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            Medicine Hat                                                            JOB DESCRIPTION
                     The Gas City

    CLASSIFICATION:          FIRE FIGHTER (PROBATIONARY, 3RD CLASS, 2ND CLASS, IT CLASS)

    REFERENCE NO:            54250

    DIVISION:                PUBLIC SERVICES

    DEPARTMENT:              FIR         EMERGENCY MANAGEMENT SERVICES

    APPROVAL DATES:          BY:                         _Q 9^n,                DATE: ^C.G► /\^ -Le!'( O
                                                                                          ^
                                      COMMISSIONS OF UBLIC S  ICE

                             BY:                C,                              DATE:      Vii;    SS, ^tJ/C
                                      GENERAL MANAGER OF HU MAN RESOURCES

    GENERAL DESCRIPTION:
    The Fire Fighter is responsible for suppression of all types of fires, performing rescue operations,
    responding to hazardous materials incidents, conducting fire prevention/life safety activities and public
    education programs, participating as a member of specialty teams, maintaining equipment and writing
    reports. The Fire Fighter is responsible for rapidly and efficiently performing various duties under
    emergency conditions that frequently, are under adverse conditions and in hazardous environments.

    Safety is a primary bona fide occupational requirement of this position; therefore, this position has been
    deemed safety sensitive.

    ORGANIZATIONAL RELATIONSHIPS:
    The Fire Fighter maintains the following relationships:

    REPORTS TO:              Company Officer (Lieutenant or Captain)


        Internal relationships are maintained with departmental staff and all City departments.
        External relationships are maintained with members of other emergency services, local businesses,
        merchants, schools, community associations and the public at large.

    PRIMARY FUNCTIONS/ACCOUNTABILITIES:
    •   Responds to all emergencies within established response protocols.
    •   Responds to fire and rescue incidents and performs all fire ground/rescue activities as directed by a
        company officer.
    •   Rescues and/or removes persons from hazardous situations and administers basic life support treatment
        to the injured.
    •   Responds to hazardous material and dangerous goods incidents and takes appropriate action to contain
        and mitigate dangers associated with the materials.
    •   Drives and operates all fire service apparatus to a level of competency consistent with NFPA 1002 or
        other relevant standards.
    •   Effectively operates and uses all fire service ancillary equipment including both manual and motorized
        tools.
    •   Participates as a team member on response teams such as aquatics, technical rescue and hazardous
        materials.
    •   Assists in the development of pre-fire plans and emergency response plans and procedures including
        those crafted by major industries.
    •   Performs fire safety inspections, prepares reports and enters data using computer programs.
	



                                                                                                             Page 2

    •     Assists with the delivery of public education programs related to fire and accident prevention programs
          such as Risk Watch.
    •     Attends required training as provided by the City.
    •     Performs general maintenance and upkeep of Fire Service stations, facilities, apparatus, tools and
          equipment.
    •     Performs annual service tests on designated vehicles and equipment.
    •     Performs all work and activities within the parameters of occupational and general safety.
    •     Participates in physical conditioning program.
    •     Performs related work as required.
    •     Performs station maintenance duties.



    REQUIRED COMPETENCIES:
    •     Knowledge and skills associated with NFPA 1001 Level I and II.
    •     Knowledge and skills associated with NFPA 1002 or other relevant driving standards.
    •     Ability to function as a constructive member of a team and maintain an attitude and decorum of
          professionalism on and off duty.
    •     Ability to effectively and positively interact with school authorities, children and the general public and
          commercial and business sector in the delivery of fire safety and accident prevention programs.
    •     Ability to maintain and acquire job related skills such as NFPA 472 (Hazardous Materials Response),
          Safety Codes Officer, Fire Service Instructor (NFPA 1041), Fire Service Public Educator (NFPA 1035).
    •     Ability to react effectively and calmly in emergencies.
    •     Ability to perform prolonged and arduous work under adverse conditions.
    •     Ability to acquire and maintain an Alberta Driver's license appropriate to the operation of fire service
          apparatus.
    •     Ability to maintain a level of physical fitness commensurate with the occupational tasks associated with
          the responsibilities of a fire fighter.
    •     Ability to use windows-based office software at an intermediate level.
    •     Good public speaking and public presentation skills.



