::: MountainFest - Canada's Number 1 Country Music Festival :::

PUBLIC SAFETY APPLICATION

* this symbol denotes a required field and must be filled out in order to submit your application. You will get a chance to review your answers on the next page before final submission. A confirmation note will be sent to the email address you provide below.

General Information:
Please select one:	Mr. Mrs. Ms.
* Date of Birth:	day / month / year
* First Name:	Middle Initial
* Last Name:
* Address:
* City:
* Province/State:
* Postal/Zip Code:
* Phone Number:	(area code) (xxx-xxxx)
Alternate Phone Number:	(area code) (xxx-xxxx)
* Email Address:
Personal Information:	(height) (weight) (hair colour) (eye colour)
T-Shirt Size:	S M L XL XXL XXXL
Medical Information: In Case of an Emergency
* Care Card Number:
Doctor's Name:	Doctor's Phone Number:
Please describe any Medical Conditions that Mountainfest should be aware of:
Please describe any Allergies
Emergency Contacts:
At the Festival: Person's Name:
Relationship to you:
Festival Site Phone Number:
* At Home: Person's Name:
* Relationship to you:
* At Home Phone Number:
Do you have any other comments or questions for us:
Vehicle Information:
Please Select a Vehicle Type:
If you selected "Other" above, please explain here:
Vehicle Make:
Vehicle Model:
Vehicle Colour:
License Plate Number:
Vehicle Year:
Availability and Experience:
Days you are available. Please list:
Time you are available on those days:
If there are any days you are at the Festival and you are not available, please list them here:
If you have worked at the Festival before, please check the appropriate year:	1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
Please describe your previous Public Safety positions:
Current Employer - please provide name and contact information:
Please provide two (2) work references:	No. 1 No. 2
Please provide two (2) personal references:	No. 1 No. 2
Is there anyone you would like to work with? Please list them here:
* Are you Bondable?	yes no
* Are you a Peace Officer or have a Security License:	yes no If so, please describe what type.
* Have you ever been charged with a criminal offence:	yes no If so, please describe the charge and the outcome.
Please provide details of all Security related training that you have received:
Please provide details of all Secondary and Post Secondary Education, including Trades:
* Do you have radio experience:	yes no If so, please describe.
* Do you have any experience in a high-paced, high-pressure environment:	yes no
* Would you be willing to work in one at Mountainfest:	yes no
Special notes or reminders: Please indicate any personal insights or physical challenges

PUBLIC SAFETY APPLICATION

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