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Identification of applicant

Name
First Name
Address
City
Province
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Telephone
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Civil Status
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Date of birth
Automobile YesNo
No permis de conduire
Classe(s)

Identification of employer

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Supervisor
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Are you a member of any firefighting service? YesNo
Reference
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Reference
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PREFERENCES

What type of job would you prefer?

Regular MemberAssociate Member
Regular Member
1. Participate in the restoration of antique vehicles;
2. Be at the museum for housework, training and other duties;
3. Offer your availability for visits of the museum by the public, on Sundays;
4. Help support operations on intervention sites.
Associate Member
1. Participate in the restoration of antique vehicles;
AND / OR
2. Be at the museum for housework, and offer your availability for visitors at the museum and
other duties.

Academics

High SchoolDiploma of professionnal studiesDiploma - commercial studies or technique studiesCollege or University
Other (CPR, AED, etc.)

Consent

Do you consent to an investigation of your reputation? The gathered information will be kept in all
confidentiality by the Auxiliary Firefighters of Montreal.

I authorize the Auxiliary Firefighters of Montreal to use the videos, portrait or visually photographed
image of myself for specific purposes of use and publication in printed or electronic documents, books,
brochures, corporate documents, promotional tools, magazines, newsletters, website, Facebook page
and other similar documents, year after year, in a professional setting.
Should you be accepted as a member of the Auxiliary Firefighters of Montreal, you would be required to
be available for voluntary service, without pay or other remuneration.

YesNo

Signature (Type your first and last name, followed by I consent) signature-consentement

Statement

Signature (Type your name followed by I DECLARE) signature-declaration

Date
Witness
Date