    REQUIRED QUALIFICATIONS:
    •     Successful completion of Grade 12 or high school equivalency diploma.
    •     Qualification and certification to Fire Fighter Level I and II (NFPA 1001) as required and defined in the
          Medicine Hat Fire Department Human Resource Development Program.
    •     An equivalent combination of management approved training and education may be considered.



    SALARY RANGE:
    •           Corresponding Fire Fighter salary designation as per the Collective Agreement for Medicine Hat
                Fire Fighters Association Local 263.


    April 7, 2010
                                 MEDICINE HAT FIRE SERVICES
                                   GUIDE FOR APPLICANTS

A. GENERAL INFORMATION
Please read the information in this guide before completing the application form. This will give you the
opportunity to determine whether you have all the required qualifications, and to consider whether you
are in suitable physical condition so that you can safely participate in the Fire Fighter Skills Assessment.
The guide outlines the recruitment process used by Medicine Hat Fire Service and should answer any
questions you may have about a career as a firefighter.

B. FIRE FIGHTING AS A CAREER
Fire Fighting is more than just another job. It is an employment opportunity that offers a demanding,
exciting, and rewarding career.

Today’s firefighter is a skilled professional able to respond to a wide variety of emergencies. Through
training and experience, fire fighters gain knowledge of the latest developments in fire suppression,
rescue techniques, fire prevention, public education and also such subjects as the control of hazardous
materials, communication systems, and fire investigation techniques.

If you are interested in becoming a Medicine Hat Fire Fighter, you should be:

               •      Physically fit;
               •      Highly motivated;
               •      Willing to work co-operatively as part of a team; and
               •      Committed to continuous learning.


C. REQUIREMENTS
Applications will be screened to ensure the following requirements and qualifications have been met
before the applicant advances to the next step:

               •      Completion of the NFPA 1001, Level I and II or an authorized equivalent (see
                      www.ifsac.org or www.TheProBoard.org for a list of accredited fire academies)
               •      Transcripts demonstrating high school or GED completion
               •      Current driver's abstract (dated no more than 30 days prior to the application closing
                      date) A current record with 6 or more demerit points will eliminate an applicant
                      from further consideration
               •      Valid Class 3 Driver's License with air brake endorsement required for employment
               •      Advanced First Aid Certificate or higher.
                          (Must be kept valid while active in our recruiting process - see
                          www.medicinehat.ca)
               •      No job-related conviction of a criminal or summary offense for which you have not
                      received a pardon
               •      Legal entitlement to work in Canada
               •      Please note medical clearance is required prior to participating in the Fire Fighter
                      Skills Assessment.

                      (Completion of a criminal record check is not required at the time of application)



July 2011                                                                                               Page 1
                                MEDICINE HAT FIRE SERVICES
                                  GUIDE FOR APPLICANTS



D. SALARY, PENSION, WORKING CONDITIONS AND RESIDENCY RESTRICTIONS

Salary
              •       $25.89 – Hourly - Probationary Fire Fighter
              •       Plus a benefit package

Pension / Benefit Information
Firefighters are covered by the Local Authority Pension Plan.

Hours of work
Rotating shift work of 10 hour days and 14 hour nights.

E. PROBATIONARY PERIOD
New employees serve a twelve-month probationary period and undergo preliminary training before
placement. Various performance standards are set and performance is assessed on a regular basis during
the probationary period. Continual assessment occurs throughout the probationary period and formal
evaluations are conducted at three month intervals during the 12 month period. If the set standards are
not met, a probationary employee may be terminated at any time, thus there is an expectation that you
will contribute 100% of your effort to be successful in your role as a firefighter with the City of Medicine
Hat.

PLEASE RETAIN THIS INFORMATION FOR REFERENCE DURING THE SELECTION PROCESS




July 2011                                                                                            Page 2
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                                         FIRE FIGHTER EMPLOYMENT APPLICATION

PLEASE READ CAREFULLY
1) To apply for a fire fighter position with the City of Medicine Hat, you must fully complete FIRE FIGHTER EMPLOYMENT APPLICATION and
   prepare the requested attachments.
2) Carefully review each section thoroughly. It is your responsibility to understand this document and to provide all of the information
   requested. You are responsible for the accuracy of all statements.
3) Full disclosure of information is expected. Should a particular section not apply to you, write “n/a” in the appropriate space.
4) Avoid the use of abbreviations, acronyms, slang, etc.
5) Only attach items requested in this document.
6) Please include a cover letter with your application package.
7) Any certification in a language other than English must be translated prior to application.
8) Any costs incurred to obtain and/or provide supporting documentation are your responsibility.




