Medford Fire & EMS
1 Firehouse Lane Medford, New Jersey 08055 609-953-3291
Volunteer Contact Form
Medford Fire & EMS currently accepts applicants from Medford Township and Medford Lakes along with the following contiguous townships: Evesham, Mt. Laurel, Lumberton, Southampton, Tabernacle, and Shamong.
I'm interested in becoming a
EMT / EMS
Firefighter
Fire Police
Jr. EMS (Age 14-18)
Jr. Firefighter (Age 14-18)
Name
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Cell Phone Number
*
-
Area Code
Phone Number
Email:
*
example@example.com
How did you hear about us
Recruitment Event
Social Media
Department Member Contact
Other
If you selected Department Member Contact or Other above please list the member name or method below
Email
example@example.com
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