Applicant Information Form

Welcome to the Trent University Emergency First Response Team (TUEFRT) online application form. This is officially your first step towards applying for the team. Please complete sections 1-4 below ensuring that all of the required fields are completed. The application form cannot be saved and resumed later so it is advisable that you draft your responses in a word document prior to filling out the AIF to avoid accidental submission. Each applicant is permitted ONE submission, and subsequent submissions will not be evaluated.
Try-outs for the 2018 term are being held over the weekend of January 19th-21st and you must be available for all three days to be considered for a position on the team. Good Luck!

All of the information provided below is confidential and will be encrypted upon submission to be viewed only by TUEFRT administration.

1. Personal Information

* Indicates required field

Name *

First

Last

Student Number *

Email *

Phone Number *

Program *

Years Remaining at Trent *

2. Flexibility

TUEFRT has two different shift types during an average week. The day shift starts at 0850 and ends at 1650 (8hrs) and the night shift begins at 1650 and runs until 0850 (16hrs). During a shift, responders are able to attend lectures however scheduling yourself to be on call during a seminar or laboratory time slot may result in you missing valuable course content should you be dispatched to a call. Thus, for the availability we ask that you only provide the quantity of time during a 7 day week that you will be able to take a shift either on free time or lecture time, excluding any time that you are scheduled to be at a seminar or laboratory as we will not allow you to take shifts during that time.

Weekly availability in hours: *

8 hours (1 standard day shift) 16 hours (2 standard day shifts or 1 standard night shift) 48 hours 48+ hours

3. Questionnaire

Please answer ALL of the following application questions to the best of your ability ensuring that your responses are no greater than 250 words in length.

Why do you want to join TUEFRT? *

Why would you make a good emergency responder with TUEFRT? *

Please list and briefly explain any medicine-related work/volunteer experience that could be considered relevant to your future as a responder on TUEFRT. *

Please list and briefly explain any NON-medicine-related experience that could be considered beneficial to your future as a responder on TUEFRT. *

Are there any circumstances or issues (personal, medical, or financial) that may have affected your academic record or impact your ability to partake in the required physical/mental training and testing components of the application? *

Do you have any active licenses in first-aid? If so, please specify. If no, please indicate using "N/A". *

Have you applied to TUEFRT before? *

Yes, once Yes, more than once Never

4. Declaration

Through the confirmation below, I certify that all the information above is true and correct to the best of my knowledge. *

CONFIRM

Submit