            FOR COMPLETE APPLICATION INSTRUCTIONS AND HIRING PROCESS DETAILS, VISIT WWW.MEDICINEHAT.CA.




                                            WHERE TO SEND YOUR APPLICATION PACKAGE
                                                        CITY OF MEDICINE HAT
                                                    HUMAN RESOURCES DEPARTMENT
                                                    SUITE 101, 505 FIRST STREET SE
                                                     MEDICINE HAT AB T1A 0A9
                                                                  OR
                                                         HR@MEDICINEHAT.CA



PLEASE COMPLETE
LAST NAME                                     PREFERRED NAME                                GIVEN NAME(S)


ADDRESS                                                                                     CITY / PROVINCE            POSTAL CODE


TELEPHONE NO. [Preferred]                     TELEPHONE NO. [Other]                         TELEPHONE NO. [Other]
(     )                                       (      )                                      (      )
E-MAIL ADDRESS                                                                              TODAY’S DATE




JULY 2011                                                                                                                     PAGE 1
                                                                                                          CONFIDENTIAL WHEN COMPLETE


SECTION 1 - MINIMUM QUALIFICATIONS
This section is to determine your eligibility to apply for a fire fighter position. It is your responsibility to understand and meet the
qualifications before you submit your application.


A. EDUCATION Attach a photocopy of supporting documentation.

EDUCATION PROGRAM                                           NAME OF PROGRAM AND MAJOR                                     SUCCESSFUL
(circle number of full years completed)                     (Certificate/Diploma/Degree/Trade)                            COMPLETION

HIGH SCHOOL                                                                                                                     YES        NO
                                          Diploma or GED

TRADE SCHOOL (APPRENTICESHIPS)                                                                                                  YES        NO
                              1                 2   3   4

TECHNICAL/TRADE COLLEGE                                                                                                         YES        NO
                                                1   2   3

UNIVERSITY                                                                                                                      YES        NO
                                  1   2     3   4   5   6


B. FIRST AID Attach a photocopy of supporting documentation.
First Aid                    NAME OF SCHOOL / ADDRESS / PHONE NO. / WEB SITE

DATE COMPLETED               _____________________________________________________________________________________________________________
YYYY   MM      DD

                             _____________________________________________________________________________________________________________
While you are in the hiring process, you must keep your First Aid certification current.


C.          CARDIOPULMONARY RESUSCITATION - LEVEL “C” Attach a photocopy of supporting documentation.
CPR - Level “C” or           NAME OF SCHOOL / ADDRESS / PHONE NO. / WEB SITE
higher
DATE COMPLETED               _____________________________________________________________________________________________________________
YYYY   MM      DD
                             _____________________________________________________________________________________________________________
EXPIRY DATE                  DID THIS COURSE COVER ADULT, YOUTH AND INFANT METHODS OR RESUSCITATION?                      Yes         No
YYYY     MM        DD        DID YOU RECEIVE YOUR AED CERTIFICATION?                                                      Yes         No
                             IS THIS A RECERTIFICATION?                                                                   Yes         No
While you are in the hiring process, you must keep your CPR certification current.




JULY 2011                                                                                                                             PAGE 2
                                                                                                       CONFIDENTIAL WHEN COMPLETE


SECTION 1 - MINIMUM QUALIFICATIONS … CONTINUED

E. DRIVING HISTORY Attach a photocopy of Driver’s Licence and a photocopy of Driver’s Abstract from all jurisdictions
   where you’ve been a licensed driver for the past three (3) years.
(Abstracts can be dated up to three months prior to the date of your application).
         Any current suspensions or charges pending?                                                                      Yes      No
While you are in the recruiting process, you must maintain a valid driver’s license with less than six (6) demerits.
    On receipt of a job offer, you will be required to produce a valid Alberta Class 3 Operator’s license with air brakes.
         Out of province applicants are responsible to prove equivalency to an Alberta Class 3 Operator’s license with air brakes.


