Online Registration

* Denotes required fields

First name:

Last name:

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A first name is required.

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A last name is required.

Your email address:

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A valid e-mail address is required. A valid e-mail address is required.

Verify email address:

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A valid e-mail address is required. E-mail addresses don't match.

Address:

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An Address is required.

City:

Province/State:

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A city is required.

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Please select a valid province/state. Please select a valid province/state.

Postal Code:
(No Spaces) Eg. L2S3A1

Country:

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A postal/zip code is required.Please do not include a space in the postal code.

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Please select a valid country. Please select a valid country.

Telephone Number:

Extension:

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A telephone number is required.

Testing Date:

Testing Time:

Birthdate:

Testing Components:

Test:	Expiration:	Cost:	Your Selection:	YOUR TOTAL: $0.00
Clinical Assessment	6 Months	$90.00
Occupational Assessment (CPAT)	1 Year	$160.00
Written CPS Aptitude Examination	6 Months	$50.00
Medical Examination	1 Year	$80.00
Acrophobia Examination	1 Year	$10.00
Swimming Examination	1 Year	$10.00

Contact us:
Fern MacLeod, Manager
firefighter@brocku.ca

Office Hours: Saturday and Sunday (on screening days). For all other appointments, please email firefighter@brocku.ca. Please note the office is not open during regular business hours. Appointments must be made via email.

Office Location: South Block 310; Welch Hall 145 (on screening days only).

Note: Our facilities are not open for public viewing.