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Retention and Recruitment for the Volunteer Emergency Services

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<strong>Retention</strong> & <strong>Recruitment</strong> <strong>for</strong> <strong>the</strong> <strong>Volunteer</strong> <strong>Emergency</strong> <strong>Services</strong>: Challenges & Solutions 4<br />

PhYsician’s release<br />

I ________________________________________________ to <strong>the</strong> best of my ability believe that<br />

(Physician’s Name Printed)<br />

_____________________________ can per<strong>for</strong>m <strong>the</strong> following activities <strong>for</strong> <strong>the</strong> German Township<br />

(Name of patient printed)<br />

VOLUNTEER FIRE DEPARTMENT.<br />

� structural firefighter--Has <strong>the</strong> physical <strong>and</strong> mental capacity to per<strong>for</strong>m 20 minutes<br />

of strenuous physical activity while wearing a self-contained breathing apparatus at an<br />

emergency incident <strong>and</strong> has <strong>the</strong> ability to h<strong>and</strong>le high stress situations <strong>and</strong> make rational<br />

decisions in unsupervised areas.<br />

� support Personnel unsupervised--Can per<strong>for</strong>m activities with some physical<br />

limitations only outside hazardous areas at an emergency incident. Able to follow written<br />

<strong>and</strong> verbal directions with no supervision required.<br />

� support Personnel supervised--Can per<strong>for</strong>m activities outside hazardous areas at<br />

an emergency incident. Able to follow written <strong>and</strong> verbal directions with supervision<br />

required.<br />

� Not recommended to per<strong>for</strong>m any activities on an emergency incident.<br />

______________________________________________________________________________<br />

Physician’s Signature: Date:

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