Fillable 2022 TRI-MUNICIPAL FIREFIGHTER RECRUITMENT COMMUNITY SERVICE EXPERIENCE VERIFICATION

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2022 TRI-MUNICIPAL FIREFIGHTER RECRUITMENT COMMUNITY SERVICE EXPERIENCE VERIFICATION

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Country of origin: CANADA
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2022 TRI-MUNICIPAL FIREFIGHTER RECRUITMENT
COMMUNITY SERVICE EXPERIENCE VERIFICATION FORM
Please complete and submit this form if you are reporting Community Service Experience. Community Service
can include firefighter fundraising and other community events (e.g. car wash, boot drive, etc.). Community
Service does not include duties assigned as a paid on-call volunteer firefighter (e.g. responding to calls, training,
etc.). If you require more space, you may fill out more than one form.
This is a fillable form (suggested minimum system requirements to complete this fillable form: Adobe Acrobat Reader 11 or Adobe
Acrobat Pro 11). If you are unable to complete as a fillable form, please complete manually (print legibly).
Name: _______________________________ Average Hours (total hours/5) = _____________________
Year of
Community
Experience
Name of
Organization
Name of
Supervisor
Total
service
hours
completed
in
specified
year
Brief description of community service duties
2022
2021
2020
2019
2018
Your signature below confirms your understanding that the information provided above will be verified during the competition process and
misrepresentation of information may be grounds for removal from the competition.
Signature of candidate: _______________________________ Date: _________________________
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2022 TRI-MUNICIPAL FIREFIGHTER RECRUITMENT COMMUNITY SERVICE EXPERIENCE VERIFICATION

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Completed 6 July 2022

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