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FIREFIGHTER CANDIDATE TESTING CENTER

a subsidiary of the
California Firefighter Joint Apprenticeship Committee (Cal-JAC)

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CAL-JAC CANDIDATE PHYSICAL ABILITY TEST (CPAT)

In order to participate in the CPAT or CPAT-related events, a candidate must agree to and sign the following:

ACKNOWLEDGEMENT AND WAIVER OF CPAT ORIENTATION AND/OR CONDITIONING PERIOD AND/OR TIMED PRACTICE RUNS

This section must be acknowledged before you will be permitted to take the Candidate Physical Ability Test (CPAT) if you did not attend the orientation and practice sessions prior to this test.

As a licensed provider of the CPAT, the California Firefighter Joint Apprenticeship Committee (Cal-JAC) must ensure that all candidates are provided full and equal access to a CPAT orientation and practice program. The orientation and practice program must be available at least eight (8) weeks before the candidate’s selected test date. This program is composed of two phases.

1. The Cal-JAC provides each candidate a full and equal opportunity to attend at least two (2) orientation sessions during which candidates will receive “hands-on” familiarity with the actual test apparatus. These required orientation sessions are provided by certified Peer Fitness Trainers, fitness professionals and/or CPAT-trained firefighters (proctors). These individuals will familiarize each candidate with each task and the test apparatus. They will advise all candidates concerning specific conditioning regimens and techniques to help each candidate prepare for the test.

2. The Cal-JAC provides each candidate a full and equal opportunity to attend at least two (2) timed practice runs of the CPAT, using CPAT apparatus. These required practice runs must be available within thirty (30) days before the date of the candidate’s selected test date. Following each practice session, certified Peer Fitness Trainers, fitness professionals, and/or CPAT-trained firefighters (proctors) shall help the candidates understand the test elements and how candidates can improve their performance and conditions.

This two-phased orientation and practice program is a mandatory condition for candidates taking the CPAT. However, it is recognized that some individuals may be capable of passing the CPAT without participation in these programs. These individuals may excuse themselves from this mandatory condition upon the receipt by the Cal-JAC of a written and signed waiver, acknowledging that the Cal-JAC made these programs available on an equal basis to all candidates and that the candidate knowingly and voluntarily waived participation in the orientation and practice sessions.

Orientation and practice sessions are designed to give each candidate identical information regarding the test so that each candidate will have the maximum probability for success. During the classroom orientation, candidates are shown the CPAT orientation video and are given the CPAT Candidate Preparation Guide. The orientation and practice sessions provide an equal and full opportunity for each candidate to view the test events, talk with qualified professionals and instructors and physically examine and use test equipment, tools and props in a controlled and consistent setting. Candidates are directed to familiarize themselves with all elements of the test. Further information regarding the orientation and practice sessions may be obtained at www.CALJAC.org or www.FCTConline.org.

I have read and understand the nature of the orientation and practice sessions and the time period between orientation and actual CPAT administration. By executing this acknowledgment, I hereby knowingly and voluntarily waive my right to participate in the above-described orientation and practice sessions.

 

WAIVER OF CLAIM FOR INJURY/COVID-19 RISK AND EXPOSURE

This section must be acknowledged before you will be permitted to participate in any Candidate Physical Ability Test (CPAT) orientation, practice or test. The CPAT requires you to perform eight (8) physical tasks. You will be given specific instructions for each task (by video and proctors) in the manner in which these physical tasks are to be performed.

I have read and understand the physical effort that the CPAT involves. I am physically capable of participating in the CPAT related events. I am not aware of any medical conditions or physical impairments, including but not limited to contraction of or exposure to the COVID-19 virus, that would put me or anyone else at risk in performing the CPAT.

The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious, is believed to spread mainly from person-to-person contact, and is potentially deadly. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people.

I understand that the Firefighter Candidate Testing Center (FCTC) has put in place preventative measures to reduce the spread of COVID-19; however, FCTC cannot guarantee that candidates will not become infected with COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I may be exposed to or infected by COVID-19 by participating in the Candidate Physical Ability Test (CPAT) and that such exposure or infection may result in personal injury, illness, permanent disability, and death.

I hereby waive any and all claims for and arising out of any injury or illness, including COVID-19, that I might sustain or incur as a result of participating in CPAT-related events. I willfully assume all risks associated with participating in the CPAT, including the risks associated with COVID-19, and voluntarily participate as part of my application for documentation of CPAT completion.

CANDIDATE PHYSICAL ABILITY TEST REHABILITATION ACKNOWLEDGEMENT

It is normal to feel tired after the performance test. There are some signs that may mean that the exertion is causing more serious problems. If any of the following signs or symptoms occur, you should call your physician or the local Emergency Services.

♦ Nausea, vomiting, dizziness, or headache lasting more than a few hours
♦ Extreme weakness
♦ Fever
♦ Confusion
♦ Generalized muscle aching lasting more than one day
♦ Dark urine or very little urine

 

First Candidate's Name

First Name*

Middle Name

Last Name*
First Candidate's Date of Birth*
First Candidate's Signature*
Second Candidate's Name

First Name*

Middle Name

Last Name*
Second Candidate's Date of Birth*
Third Candidate's Name

First Name*

Middle Name

Last Name*
Third Candidate's Date of Birth*
Fourth Candidate's Name

First Name*

Middle Name

Last Name*
Fourth Candidate's Date of Birth*
Fifth Candidate's Name

First Name*

Middle Name

Last Name*
Fifth Candidate's Date of Birth*
Sixth Candidate's Name

First Name*

Middle Name

Last Name*
Sixth Candidate's Date of Birth*
Seventh Candidate's Name

First Name*

Middle Name

Last Name*
Seventh Candidate's Date of Birth*
Eighth Candidate's Name

First Name*

Middle Name

Last Name*
Eighth Candidate's Date of Birth*
Ninth Candidate's Name

First Name*

Middle Name

Last Name*
Ninth Candidate's Date of Birth*
Tenth Candidate's Name

First Name*

Middle Name

Last Name*
Tenth Candidate's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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