Firestorm Enterprises Ltd. Employment Application 10 Crew Bases Province Wide Name (required) Phone Number (required) Mobile Phone Number (required) Alternate Phone Number Email Address (required) Residing Location (required) Training Records – Provide clear scanned copies of wallet card/diplomas The minimum certifications required to fire fight in BC is S100 & S185 S100A – Annual Recertification (Fire Suppression & Safety): YesNo Upload S100A Annual Recertification: S100 Basic Fire Suppression and Safety: YesNo Upload S100 Basic Fire Suppression and Safety Certification: S185 Fire Entrapment Avoidance & Safety: YesNo Upload S185 Fire Entrapment Avoidance & Safety Certification: S212 Fireline Communications: YesNo Upload S212 Fireline Communications Certification: S230 Crew Boss Training Single Resource Leader: YesNo Upload S230 Crew Boss Certification: S232 Pumps and Water Delivery: YesNo Upload S232 Pumps and Water Delivery Certification: S235 Iginition Operations (Burn Off and Backfiring): YesNo Upload S235 Ignition Operations Certification: S241 Fire Assessment: YesNo Upload S241 Fire Assessment Certification : I-100 (Incident Command Systems ICS-100): YesNo Upload ICS-100 Incident Command Systems Certification: I-200 (Incident Command Systems ICS-200): YesNo Upload ICS-200 Incident Command Systems Certification: I-300 (Incident Command Systems ICS-300): YesNo Upload ICS-300 Incident Command Systems Certification: I-400 (Incident Command Systems ICS-400): YesNo Upload ICS-400 Incident Command Systems Certification: WorkSafe Occupational First Aid Level 1 with OFA Transportation Endorsement or Level 3 OFA Certificate: Level 1 with TransportLevel 3 Upload BC First Aid Certification: Upload transport endorsement Certification: Wildlife Danger Tree Assessor Certificate Must Be Wildland Fire Safety Module Only: Upload Wildlife Danger Assessor Certification: Basic Chainsaw Operator as per WorkSafeBC (PSO): YesNo Upload Basic Chainsaw Operator Certification: Faller Certification – BC Faller Training Standard (BCFTS): Upload BC Faller Training Standard Certification: Workplace Hazardous Material Information System – (WHMIS): YesNo Upload WHMIS Certification: Transport of Dangerous Goods (TDG): YesNo Upload TDG Certification: Firefighting Technology Certificate (NFPA 1001 – Level 1 and Level 2 Basic Firefighting Certificate: YesNo Upload Firefighting Technology Certification: OFC-115 – Structure Protection (Structure and Site Preparation S115): YesNo Upload OFC-115 - Structure Protection Certification: Hydrogen Sulfide Safety Training H2S Certified: YesNo Upload H2S Certified Certification: Valid Licensed Driver: YesNo Upload Driver’s License (both front and back): Front: Back: Fire Experience - Required if your previous experience was not working with Firestorm. # of Days worked on FIRE# Employer/Company? Calendar date: # of Days worked on FIRE# Employer/Company? Calendar date: # of Days worked on FIRE# Employer/Company? Calendar date: # of Days worked on FIRE# Employer/Company? Calendar date: # of Days worked on FIRE# Employer/Company? Calendar date: Related Experience Are you physically fit? YesNo Physical Fitness Test - All personnel must meet the moderate category fitness standard, walk 3.22 kilometres carrying 25 lbs (11.34 kilograms) within 30 minutes. Description/Activities GPS Knowledge YesNo Description Chainsaw Experience YesNo Job function? How Long? Helicopter Experience YesNo Description Outdoor/Camp Experience YesNo Description Related Experience YesNo Description Trailer Towing Experience YesNo Description Hand Tool Experience YesNo Description Heavy Equipment/Water Tender Operator YesNo Description: Supervisory/Management YesNo # of people you were responsible for Supervisory/Management Courses Upload Certification: Do you have your own transportation to meet at a marshalling point?: YesNo Do you have a 4x4 vehicle? YesNo Description: PPE and Fire Gear Fire Certifications (must accompany you on fireline at all times) Nomex shirt select size SMLX-LXX-LXXX-L Nomex pant select waist size: 283032343638404244 Select Leg Length: 303234tall Firestorm Crews have standardized to wear Orange Nomex Shirts and Blue Nomex pants **As Per Section 2.27 of the BC Wildfire Service Standing Offer for Wildland Fire Fighters regarding clothing: Flame resistant clothing that meets CAN/CGSB 155.22-2014 or NFPA 1977 standards. Clothing must have tags proving they meet one of these standards and this may be checked during initial or onsite inspections. Note: Contract crews’ flame resistant clothing may be in any colour other than red. If contract crews show up with red flame resistant clothing, they will be sent home without compensation. Footwear appropriate for the work conditions; meeting CSA standards and displaying the appropriate label; Belt Leather gloves 6 point Hard hat with screen, ear muffs & chin strap for working around helicopters. Safety glasses/goggles (for working around helicopters) Hi Visibility Vest (for working around heavy equipment) One 4” compress dressing Whistle Fireline Day pack (to carry food, water, fire equipment, sunscreen, bug spray, toilet paper, rain jacket) Rain gear Overnight Gear to Include: Tent, Sleeping bag, Pillow, Sleeping foam Pocket Notebook & Pen Gear bag/duffle bag, no suitcases to hold your gear for up to 17 days Creature Comforts Clothing required for up to two weeks (warm socks and wooly as you could be working at high elevation which can be cold at night; camp clothing, sleeping clothing) Toiletries & Towel Contacts/glasses/sunglasses Ear plugs, any prescription medications such as an EpiPen and or allergy medication, sunscreen, insect repellent, flashlight, shower shoes, mole skin (for feet blisters this is a must if you have new boots) Leatherman pocket tool Cell phone/truck lighter cell phone charger/cell minute cards Extra socks Garbage bags/plastic bags to keep stuff dry or laundry separate. Personal Payroll Information Full Name Phone Number Cell Phone Number Emergency Contact Person and Phone Number Email Address Date of Birth Social Insurance Number Banking information; a Void cheque or your institution number, transit number and account number (all listed on a void cheque). Upload Blank Cheque: Do you have any pre-existing medical conditions? Description Are you available for Fire Deployments? YesNo Date Available: Are you available for Standby?: YesNo Date Available: Upload your resume: Have you read our Company Drug & Alcohol zero tolerance policy and agree to our terms?: YesNo Read company drug & alcohol zero tolerance policy form here Have you completed your PAR-Q (Physical Activity Readiness Questionnaire)?: YesNo Download PAR-Q questionnaire form here Upload PAR-Q questionnaire form: ARE YOU Fire Ready?YesNo Have you submitted all your training records? YesNo Don't have required training certificates? Click Here I have read and agree to the above terms and conditions in the PAR-Q and Company & Alcahol Policy Please sign your signature: