon has not been granted?

Yes

Do you have a valid Ontario class “G” Driver’s Licence or higher?

Yes

Do you have no more than 3 minor moving violations in the last 3 years, no driver's licence suspensions in the last 3 years and no criminal code convictions?

Yes

Do you have any of these certificate -check as many as apply

First Aid

CPR

Using a defibrillator

None

This position requires you to work in confined space and high places such as roofs, balconies, ladders etc. Are you able to meet these requirements of the position?

Yes

Do you have vision of at least 20/40 in each eye without corrective lenses, normal depth perception and color vision?

Yes

Indicate your highest level of education achieved

Less than high scool

College Diploma

Doctorate

High School Graduate

University - Bachelor's Degree

Master's Degree

Have you taken any other courses that would be applicable to this position? (IE: Pre-Fire Service, Police Foundations, EMT)

Yes

Describe in writing your experience as a member of a team, either at work or in your personal life.

What experience do you have working outdoors, particularly in bad weather?

Year-round

Sometimes

None

Please further explain your experience;

What other unique skills/abilities would you bring to the fire department?

Form Builder

Volunteer Firefighter Application

Personal Information

Volunteer Questionnaire