Form Centre

2. Job Application: Auxiliary Firefighters
4. Competition Number:

   2024-15

5. Job Title:

   Auxiliary Paid On Call Firefighters

7. Your Name*
9. Email Address*
10. Phone Number*
12. Address*
14. City*
15. Province*
16. Postal Code*
18. Are you legally entitled to work in Canada?
    -- Select One --YesNo
19. Do you live within a 10km radius of the White Rock Fire Hall?*
    -- Select One --YesNo
21. Education & Training
23. Last Secondary/ High School Grade Completed?*
24. Institution Name
26. Post Secondary (i.e Degree or Trade Certification non-fire)*
27. Institution Name
29. Highest level of fire education? (i.e NFPA 1001 certification)*
30. Institution Name
32. Employment (If not employed, please put "N/A" in the sections below)
34. Current Employer*
35. Position*
37. Supervisor Name & Title*
38. Phone Number*
40. Description of Duties*
42. Hire Date*
43. End Date:
45. Do you currently work shift work?*
    -- Select One --YesNo
47. Additional Employment

    Additional employment to be outlined in Resume

49. Specialized Training / Interests
51. First Aid Certification (highest level):*
52. Reason for wanting to become an Auxiliary POC Firefighter*
54. Ability to Swim?*

    1. Yes
    2. No
55. Advanced Training (Choose all that apply)*

    1. None
    2. Certified SCUBA Diver
    3. National Lifeguard Service Award
    4. Bronze Cross
    5. Bronze Medallion
    6. Water Safety Instructor
57. Do you intend to become a Career Firefighter?*
    -- Select One --YesNo
58. Are you currently in any other Firefighter Recruitment process? If so, where and what stage?*
60. Current Driving Information
62. BC Drivers License Class Number*
    -- Select One --123457
63. Air Break Endorsement?*
    -- Select One --YesNo
65. Do you have restrictions on your Drivers License? *
    -- Select One --YesNo
66. Number of Points on Drivers Abstract in the last 5 years?*
    -- Select One --01234567
68. Do you have suitable transportation for immediate emergency response?*
    -- Select One --YesNo
70. Have you ever had any type of illness, injury or accident that may affect your ability to perform the duties of a volunteer firefighter?*
    -- Select One --YesNo
72. If yes, please explain:*
74. Please note that a pre-employment medical assessment forms part of the City's recruitment process.
76. Additional Comments:
78. Availability

    Please complete the weekly hours you are available for working POC

80. Are you available for practice drills on Tuesday nights?*
82. Are you committed to attending at least 20% or more, of all call outs?*
84. By submitting this application, I agree and hereby certify that the information given is true and correct. I understand that falsifying any information is justifiable cause for my immediate dismissal from the City of White Rock.
86. Name*
87. Date*
89. Thank you for completing this application. Below you are required to attach all supporting documentation. If any documents are not submitted, your application will be deemed incomplete and will not be considered.
91. Attach Resume*
    PDF or DOC files only
92. Attach Cover Letter*
    PDF or DOC files only
94. Attach References*

    Must include three past or current managers. Please include name, phone number & company you worked with them at.

95. Attach Drivers Abstract*

    Please attach a 5 year drivers abstract

97. Attach Post Secondary Education (non fire)
98. Attach Fire Education Certificates (must be one attachment)
100. Attach First Aid Certification
101. Additional Attachments

     Any additional documents can be uploaded here.

103. Important Dates

     Successful candidates must be committed to 2 consecutive weekends of training for 8 hours each day, no exceptions.

Leave This Blank:


107. Submit Submit and Print

* indicates a required field