Current Start Preview Complete Personal Information Personal Information Contact Information Name (First and Last) Email Phone Address City/Town Province - Select -AlbertaBritish ColumbiaManitobaNewfoundland and LabradorNew BrunswickNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanNorthwest TerritoriesNunavutYukonAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAmerican SamoaArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPuerto RicoSaint Pierre and MiquelonVirgin Islands ZIP/Postal Code Over the age of 18?By checking this box, you confirm you are over the age of 18. Not over the age of 18? Check out our Junior Firefighter program. Driver's License InformationDriver's License Information Do you have a valid Alberta Driver's License? Yes No Are you under GDL restrictions? Yes No Do you presently have any demerits on your license? Yes No Expiry date of your Drivers' License? Class or Condition Codes?Do you have another drivers' license class or condition codes on your license? Employment Current EmployerPlease list your current employer(s). If you you do not have a current employer you may list "not applicable", or details such as self employed, retired, homemaker, etc. Current Job Title Current Supervisor(s)Re-orderSupervisor's NameSupervisor's Contact InformationDo you authorize the Peace River Fire Department to contact your supervisor?WeightOperations Supervisor's Name Supervisor's Contact Information Do you authorize the Peace River Fire Department to contact your supervisor? Yes No Item weight Add more items more items Education & ExperienceEducation & Experience Highest level of education completed: Previous firefighting experience? Yes No If yes for Fire exp., pleaese specify:If yes, please specify: Previous EMS experience? Yes No If yes for EMS exp., pleaese specify:If yes, please specify: Related CoursesPlease list any courses you have related to fire or EMS services: Additional Information What interests you the most about becoming involved with the Peace River Fire Department? Please list other volunteer or community activities that you are involved in: Is there anything that would get in the way of you being able to carry out the physical requirements of being a firefighter? Yes No If yes, please specify:If yes, please specify: ResumePlease attach your resume with this application. One file only.32 MB limit.Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods. AcknowledgementBy checking this box, I confirm that I understand that to join the Peace River Fire Department I will have to provide the following:Driver's AbstractCriminal Record Check Medical Examination from a doctor/physician. Signature By singing above I confirm that all information provided in this application is true to the best of my knowledge. CAPTCHA