F. EMPLOYMENT ELIGIBILITY Please answer the following:
         Are you 18 years of age or older?                                                                                Yes      No
         Are you a Canadian citizen or Landed Immigrant?
         Are you legally entitled to work in Canada)?                                                                     Yes      No
         Are you able to perform prolonged and strenuous work under difficult conditions?                                 Yes      No
         Are you aware you have any vision, hearing or medical conditions which may make you ineligible to safely
         perform fire fighter tasks?                                                                                      Yes      No
    As a condition of hiring, a medical / fitness evaluation including history, examination and treadmill test will be performed in order
    to detect any physical or medical conditions that could adversely affect your ability to safely perform all essential job tasks under
    emergency conditions. The standards utilized during the medical assessment are defined under NFPA 1582: Standard on
    Comprehensive Occupational Program for Fire Departments. www.nfpa.org.




JULY 2011                                                                                                                       PAGE 3
                                                                                                               CONFIDENTIAL WHEN COMPLETE


SECTION 2 - ADDITIONAL EDUCATION
•   NFPA 1001 - Use this section to detail any NFPA 1001 training you may have completed.
NATIONAL FIRE PROTECTION              INSTRUCTIONAL FACILITY NAME / LOCATION / WEB SITE / PHONE NO. / CONTACT NAME
ASSOCIATION 1001 PROFESSIONAL
FIRE FIGHTER
PROGRAM or COURSE NAME                                      Pro Board or NFPA Approved?   START DATE                   FINISH DATE
                                                                    Yes       No          YYYY           MM            YYYY               MM


                    HAVE YOU BEEN AWARDED AN                                                    HAVE YOU BEEN AWARDED AN
                    NFPA 1001 LEVEL I CERTIFICATE?                                             NFPA 1001 LEVEL II CERTIFICATE?
               Yes - Please attach a photocopy         No                                  Yes - Please attach a photocopy           No


•   OTHER FIRE FIGHTER TRAINING - Use this section to detail any other fire fighter training you may have completed.
OTHER FIRE FIGHTER COURSES /          INSTRUCTIONAL FACILITY NAME / LOCATION / WEB SITE / PHONE NO. / CONTACT NAME
PROGRAMS / WORKSHOPS /
SEMINARS
PROGRAM or COURSE NAME                                        CERTIFICATE AWARDED?        NO. OF HOURS                 FINISH DATE
                                                                    Yes       No                                       YYYY               MM


PROGRAM or COURSE NAME                                        CERTIFICATE AWARDED?        NO. OF HOURS                 FINISH DATE
                                                                    Yes       No                                       YYYY               MM


OTHER FIRE FIGHTER COURSES /          INSTRUCTIONAL FACILITY NAME / LOCATION / WEB SITE / PHONE NO. / CONTACT NAME
PROGRAMS / WORKSHOPS /
SEMINARS
PROGRAM or COURSE NAME                                        CERTIFICATE AWARDED?        NO. OF HOURS                 FINISH DATE
                                                                    Yes       No                                       YYYY               MM


PROGRAM or COURSE NAME                                        CERTIFICATE AWARDED?        NO. OF HOURS                 FINISH DATE
                                                                    Yes       No                                       YYYY               MM


OTHER FIRE FIGHTER COURSES /          INSTRUCTIONAL FACILITY NAME / LOCATION / WEB SITE / PHONE NO. / CONTACT NAME
PROGRAMS / WORKSHOPS /
SEMINARS
PROGRAM or COURSE NAME                                        CERTIFICATE AWARDED?        NO. OF HOURS                 FINISH DATE
                                                                    Yes       No                                       YYYY               MM


PROGRAM or COURSE NAME                                        CERTIFICATE AWARDED?        NO. OF HOURS                 FINISH DATE
                                                                    Yes       No                                       YYYY               MM


OTHER FIRE FIGHTER COURSES /          INSTRUCTIONAL FACILITY NAME / LOCATION / WEB SITE / PHONE NO. / CONTACT NAME
PROGRAMS / WORKSHOPS /
SEMINARS
PROGRAM or COURSE NAME                                        CERTIFICATE AWARDED?        NO. OF HOURS                 FINISH DATE
                                                                    Yes       No                                       YYYY               MM


PROGRAM or COURSE NAME                                        CERTIFICATE AWARDED?        NO. OF HOURS                 FINISH DATE
                                                                    Yes       No                                       YYYY               MM


    Attach a photocopy of other fire fighter certificates or diplomas.




