Candidate Physical Ability Test CPAT Voice Mail: CPAT. OPEN TEST Challenge

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1 Candidate Physical Ability Test CPAT Voice Mail: CPAT OPEN TEST Challenge Instructions Candidates electing to participate in an Open Test challenge should be aware that they will be waiving Orientation and any practice. 1. Review the CPAT TESTING SCHEDULE and decide when you would like to challenge the test. Open Test challenges are allowed at scheduled TIMED Course Practices and scheduled TEST dates only. 2. Send an to to request an appointment time to challenge the test. (Appointment times are generally available from 8am to 9am on these dates.) Note: Appointments may be requested by only. Do not call. 3. Complete the Open Test Challenge REGISTRATION forms that are attached. (Pages 4-7) 4. Bring the following to your appointment at the Testing Facility location (Map/Directions are attached): Completed Open Test Challenge Registration forms CHECK for $150 made payable to SUFD (cash, cashier s check or money order also accepted NO Credit Cards) Fee is non-refundable. ***PAYMENT MUST BE MADE BEFORE YOU CHALLENGE THE TEST*** Driver s License 5. Proper attire is required to challenge the test. For safety reason you are required to wear long pants, a t-shirt or sweatshirt, and gym shoes (footwear without an exposed heel or toe). Additionally you cannot wear any loose or restrictive jewelry, including watches. No shorts or sandals are allowed. Candidates not adhering to this dress code will not be allowed to participate in any CPAT activities. 6. You will receive your CPAT card on the day you pass the test. 7. If you do not pass and wish to challenge the test at a future date you will need to complete this entire process (requesting an appointment, completing another registration form, etc.) Southwest United Fire Districts highly recommends that candidates who wish to do an Open Test Challenge review the CPAT videos available on the website. CPAT Open Test Challenge w Ladder Instructions & Registration WS/2012 1

2 SOUTHWEST UNITED FIRE DISTRICTS CPAT Open Test Challenge Facility Location at Chicago Roofers Joint Apprenticeship & Training Program Directions Important Please Note Our Mailing address is 7045 Joliet Road. This address is for MAILING PURPOSES ONLY. We do not have an entrance to our building located on Joliet Road. The Apprenticeship Office and Training Facility is located on a private road named Roofers Road. This private road, Roofers Road, is currently not listed on any map or online driving directions search engine. The entrance to Roofers Road is approximately 7014 South Wolf Road. You can use this address 7014 Wolf Road, La Grange, Illinois, in most online driving directions search engines. But please remember you MUST turn onto Roofers Road and proceed up Roofers Road as far as possible (1 block) to the apprenticeship office and training facility. General Direction Info From Chicago I55 south to LaGrange Rd. North. LaGrange Rd. north to Joliet Rd. Turn left on Joliet going west. Joliet Rd. west to Wolf Rd. Turn left on Wolf Rd. going south, immediately after overpass turn right on Roofers Rd. and proceed up Roofers Rd. as far as possible to the office entrance. From South Suburbs I294 north to the I55 South / Wolf Rd. exit. Exit on Wolf Rd. At the bottom of exit ramp turn left going south then immediately after overpass turn right onto Roofers Rd. and proceed up Roofers Rd. as far as possible to the office entrance. From the North Suburbs I294 south to the I55 exit. Pay toll and exit on the Joliet Rd. East exit. Continue on Joliet Rd. to Wolf Rd. Turn right on Wolf Rd going south, immediately after overpass turn right on Roofers Rd. and proceed up Roofers Rd. as far as possible to the office entrance. From Joliet / Southwest Suburbs I55 north to Joliet Rd. East (exit is on the left side of expressway). Joliet east to Wolf Rd. Turn right on Wolf Rd. going south, immediately after overpass turn right on Roofers Rd. and proceed up Roofers Rd. as far as possible to the office entrance. From Aurora I88 east to I294 South. Take I294 south to I55 exit pay toll and exit on the Joliet Rd. East exit. Continue on Joliet Rd. to Wolf Rd. Turn right on Wolf Rd. going south, immediately after overpass turn right on Roofers Rd. and proceed up Roofers Rd. as far as possible to the office entrance. From Rockford I90 east to I294 South. Take I294 south to I55 exit pay toll and exit on the Joliet Rd. East exit. Continue on Joliet Rd. to Wolf Rd. Turn right on Wolf Rd. going south, immediately after overpass turn right on Roofers Rd. and proceed up Roofers Rd. as far as possible to the office entrance. From Kankakee I57 north to I80 East exit. I80 east to I294 North exit. I294 north to the I55 South / Wolf Rd. exit. Exit on Wolf Rd. At the bottom of the exit ramp turn left going south, immediately after overpass turn right onto Roofers Rd. Proceed up Roofers Rd. as far as possible to the office entrance. From Ottawa I80 East to I55 North to Joliet Rd. East (exit is on the left side of the expressway). Joliet Rd. East to Wolf Rd. Turn right on Wolf Rd. going south, immediately after overpass turn right on Roofers Rd. and proceed up Roofers Rd. as far as possible to the office entrance. CPAT Open Test Challenge w Ladder Instructions & Registration WS/2012 2

