MAGRATH EMERGENCY SERVICES
Application Form
Date: __________________________
Name: __________________________ Date of Birth: _________________
Address: Box ___________________ Drivers License # ________________
Street ________________ Class: __________
Magrath, AB. T0K 1J0
Phone: _________________________ Social Insurance # ____ ____ ____
Minimum age for acceptance into active duty is 18 years.
Please answer the following questions with ‘yes' or ‘no' and give any
additional explanations where necessary.
1. Are you willing to follow the rules, regulations, and
protocols of the Magrath Fire Department? _____
2. Do you have any physical limitations which might interfere with
your performance as a volunteer firefighter? _____
If Yes explain. _____________________________________________
3. Special skills or training (check those applicable or specify)
First Aid ___ CPR ___ EMR ___ EMT-A ___ Others ______________
Firefighter courses _________________________________________
Trade Qualifications (e.g. Mechanic) ________________________
4. Additional Comments _________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Signature of Applicant __________________________ Date ___________
Application re: FIRE DEPT ______ AMBULANCE ______ RESCUE ______
Submit c/o: Town of Magrath, Town Administrator
Box 520, 55 South 1st Street West
Magrath, AB T0K 1J0
Tel (403) 758-3212
----------------------- For office use only ----------------------
Application Reviewed by: ________________________ Date ___________
Approved _____ Rejected _____