JULY 2011                                                                                                                                  PAGE 4
                                                                                                                      CONFIDENTIAL WHEN COMPLETE


SECTION 2 - ADDITIONAL EDUCATION … CONTINUED
•    CONTINUING EDUCATION / PART-TIME COURSES - Use this section to detail any other courses you may have
     taken.
OTHER COURSES, PROGRAMS,                  INSTRUCTIONAL FACILITY NAME / LOCATION / WEB SITE / PHONE NO. / CONTACT NAME
WORKSHOPS or SEMINARS

COURSE NAME                                                       CERTIFICATE AWARDED?         NO. OF HOURS                    FINISH DATE
                                                                         Yes       No                                          YYYY          MM


COURSE NAME                                                       CERTIFICATE AWARDED?         NO. OF HOURS                    FINISH DATE
                                                                         Yes       No                                          YYYY          MM


OTHER COURSES, PROGRAMS,                  INSTRUCTIONAL FACILITY NAME / LOCATION / WEB SITE / PHONE NO. / CONTACT NAME
WORKSHOPS or SEMINARS

COURSE NAME                                                       CERTIFICATE AWARDED?         NO. OF HOURS                    FINISH DATE
                                                                         Yes       No                                          YYYY          MM


COURSE NAME                                                       CERTIFICATE AWARDED?         NO. OF HOURS                    FINISH DATE
                                                                         Yes       No                                          YYYY          MM


OTHER COURSES, PROGRAMS,                  INSTRUCTIONAL FACILITY NAME / LOCATION / WEB SITE / PHONE NO. / CONTACT NAME
WORKSHOPS or SEMINARS

COURSE NAME                                                       CERTIFICATE AWARDED?         NO. OF HOURS                    FINISH DATE
                                                                         Yes       No                                          YYYY          MM


COURSE NAME                                                       CERTIFICATE AWARDED?         NO. OF HOURS                    FINISH DATE
                                                                         Yes       No                                          YYYY          MM


OTHER COURSES, PROGRAMS,                  INSTRUCTIONAL FACILITY NAME / LOCATION / WEB SITE / PHONE NO. / CONTACT NAME
WORKSHOPS or SEMINARS

COURSE NAME                                                       CERTIFICATE AWARDED?         NO. OF HOURS                    FINISH DATE
                                                                         Yes       No                                          YYYY          MM


COURSE NAME                                                       CERTIFICATE AWARDED?         NO. OF HOURS                    FINISH DATE
                                                                         Yes       No                                          YYYY          MM




IF APPLICABLE, DETAIL ANY OTHER TRAINING OR EDUCATION YOU HAVE TAKEN (i.e., on-the-job, correspondence, incomplete post-secondary, etc.).


_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________
     Attach a photocopy of other fire fighter certificates or diplomas.
JULY 2011                                                                                                                                     PAGE 5
                                                                                                                     CONFIDENTIAL WHEN COMPLETE


SECTION 3 - COMMUNITY SERVICE / PERSONAL ACHIEVEMENTS
This section is to detail your volunteer experiences, community involvement and personal achievements.
VOLUNTEER        ORGANIZATION NAME                  ADDRESS / CITY / PROVINCE / POSTAL CODE / WEB SITE
EXPERIENCE
YOUR POSITION / TITLE                                          HOURS PER MONTH                START DATE                         FINISH DATE
                                                                                              YYYY            MM                 YYYY          MM


DUTIES / RESPONSIBILITIES


_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________


CONTACT PERSON / TITLE                                                                        PHONE NO.                          E-MAIL
                                                                                              (       )
VOLUNTEER        ORGANIZATION NAME                  ADDRESS / CITY / PROVINCE / POSTAL CODE / WEB SITE
EXPERIENCE
YOUR POSITION / TITLE                                          HOURS PER MONTH                START DATE                         FINISH DATE
                                                                                              YYYY            MM                 YYYY          MM


DUTIES / RESPONSIBILITIES


_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________


CONTACT PERSON / TITLE                                                                        PHONE NO.                          E-MAIL
                                                                                              (       )
VOLUNTEER        ORGANIZATION NAME                  ADDRESS / CITY / PROVINCE / POSTAL CODE / WEB SITE
EXPERIENCE
YOUR POSITION / TITLE                                          HOURS PER MONTH                START DATE                         FINISH DATE
                                                                                              YYYY            MM                 YYYY          MM


DUTIES / RESPONSIBILITIES


_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________


CONTACT PERSON / TITLE                                                                        PHONE NO.                          E-MAIL
                                                                                              (       )


IF APPLICABLE, PLEASE LIST ANY OUTSTANDING ACHIEVEMENTS (can be through work, athletic, academic and/or volunteer experiences)


_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________




JULY 2011                                                                                                                                       PAGE 6
                                                                                                           CONFIDENTIAL WHEN COMPLETE


SECTION 4 - ADDITIONAL INFORMATION

1.     HOW DID YOU BECOME AWARE THAT THE CITY OF MEDICINE HAT, FIRE AND EMERGENCY MANAGEMENT SERVICES, WAS
       ACCEPTING APPLICATIONS?
•      Please choose all that apply
     Internet Site                 Phone Inquiry           Referral - Employee         Referral - Agency           Media - Source




_______________________________________________________________________________________________________________________________________




2.     ARE YOU NOW OR HAVE YOU EVER BEEN AN EMPLOYEE OF THE CITY OF MEDICINE HAT?                                          Yes        No
•      If YES, please provide the following details
EMPLOYEE NUMBER                 POSITION TITLE                                       IMMEDIATE SUPERVISOR’S NAME / PHONE NO.




3.     WERE YOU EVER DISMISSED OR ASKED TO RESIGN ANY POSITION?                                                            Yes        No
•      If YES, please provide details

_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________


_______________________________________________________________________________________________________________________________________




4.     HAVE YOU HAD A CRIMINAL CONVICTION FOR WHICH A PARDON HAS BEEN GRANTED?                                             Yes        No
       Attach an original police information check from all jurisdictions where you have been a resident in the last three
       (3) years. (Can be dated up to three months prior to the date of your application).
             Police information check(s) must include a VULNERABLE SECTORS search.




JULY 2011                                                                                                                           PAGE 7
                                                                                                        CONFIDENTIAL WHEN COMPLETE


AUTHORIZATION FOR RELEASE OF INFORMATION - FIRE FIGHTER APPLICANT
As part of your application for employment with the City of Medicine Hat, your signature / initials below confirm you have read
and understood the following and provided the consents and authorizations set out below.


    I authorize the City of Medicine Hat, Fire and Emergency Management Services, to contact any or all individuals, companies,
    former employers, references or institutions to obtain information, opinion, reports, records, documents or copies thereof in any form
    concerning my skills, knowledge, behaviours and/or performance as they relate to the competencies for this position.
                                                                                                                         Initials _______


    I agree to waive any right of action against any individual, company or institution providing information or opinions in compliance
    with this authorization.
                                                                                                                     Initials _______


    Personal information about me will be used solely to assess my qualifications and determine my suitability in relation to my
    firefighter application.
                                                                                                               Initials _______


    I certify that all statements, both written and verbal, made in the course of my application for employment are true. I understand
    that any misstatements of material facts may result in my application being rejected or constitute grounds for dismissal.
                                                                                                                       Initials _______



Dated this __________ day of ____________________ , 20 __________



__________________________________________________                           __________________________________________________
Name of Applicant (please print)                                             Applicant’s Signature



__________________________________________________                           __________________________________________________
Name of Witness (please print)                                               Witness’ Signature


•   Note: Failure to have your signature witnessed on this Authorization is cause for file rejection.




JULY 2011                                                                                                                       PAGE 8
                                                                                                          CONFIDENTIAL WHEN COMPLETE



As part of my fire fighter application with the City of Medicine Hat, my signature below confirms I understand:
        All of the requirements for meeting the position’s qualifications.
        I must meet the position’s qualifications before submitting my application for employment.
        That failing to meet the position’s qualifications is cause for file rejection.
        I am to keep my certifications and associated skills sets current throughout the recruiting process.
        In the event I no longer meet any of the qualifications, I am to immediately notify the Recruitment Officer.
        I am to attach legible photocopies of documents that verify I meet the qualifications.
             I further understand that, on request, I must be prepared to produce the originals or certified copies of these
             documents for review.
        I am also to provide original driver’s record abstracts and police security documents.
        As a condition of hiring, I will undergo a complete medical evaluation to detect any physical or medical conditions that could
        adversely affect my ability to safely perform all essential job tasks under emergency conditions; this will include verifying I
        meet the position’s vision, hearing and fitness standards.
        On receipt of a job offer, I will need to provide a copy of a valid Alberta Class 3 Operator’s License and an air brake
        endorsement.