3 Chicago Roofers Joint Apprenticeship & Training Program CPAT Open Test Challenge w Ladder Instructions & Registration WS/2012 3

4 Candidate Physical Ability Test CPAT Voice Mail : cpat@sufd.org TESTING FACILITY LOCATION Chicago Roofers Apprenticeship Training Facility Roofers Road entrance (Private road at approximately 7014 S. Wolf Rd. Indian Head Park, IL 60525) CPAT Open Test Challenge Candidate Registration Form PRINT clearly Last Name First Name Home Address City, State, Zip Home Phone Number Cell Phone Number Address Drivers License # Payment Method Cash Check Money Order Payment is required at the time of your Open Test Challenge (Make Checks payable to SUFD) IN CASE OF EMERGENCY, I AUTHORIZE YOU TO CONTACT: LAST NAME: FIRST NAME: (Please PRINT) ADDRESS: PHONE: ( ) CANDIDATE SIGNATURE: DATE: Please list any medical conditions, cautions or issues that the academy staff should be aware of during testing. Please list any medications and dosages that you are taking (including O/T/C). CPAT Open Test Challenge w Ladder Instructions & Registration WS/2012 4

5 Candidate Physical Ability Test (CPAT) Department Declaration Form As a testing agency we are required by the IAFC and IAFF to track candidates and the departments they are testing for. Please mark the boxes of the departments you are testing for. If you test for additional departments after this date you must notify us with the department names. Name: Date: Please Print Addison FPD Gurnee FD Oakbrook FD Algonquin-LITH FPD Hanover Park FD Oak Park FD Arlington Heights FD Highland Park FD Orland FPD Aurora FD Highwood FD Ottawa FD Batavia FD Homer Twp FPD Palatine Rural FPD Beach Park FD Huntley FPD Palos FPD Bedford Park FD Itasca FPD Park Ridge FD Bloomingdale FPD La Grange FD Plainfield FPD Bolingbrook FD Lakewood FD Pleasantview FPD Buffalo Grove FD Lake Forest FD Prospect Heights FPD Champaign Lake Zurich FD Rutland/Dundee FPD College of Du Page Lemont FPD Schaumburg FD Countryside FPD Libertyville FD Skokie FD Crystal Lake FD Lincolnwood FD St. Charles FD Darien-Woodridge FPD Lockport FPD Sycamore FD Decatur FD Lombard FD Westmont FD East Peoria FD McHenry FPD West Chicago FPD Elgin FD Melrose Park FD West Dundee FD Elk Grove Village FD Minooka FPD Wheaton FD Elmhurst FD Morton Grove FD Wheeling FD Evanston FD Mount Prospect FD Wilmette FD Forest Park FD Naperville FD Winnetka FD Fox Lake FD Newport FPD Woodstock FD Frankfort FPD Niles FD Zion FD Geneva FD Northbrook FD Other: Glenview FD Northlake FPD Other: Grayslake FPD Norwood Park FD Other: CPAT Open Test Challenge w Ladder Instructions & Registration WS/2012 5

6 Candidate Physical Ability Test (CPAT) Waiver of Claim of Injury This form must be signed before you are permitted to access the CPAT testing station for any practice session or test session. This form covers all practice events and actual test administration. You will be asked to perform eight (8) physical tasks and will be given specific instructions (by videotape and proctors) in the manner in which these physical tasks are to be performed. The eight (8) physical tasks are: 1. Stair climb 2. Hose drag 3. Equipment carry 4. Ladder raise and extension 5. Forcible entry 6. Search 7. Rescue drag 8. Ceiling breach and pull I have read and understand that the physical effort which this CPAT test involves. I am physically capable of participating in this test. I hereby waive any and all claims for or arising out of any injury I may sustain or incur as a result of participating in the CPAT. I indemnify SUFD and all its agents associated with this testing process. I voluntarily participate as part of my application for employment. Last Name (Print) First Name MI Candidate Signature Date Drivers License #: CPAT Open Test Challenge w Ladder Instructions & Registration WS/2012 6

