By clicking on the Certify Checkbox below, I certify that all information provided on this application is true, accurate and complete. In addition, I understand that this certification authorizes the Bedford Volunteer Fire Company, Inc. and/or the Bedford County Department of Fire & Rescue to investigate my criminal and motor vehicle operation background to verify the information in correct.
The information supplied by me in this application is complete and is true to the best of my knowledge and belief. I understand that misstatement of material facts will cause forfeiture of all my rights to any employment or result in dismissal from employment.
In addition, I grant permission to the Virginia Division of Motor Vehicles to provide copies of my driving record to the Bedford County Department of Fire and Rescue for evaluation purposes only.
All information provided to the Department of Fire and Rescue will remain confidential and will not be released to outside entities except as required by law.