Poudre Canyon Volunteer Membership Application

Thank you for your interest in serving the Poudre Canyon Fire Protection District. Please read carefully:

Poudre Canyon Fire Rescue is the operations arm of the Poudre Canyon Fire Protection District (PCFPD) we provide our volunteer members with training and sufficient protective equipment to function properly in an emergency setting. However, the inherent risks of emergency services mandate that we can’t guarantee total safety all the time. It is important that the candidate understand these risks and the commitment necessary to function with our organization. It is important that as a member you put your safety and the safety of your fellow volunteers as a top priority in every action you perform.

A member of Poudre Canyon Fire Rescue is commonly required to perform in severe conditions. These include extreme heat or cold, smoky, or toxic conditions at any hour of the day or night. A member may be required to perform strenuous physical activities including heavy lifting, pulling, or pushing. A member may be required to enter burning or unstable areas and travel extreme terrain in order to perform rescue or extinguishment activities. In addition to the above, on Rescue (ambulance) calls the member may be confronted with hostile or violent patients. Some may require physical restraint. On rescue calls, the firefighter could also be exposed to blood or body fluids that may contain communicable diseases.

Members of this department must never respond to calls or training under the influence of alcohol, illicit, or prescription substances or medications which could impair judgment or performance. These medications include but are not limited to: anti-psychotics, tranquilizers & narcotic pain relievers.

Each member is required to attend practical and classroom training sessions as specified by the department to attain a required level of competency. To qualify for the department's pension plan a member must attend 36 hours of training each year and respond to at least five calls for service.

The member will function within the framework of the organization. This includes following orders from superior officers, reading and complying with department standard operating procedures, and always acting in the best interests of the Poudre Canyon Fire Department.

By submitting this form to the department you are agreeing that you have read the above statements. You understand the potential risks and requirements of being a member of the Poudre Canyon Fire Department and you are certifying that you are capable, or trainable, to perform these tasks without undue accommodation. You also understand that all information submitted in this application is subject to verification. You also understand you will undergo a criminal background check. You also understand that falsification of any information on this document is grounds for rejection or dismissal.

You will be notified by the Fire Chief of your acceptance or rejection to the department.

Again, thank you for your interest in serving your community.

This should be the address where we can mail the books and materials.

If yes, explain in an email to our fire chief: h.collins@poudrecanyonfiredistrict.org.

Note: The criminal background check will show any/all arrest or criminal record(s) the candidate has. It will not necessarily show the disposition of a case. It is the responsibility of the candidate to provide disposition info on any arrest or criminal record the membership committee deems appropriate. The membership committee also reserves the right to reject applications based solely on past criminal records. The membership committee also reserves the right to investigate any criminal record.

Please provide us with information about your self and tell us why you want to join the department.

Please share any information you feel we should know.

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