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Career Recruit Application 

This application is to be completed by the head of department or delegated authority.

Please review the application instructions to ensure you have all applicable documents: Application Instructions

Application Instructions(Required)
This form can not be saved, application must be completed in its entirety. You will need pages 1 and 8 of the HRD Medical Form and passing PAT Results to continue.
Please indicate the full time or call-volunteer status of this applicant.
Recruit's Legal Name(Required)

Required Documents

Applications are not considered complete unless the valid copies of the below documents are received.
Date of Recruit's HRD Medical Examination(Required)
Must be within one year of class start date. Recruit is responsible for submitting up-to-date documentation prior to class start.
Preferred examples: Screen capture of email, PDF of email including the full passing result.
Drop files here or
Max. file size: 6 MB, Max. files: 1.
    Preferred examples: Screen capture of email, PDF of email including the full passing result.
    Drop files here or
    Max. file size: 6 MB, Max. files: 1.
      Date of Recruit's Physical Abilities Test (PAT)(Required)
      Date must be within one year of Recruit's appointment to full time.
      Preferred examples: Screen Capture of Email, PDF of Email including the full passing result.
      Drop files here or
      Max. file size: 6 MB, Max. files: 1.

        Application Information

        Leave blank if none available.
        This email will receive confirmation of submission.
        The number to contact during training hours (nights and weekends).
        If filling this out on behalf of your Department Chief, Please submit your email address for confirmation of submission.
        Department Mailing Address(Required)

        Availability

        Preferred Campus (Select all that apply)(Required)
        Preferred Start Date(Required)

        Attestations

        To be completed by the head of department or delegated authority.
        I hereby attest that I have the authority to sign this document on behalf of the department and to make the representations contained herein.
        Application Approval(Required)
        The completed application for the above-named recruit, a full-time member of this department, is hereby submitted with my approval for enrollment in the Massachusetts Firefighting Academy. In consideration of the Academy permitting the above-named individual to utilize its facilities, or any facilities made available throughout the Commonwealth of Massachusetts, for the purpose of furthering their training and professional development in the Fire Service, I agree to hold harmless and indemnify the Massachusetts Firefighting Academy, the Department of Fire Services, the Executive Office of Public Safety and Security, the Commonwealth of Massachusetts, the owners or operators of any facilities made available, and all of their respective officers, employees, and agents from any and all liability, claims, or causes of action arising out of such use or participation in training activities, to the extent permitted by law.
        Full name of person filling out this form.

         

         

        Massachusetts Training Council Protective Clothing Compliance(Required)
        In accordance with the Massachusetts Fire Training Council policy for Live Fire Training Exercises and Evolutions, this
        section must be completed for each person who registers for any Academy program which includes live fire training.

        I hereby attest that the ensemble (ensemble includes helmet, protective hood, coat, trousers, gloves and boots) to be used by the above named Recruit will at all times throughout the participation of the live fire training, be less than ten (10) years old. In addition, I further attest that this ensemble also complies with the following standards:

        - NFPA 1971: Standard on Protective Ensemble for Structural Firefighting and Proximity Fire Fighting
        - OSHA 29 CFR 1910.156(e) (2) (iii)
        Full name of person filling out this form.

         

         

        Massachusetts Training Council Statement Of Compliance(Required)
        I have reviewed the Rules and Regulations for the Career Recruit Training Program (dated October 2021), as established by the Massachusetts Fire Training Council. I have provided a copy of these rules and regulations to the above-named recruit and have reviewed their contents with them. I further acknowledge and agree that both the recruit and this department shall abide by all provisions set forth therein
        Full name of person filling out this form.

         

         

        EMT / EMS Document (OPTIONAL)
        The above named applicant, a candidate for certification has received an evaluated program of instruction that fulfills the medical first responder training requirements of 105 CMR 171 as established by Massachusetts General Law chapter 111, section 201.

        Full name of person filling out this form.

         

         

        Since August 2023, the Department of Fire Services (DFS) has utilized our Mobile Extraction Unit to clean each recruit’s turnout gear to NFPA 1851 standards following their weeks of training and prior to their return to your departments. As you may be aware, the Mobile Extraction Unit was built specifically for DFS and funded through an Assistance to Firefighters Grant to meet our unique need for high-capacity units that could properly clean and dry the specialized garments and protective equipment used by dozens of recruits at any given time across three MFA campuses. This allows each graduating firefighter to begin their career with a clean set of turnout gear – one of the most important occupational safety tools in the fire service.
        Clean Start - Attestation(Required)
        On behalf of my Fire Department or Fire District, I acknowledge and agree that the Department of Fire Services (“DFS”) will provide extractor washing and/or drying of firefighter turnout gear as part of the Extractor Cleaning / Drying Services program.

        In consideration of these services, my Fire Department or Fire District agrees to hold harmless, waive, release, discharge, and indemnify the Commonwealth of Massachusetts, the DFS, its officers, officials, employees, agents, contractors, and any person acting on behalf of or at the direction of the DFS, from any and all claims for property damage to firefighter turnout gear submitted for cleaning and/or drying through this program.

        By checking this box, I confirm that I have read and agree to the terms stated above on behalf of my Fire Department or Fire District and that I have the authority to complete and submit this form on behalf of my Fire Department or Fire District .
        Full name of person filling out this form.

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        Please click the "Submit" button below to complete your application.