Dated this __________ day of ____________________ , 20 __________



__________________________________________________                           __________________________________________________
Name of Applicant (please print)                                             Applicant’s Signature

================================================================================
For office use only

APPLICANT MEETS QUALIFICATIONS?                    YES             PROCEED WITH SCREENING
                                                   NO              NOTES: __________________________________________________

                                                                             __________________________________________________



__________________________________________________                           __________________________________________________
MHFD EMPLOYEE’S SIGNATURE AND EMPLOYEE NUMBER                                VALIDATION DATE




JULY 2011                                                                                                                    PAGE 9
FIRE FIGHTER IMMUNIZATION HISTORY Attach a photocopy of supporting documentation.
     UPON COMMENCEMENT WITH THE CITY OF MEDICINE HAT, YOU WILL BE REQUIRED TO HAVE THE FOLLOWING:
RED MEASLES /           CLINIC or HOSPITAL NAME / LOCATION / PHONE NO. / CONTACT NAME                 LAST VACCINATION DATE
MUMPS / RUBELLA                                                                                       YYYY    MM     DD
(German Measles)
                        ___________________________________________________________________________
TETANUS             /   CLINIC or HOSPITAL NAME / LOCATION / PHONE NO. / CONTACT NAME                 LAST VACCINATION DATE
DIPHTHERIA                                                                                            YYYY    MM     DD
[Must be within past    ___________________________________________________________________________
10 years and kept
current while in this
process]
HEPATITIS-B             CLINIC or HOSPITAL NAME / LOCATION / PHONE NO. / CONTACT NAME                 FIRST VACCINATION DATE
                                                                                                      YYYY     MM     DD
If you have not
received your third
                        ___________________________________________________________________________
Hepatitis-B
inoculation     yet,    CLINIC or HOSPITAL NAME / LOCATION / PHONE NO. / CONTACT NAME                 SECOND VACCINATION DATE
indicate      future                                                                                  YYYY   MM     DD
scheduled
appointment date.       ___________________________________________________________________________
                        CLINIC or HOSPITAL NAME / LOCATION / PHONE NO. / CONTACT NAME                 THIRD VACCINATION DATE
                                                                                                      YYYY    MM     DD
                        ___________________________________________________________________________
                              MEDICINE HAT FIRE SERVICES
                           FIREFIGHTER APPLICANT CHECKLIST


Your attention to this checklist and requirements is critical to the continued review of your
application. It is highly recommended that you print out this checklist and refer to when completing
your recruiting profile.

All applications must be submitted online through the City of Medicine Hat’s recruiting website
www.medicinehat.ca. Paper applications will not be accepted.
Application Requirements
        No criminal charges or convictions related to the duties of the position for which a pardon has not been
        received
        Supply names as they appear on legal documents
        Canadian citizen or have landed immigrant status in Canada Two years accumulated work experience
        All qualifications and certificates must be kept valid during the recruiting process

Health Requirements*
        20/30 corrected binocular vision and 20/100 uncorrected binocular vision or better
        Colour vision safe
        Normal hearing without artificial aids
*No documentation is required at this stage. The assessment will be done during the health and medical evaluation stage.

Driving Requirements
        Alberta class 3 driver’s license or equivalent certified to operate vehicles with more than two axles
        Air brake endorsement
        A driving record that demonstrates responsible and safe driving behaviour
Documentation Requirements
The following must be uploaded/attached to your recruiting profile prior to the Application Close date:
        Detailed resume specifying months and years of employment history where applicable (e.g. Feb 2002-Mar
        2003)
        Copy of NFPA 1001 Level I & II displaying the IFSAC/ProBoard seal certification
        Copy of Grade 12 or GED transcript (not diploma)
        Standard First Aid\CPR
        Current drivers abstract (dated no more than 30 days prior to the closing date)


There are several paths available when registering and accessing the posting, one way is to:
1. Go to the City’s website www.medicinehat.ca.
2. Go to the ‘Employment Opportunities’ tab, click ‘Start’ to search for jobs, then apply for ‘Firefighter’.
3. Use this checklist when completing your recruiting profile (i.e. when uploading/attaching documentation on
the ‘Attachments’ tab when applying online). Refer to this website for more instructions:
www.medicinehat.ca.
Failure to provide specified documentation and meet requirements will disqualify your application.
Thank you for your interest in employment with Medicine Hat Fire Service.




July 2011                                                                                                         Page 1

				
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