Application for the position of FIRE FIGHTER - Niagara Falls, Ontario ...

niagarafalls.ca

Application for the position of FIRE FIGHTER - Niagara Falls, Ontario ...

Application for the position of FIRE FIGHTER

Information requested on this form is not intended to be in a contravention of the principles or intent underlying the Human Rights Code

and will not be used as the basis of discriminatory treatment. ALL THREE PAGES OF THIS APPLICATION MUST BE FILLED OUT

COMPLETELY. You are also encouraged to submit a resume with this application. PLEASE PRINT OR TYPE.

PERSONAL

Last Name:

First Name:

PLEASE PRINT IN BLOCK

LETTERS

Address:

Apartment No.:

City: Province: Postal Code:

Telephone Number:

Other telephone numbers where you may be reached:

Have you applied here for a Fire Fighter position before

Year(s):

Yes / No

Have you ever been convicted of a criminal offence for which you have not received a pardon Yes / No

Have you ever worked for the City of Niagara Falls Yes / No

Date(s):

Are you willing to work the required shift work schedule Yes / No

Are you legally eligible to work in Canada Yes / No

EDUCATION

NAME OF

PROGRAM/

COURSE DEGREE

MAJOR AND MINOR

SPECIALIZATION

LENGTH OF

PROGRAM

DID YOU

GRADUATE

Secondary

Yes / No

Year

__________

College

Yes / No

Year

__________

University

Yes / No

Year

__________

Other

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DRIVING EXPERIENCE

Valid Class “D” Ontario

Driver’s Licence

Yes / No

Driver’s Licence #:

Permission to verify status Yes / No

Class(es):

“Z” Endorsement

Yes / No

Have you had any experience or training in

driving heavy vehicles

Yes / No

Explain:

Have you any other special driving skills,

courses or certificates

Yes / No

Explain:

EMPLOYMENT EXPERIENCE

Name of present / last employer: City Company resides: Telephone number:

Position and duties:

Period of employment:

From:

To:

Supervisor’s name:

Reason for leaving:

Salary before leaving:

Previous employer: City Company resides: Telephone number:

Position and duties:

Period of employment:

From:

To:

Supervisor’s name:

Reason for leaving:

Salary before leaving:

Next previous employer: City Company resides: Telephone number:

Position and duties:

Period of employment:

From:

To:

Supervisor’s name:

Reason for leaving:

Salary before leaving:

List below in order, additional employers you have worked for:

Employer City Company resides Period of employment Position Reason for leaving

May we contact your present / last employer Yes / No

May we contact your former employer(s)

Yes / No

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OTHER EXPERIENCE

Previous Fire Fighter/Police experience: Yes / No

Explain:

Number of Years:

Location:

Period of experience:

From:

To:

Volunteer Fire Fighter experience: Yes / No

Explain:

Number of Years:

Location:

Period of experience:

From:

To:

Previous Canadian Military Service: Yes / No

Explain:

Number of Years:

Location:

Period of experience:

From:

To:

CONDITIONS OF EMPLOYMENT

Please read carefully before signing

I have read and agree that the information provided is correct and that any false statements or deliberate omission of

material fact made by me may be sufficient cause for cancellation of the application and, if I have been employed, for

immediate dismissal from The Corporation of the City of Niagara Falls. I further agree:

C

C

C

to participate in the Brock University assessments and medical screening evaluation, at the option of the

Corporation, prior to commencing employment, as part of the hiring process.

to allow verification of my driver’s licence, professional licences and entitlement to work in Canada, when such

certification constitutes a job requirement.

that if I am offered a permanent position with the Corporation:

C I will be willing to fulfill the requirements of any medical examination as required by the Corporation

to determine my ability to meet the essential requirements of the position.

C

C

I will become a certified fire fighter according to Provincial Standards within three (3) years from the

start of my employment.

I will observe all rules, regulations, conditions and instruction governing employment by the Corporation

in effect at the time of employment, or established at any subsequent time.

• to submit with this application form:

C photocopies of all documentation requested on the advertisement

C photocopies of any related certificates

I have received the current Fire Fighter Recruitment guide and if I am offered employment, I hereby authorize the

Corporation to make such inquiries respecting the information on the application as deemed necessary.

Signature: ______________________________________________Date: ______________________________

Personal information on this form is collected under the authority of the Municipal Act

R.S.O.,1990 C.M45 and the Municipal Freedom of Information Act, and will be used to

determine eligibility for employment.

Important: Please make sure you have attached photocopies of all certificates

and relevant documents to this form.

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