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Firefighter Testing Registration Form

PFD LogoThe City of Peterborough is currently accepting registrations for Step One of their 2012 Probationary Fire Fighter Recruitment. By completing this form, you are applying to write our pre-screening aptitude testing scheduled for Saturday, February 25, 2012 at the Evinrude Centre. The registration cost for this testing is $70 per candidate.

The registration deadline for this testing is no later than 4:30 p.m. on Wednesday, February 8, 2012.

All pre-requisite qualifications and certificates must be current and valid at the time of registration.

Please familiarize yourself with the fire fighter recruitment process by accessing the recruitment brochure. Only those applicants who are successful at Step One will be invited to submit a resume and application.

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Personal Information
First Name:
Last Name:
Home Address (Street):
City:
Postal Code:
Phone Number (Home):
 
Phone Number (Work):
 
Phone Number (Cell):
 
E-mail Address:
 
Pre-Requisite Requirements
Are you 18 years of age or older?
YesNo
Are you legally eligible to work in Canada?
YesNo
Have you completed a minimum of Grade 12 or equivalent as certified by Ontario Ministry of Education?
YesNo
Do you currently possess a valid First Aid Certificate and Level “C” CPR Certificate?
YesNo
Do you have excellent hearing without having to use artificial aids?
YesNo
Do you have visual acuity of 20/30 uncorrected (laser correction is acceptable)?
YesNo
Are you willing to work shift work (days, nights, weekends, and holidays)?
YesNo
Have you ever been convicted of a criminal offence for which you have not received a pardon?
YesNo
Do you currently possess a valid "DZ" Ontario Driver's Licence?
YesNo
Do you have an excellent Driver’s Licence Abstract? (No more than 4 demerit points in a single violation, OR, no more than a total of 5 demerit points – obtained at the time of offer of employment)
YesNo
Conditions of Employment
It is understood and agreed that any misrepresentation made by me in connection with this application will be sufficient cause for cancellation of the application. I authorize The Corporation of the City of Peterborough, Human Resources Division to make such enquiries respecting the foregoing information as may be deemed necessary.

I agree to submit to a medical/physical examination, to ascertain my ability to perform the essential duties of the position after an employment interview, at the option of The Corporation.

I understand that I may be required to show proof of the validity of my driver’s licence, professional licences and entitlement to work in Canada, when such certification constitutes a job requirement.

I agree to present proof of age if I am offered a permanent position with The Corporation of the City of Peterborough, understanding that it is essential information for insurance/pension purposes.
I agree
I disagree
Personal information on this form is collected under the authority of the Municipal Act, R.S.O., 1990 C.M45, and will be used to determine eligibility for employment.