7 Candidate Physical Ability Test (CPAT) ACKNOWLEDGEMENT AND WAIVER OF CPAT ORIENTATION AND/OR CONDITIONING PERIOD AND/OR TIMED PRACTICE RUNS. This form must be signed before you will be permitted to take the Candidate Physical Ability Test (CPAT) if you did not attend the orientation & practice sessions prior to this test. A fire department administering CPAT as a condition of hire, must ensure that all candidates were provided full and equal access to a CPAT orientation and practice program. The orientation and practice program must commence at least eight (8) weeks before commencement of the official CPAT test date. This program is composed of two phases. 1. The fire department will provide 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 CPAT test apparatus. These required orientation sessions will be provided by certified Peer Fitness Trainers, fitness professionals and/or CPAT- trained fire fighters (proctors). These individuals will familiarize each candidate with each CPAT task and the test apparatus. They will advise all candidates concerning specific conditioning regimens and techniques to help each candidate prepare for the CPAT test. 2. The fire department will provide 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 occur within thirty (30) days before the commencement of the official CPAT test dates. Following each practice session, certified Peer Fitness Trainers, fitness professionals, and/or CPAT-trained fire fighters (proctors) shall help the candidates understand the test elements and how they can improve their performance and conditions. This two-phased orientation and practice program is a mandatory condition for candidates taking the CPAT test. However, it is recognized that some individuals may be capable of passing CPAT without participation in these programs. These individuals may excuse themselves from this mandatory condition upon the receipt by the fire department of a written and signed waiver, acknowledging that the fire department made available these programs on an equal basis to all candidates and that the candidate knowingly and voluntarily waived participation in the orientation and practice sessions. Orientations and practice sessions are designed to give each candidate identical information regarding the test so that each 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 from your fire department. 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. I am physically able to take the test on this date and understand if I fail the test, I will have to pay an additional $ to repeat the test. LAST NAME (please print) FIRST NAME APPLICANT SIGNATURE DATE CPAT Open Test Challenge w Ladder Instructions & Registration WS/2012 7

8 LADDER CLIMB EXERCISE The State of Illinois enacted Public Act in August 2011 which mandates new firefighter candidate physical ability test requirements. Candidates are now required to participate in a ladder climb exercise and demonstrate an ability to operate from heights. Beginning January 2012 SUFD will offer a Ladder Climb Exercise which fulfills the new State law. Candidates participating in the SUFD CPAT (beginning January 2012) will not be charged an additional fee to challenge the Ladder Climb Exercise. The CPAT and Ladder Climb Exercise will be conducted during the candidate s scheduled CPAT test. Upon successful completion of the ladder climb exercise candidates will be sent a certificate of completion. The Ladder Climb Exercise is not related to the CPAT and will not have any impact in any way on a candidate s CPAT test result. Candidates who participate in the SUFD Ladder Climb Exercise will climb to the top of an extended ground ladder that is in a fixed, inclined position. Once reaching the top the candidate will be required to descend the ladder to ground level. All candidates will be given instructions before starting the ladder climb exercise. Instructions 1. Complete the Ladder Climb Exercise REGISTRATION form that is attached. (Page 9) This must be completed and signed in addition to the CPAT registration forms. 2. Upon your successful completion of the Ladder Climb Exercise a certificate of completion will be sent to you via . Please be sure your address is printed clearly on the registration form. Certificates will not be mailed. CPAT Open Test Challenge w Ladder Instructions & Registration WS/2012 8

9 Ladder Climb Exercise Registration Form PRINT Last Name First Name Home Address City, State, Zip Home Phone Number Cell Phone Number Address Drivers License # Payment Method Cash Check Money Order Payment is required at time of registration. (Make checks payable to SUFD) Please list any medical conditions, cautions or issues that the academy staff should be aware of during testing. Please list any medications and dosages that you are taking (including O/T/C). Waiver of Claim of Injury This form must be signed before you are permitted to participate in the Ladder Climb Exercise. You will be asked to climb to the top of an extended ground ladder that is in a fixed, inclined position. Once reaching the top you will be required to descend the ladder to the ground level. I have read and understand that the physical effort which this Ladder Climb Exercise involves. I am physically capable of participating in this test. I hereby waive any and all claims for or arising out of any injury I may sustain or incur as a result of participating in the Ladder Climb Exercise. I indemnify SUFD and all its agents associated with this testing process. I voluntarily participate as part of my application for employment. Participant Signature: Date: In case of Emergency, I authorize you to contact: LAST NAME: FIRST NAME: (PRINT) ADDRESS: PHONE: ( ) CPAT Open Test Challenge w Ladder Instructions & Registration WS/2012 9