Volunteer Firefighter Application Form

Surname

Given Name(s)

Applicant Address

City

Postal Code

Telephone number

Cell Phone number

Email address

Based on the location of your primary residence, please select your response station

North Station - 120 Fox St. Cottam

South Station - 1720 Division Rd. N. Kingsville

Distance in KMs from your primary residence to your response station

Response time in minutes from primary residence to your response station

Distance in KMs from your workplace to your response station

Response time in minutes from your workplace to your response station

Will your employer allow you to leave your job to respond to emergency calls?

Yes

No

Are you over the age of 18 and legally eligible to work in Canada

Yes

No

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