Application: Youth Emergency Services (YES) Academy

Sturgeon County is introducing a YES Academy this summer for youth ages 14 to 17 who are interested in a future career in emergency services. The Academy will provide youth with an understanding of various protective services positions and offer practical experience in each of these roles. For two nights and three days, participants will take part in mock training similar to that experienced by professionals in the Fire Services, Law Enforcement, Corrections, Military, and Emergency Medical Services fields.

Applicants must be prepared to participate in in-class learning and be willing and able to participate in physical fitness and activities for the duration of the academy.

Interview

Depending on the number of eligible and interested applicants, Protective Services may be required to short-list. If this is the case, applicants must be willing to participate in a brief interview.

General Information

This is an opportunity of a lifetime to learn about Emergency Services, the various agencies, and different departments within them. Good Luck!

How to Apply

1. Review the application and information contained here.
2. Complete the application form below (8 pages).
3. Request a character reference/recommendation letter from someone who knows you well (but not an immediate family member). Examples of individuals to request from include teacher, someone from work, coach, volunteer organization, etc.
4. Ensure all sections of the application form are complete and the form is signed by you and your parent/guardian.

Ensure all pages, along with your character reference are submitted before the deadline!

THE DEADLINE TO APPLY IS FRIDAY, MAY 16, 2025.

Please note that space in the Youth Emergency Services Academy is limited. Late applications or those that are incomplete will not be accepted.

Apply Online

Having trouble completing the form below?

Download a copy by clicking the “Download file” button below, then send the completed digital form by email to protectsvcs@sturgeoncounty.ca
OR
Print the form and return the completed paper copy to:
Sturgeon County Protective Services Headquarters
54509 Range Road 252, Sturgeon County, AB

Application: Youth Emergency Services (YES) Academy

Step 1 of 6

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Applicant Information

Name(Required)

First Last

Preferred Phone Number(Required)

Alternative Phone

Email(Required)

Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Gender(Required)

Male

Female

Other

Date of Birth(Required)

MM slash DD slash YYYY

Provincial Health Care #(Required)

School Name(Required)

Grade(Required)

T-Shirt Size (Adult/Unisex)(Required)

XSSMLXLXXL

Please list any past volunteer, leadership, or work experience you feel would be applicable to the YES Academy:(Required)

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Parent/ Guardian 1

Name(Required)

First Last

Relationship:(Required)

Primary Contact Number(Required)

Alternative Contact Number

Parent/Guardian 2 OR Emergency Contact

Name(Required)

First Last

Relationship:(Required)

Primary Contact Number(Required)

Alternative Contact Number

Please list the contact information for the character reference submitted:

(NOTE: ensure your reference is prepared to receive a call).

Character Reference Name(Required)

First Last

Character Reference Phone(Required)

Character Reference/ Recommendation Letter(Required)

Max. file size: 128 MB.

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Participant Contract(Required)

I (applicant), have applied to participate in Youth Emergency

Services (YES) Academy with Sturgeon County Protective Services. If I am accepted to partake in the YES Academy this summer, I agree to the following:

· Attend the Parent/Participant information session to be held in June.

· To commit and participate fully for the three days.

· To display a positive attitude and be respectful of the facility, property and all presenters, instructors, other participants, and volunteers.

· I agree to abide by all rules and regulations noted below, as well as instructions provided by the instructors, presenters, and volunteers during the academy.

· I understand that any behavior deemed unsafe, disruptive, or inappropriate may result in immediate dismissal from the academy, with my parent or guardian being required to promptly pick me up.

I agree to the above

Name of Applicant(Required)

First Last

Signature of Applicant(Required)

Rules and Regulations(Required)

YES ACADEMY PARTICIPANT GENERAL RULES and REGULATIONS

1. Once at the academy site, participants shall not leave the property without specific direction from staff.

2. Alcohol, smoking/vaping, non-prescription drugs and any other intoxicants are prohibited.

3. Participants will not access, handle, or remove personal belongings of others without explicit permission.

4. Participants shall remain in their designated sleeping quarters from 2200 hrs to 0600 hrs, unless specifically directed otherwise by staff.

5. Participants are responsible to ensure the cleanliness and organization of facilities, including assigned sleeping quarters, in accordance with directions from staff. These areas will be subject to daily inspections.

6. Full disclosure of any injuries must be disclosed to any staff, prior to and during the academy. The disclosure is to ensure your continued health.

7. Participants must wear issued t-shirts and other recommended clothing for the duration of the academy.

8. The program consists of a lot of physical activity. Because of this – participants will be required to shower each day, either at night before going to bed, or in the morning before the day starts.

I agree to the above rules and regulations.

Important Notice for Parents and Participants –(Required)

Any participant who fails to comply with the rules and regulations, staff directions or staff guidance, or who become disruptive to the academy, may have their participation in the Academy cancelled and be immediately sent home. By signing you hereby declare that you have read and understood the Participant Contract and General Rules and Regulations.

I agree to the above

Signature of Applicant(Required)

Date(Required)

MM slash DD slash YYYY

Parent/ Guardian Name(Required)

First Last

Signature of Parent/ Guardian(Required)

Date(Required)

MM slash DD slash YYYY

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Participant Release and Indemnification Agreement(Required)

I (applicant Name), have applied to participate in Youth Emergency Services (YES) Academy with Sturgeon County Protective Services. If I am accepted to partake in the YES Academy this summer, I agree to the following:

· Attend the Parent/Participant information session to be held in June.

· To commit and participate fully for the three days.

· To display a positive attitude and be respectful of the facility, property and all presenters, instructors, other participants, and volunteers.

· I agree to abide by all rules and regulations noted below, as well as instructions provided by the instructors, presenters, and volunteers during the academy.

· I understand that any behavior deemed unsafe, disruptive, or inappropriate may result in immediate dismissal from the academy, with my parent or guardian being required to promptly pick me up.

I agree to the above

Name of Applicant(Required)

First Last

Signature of Applicant(Required)

Name of Parent/ Guardian(Required)

First Last

Signature of Parent/ Guardian(Required)

IN WITNESS WHEREOF the PARTICIPANT has executed this Agreement as of the(Required)

Todays date, or date of signing

MM slash DD slash YYYY

Name of Witness(Required)

First Last

Signature of Witness(Required)

Guardian Permission to Participate(Required)

I (Name of Guardian), hereby give permission for (Applicant Name) to participate in Sturgeon County Youth Emergency Services (YES) Academy. I understand that he/she/they will be involved in a variety of activities including but not limited to physical training. I acknowledge that he/she/them is in good physical condition and is capable of participating in strenuous physical activity. I also understand that a medical examination is recommended but is not required, to ensure that he/she will be capable of participating in the physical activities.

I, the undersigned agree to assume all risks of (Applicant Name) participating in Sturgeon County YES Academy, and does hereby remiss, release, and forever discharge Sturgeon County, its employees, volunteers, and agents, from any and all manner of actions, debts, claims, and demands, that said undersigned may have any reason of any manner arising out of the said activities organized by Sturgeon County Protective Services during the Youth Emergency Services Academy.

I, hearby release the County, its employees, and volunteers from any claim for loss, injury, or damage to person or property either directly or indirectly, including travel to and from, during my child’s participation in the YES Academy.

