South Galiano VFD Application Form
The information on this form will be used to assess your application to a volunteer position with the South Galiano Fire Department. The information will not be made public.
Date of Application
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Name
Your answer
Address (Street, not Mail Box)
Your answer
How long have you been a resident of Galiano?
Your answer
Phone
Your answer
Email
Your answer
Date of Birth
MM
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DD
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YYYY
I would like to volunteer as
Is your ability to perform firefighting or first-responder duties likely to be affected due to a current or previous illness or disability? Note that Engineers may be trained to assist emergency operations in a support role.
If the above response is yes, please provide details.
Your answer
Could you generally respond to emergencies during the weekend?
Could you generally respond to emergencies at night and during weekdays?
Do you have a valid BC drivers license?
What classification drivers license do you have?
Do You have an air brake endorsement on your license
Have you ever been a member of a fire department before?
If yes give details.
Your answer
Present or past employer
Your answer
May we contact your employer?
If yes, please provide contact info for your employer.
Your answer
Level of education
Please provide details of any experience you think would be applicable to a role with the fire department.
Your answer
I understand that on acceptance of this application, the fire department administration will require I provide additional information such as: my social insurance number, personal health number, a copy of my drivers license, a copy of an additional piece of photo id and consent for a police record check.
By entering your name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
Your answer
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