I agree to the terms above

Name of Parent/ Guardian(Required)

First Last

Signature of Parent/ Guardian(Required)

I hereby authorize, or do not authorize (please check one) the Municipality of Sturgeon County to contact the reference included in the application by the aforementioned individual, for the YES Academy application process.(Required)

Authorize

Do Not Authorize

IN WITNESS WHEREOF the PARTICIPANT has executed this Agreement as of the(Required)

Todays date, or date of signing

MM slash DD slash YYYY

Signature of Applicant(Required)

Signature of Parent/ Guardian(Required)

Signature of Witness(Required)

Release Agreement for Photos, Videos and Films – Participant Information

Participant Name(Required)

First Last

Guardian Name(Required)

First Last

Participant Address(Required)

Street Address Address Line 2 City ZIP / Postal Code

Participant Phone(Required)

Participant Email(Required)

Release Agreement for Photos, Videos and Films – Consent

Photo/ Video Consent(Required)

I hereby authorize Sturgeon County to use photographs or video taken of the “participant” identified above while attending or participating in the Youth Emergency Services (YES) Academy. Photographs or video footage may be used in the production of Sturgeon County photographs, motion pictures, videos, social media, or other productions.

Images and videos captured may be used to promote the YES Academy in the future or may be used in or as a part of publications, promotions/advertisements, website, newsletters, and displays intended for the general public.

I give Sturgeon County, the employees, agents and representatives, permission to give others these rights, all without payment or any compensation to me.

I give permission for Sturgeon County to contact me, using the contact information provided above, to request to use the photo(s) and/or videos for another purpose.

Parents and media may also have the opportunity to take pictures; any of these photos taken during the three days cannot

be controlled. No other use of these photographs will be allowed.

I release and discharge Sturgeon County, its employees, agents, and representatives from any claims, obligations, or

liability of any kind related in any way to this consent or the publication or distribution of Sturgeon County materials.

In witness whereof, I have executed this consent and release.

I agree to the above

Name of Applicant(Required)

First Last

Signature of Applicant(Required)

Date(Required)

MM slash DD slash YYYY

Name of Parent/ Guardian(Required)

First Last

Signature of Parent/ Guardian(Required)

Date(Required)

MM slash DD slash YYYY

Name of Witness(Required)

First Last

Signature of Witness(Required)

Date(Required)

MM slash DD slash YYYY

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Medical Questionnaire:

PLEASE READ THE FOLLOWING CAREFULLY: First responders must maintain a high level of fitness to perform their duties effectively, safely, and professionally. At YES Academy, you will be expected to be in good condition and injury free. The physical components of YES Academy include a conditioning program, participation in team sport games, and simulations of emergency services scenarios. Read and honestly answer each of the following questions. Any information regarding injuries must be volunteered. If it is not, and the injury surfaces during the activities at YES Academy, the participant may be expelled.

PLEASE READ THE FOLLOWING CAREFULLY:(Required)

First responders must maintain a high level of fitness to perform their duties effectively, safely, and professionally. At YES Academy, you will be expected to be in good condition and injury free.

The physical components of YES Academy include a conditioning program, participation in team sport games, and simulations of emergency services scenarios.

Read and honestly answer each of the following questions. Any information regarding injuries must be volunteered. If it is not, and the injury surfaces during the activities at YES Academy, the participant may be expelled.

I agree to the above

1. List any injuries or illnesses affecting physical activity.

2. Have you been under a doctor’s care for any reason within the preceding two (2) years?(Required)

Yes

No

If yes, please explain:

3. Do you have a bone or joint problem that could be aggravated by physical activity?(Required)

Yes

No

If yes, please explain:

4. Do you feel pain in your chest when you exercise physically?(Required)

Yes

No

If yes, please explain:

5. Do you experience dizziness, or do you ever lose consciousness?(Required)

Yes

No

If yes, please explain:

6. Are you currently on medication?(Required)

Yes

No

If yes, please explain:

7. Do you have any dietary restrictions?(Required)

Are the above dietary restrictions an allergy or preference?

Allergy

Preference

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APPLICATION FORM – WRITTEN PORTION (PLEASE PRINT CLEARLY) – TO BE COMPLETED BY THE YES ACADEMY APPLICANT ONLY*:

You may provide any additional information you feel would assist your application.

1. Why would you like to be a part of YES Academy this year?(Required)

2. What are some of your skills, interests, and/or experiences that explains more about who you are and what things you do/like to do?(Required)

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