SECTION SEVEN: CERTIFICATION AND AUTHORIZATION
certify that have read and that I fully understand this application also certify that all of the information is true and complete to the best of my knowledge.
By signing this application, am authorizing the Burtonsville Volunteer Fire Department, through its duly authorized representatives, to conduct a thorough and comprehensive background investigation of my personal life and work history, in order to determine my suitability for membership. By signing this application am granting the B.V.F.D. access to all records and authorize the release of all information held by any individual or organization By signing this application, 1am acknowledging that I understand that should any information given on, or as a result of this application, be false, misleading or erroneous, it may result in the rejection of my application for membership, or in my discharge from the B.V.F.D. agree and understand that if this application is submitted online or electronically. my type-printed name on the signature line is legally binding, and is equal to my handwritten original signature. Thave reviewed the requirements of membership and I understand that the duties are physically challenging and that my membership will be dependent upon my successful completion of a physical (medical) exam and a drug screening. to be conducted by Montgomery County. also understand that as a part of the application process - will be required to be fingerprinted
I agree to abide by all Bylaws, Policies and Procedures, Regulations and other directives of the Burtonsville Volunteer Fire Department, as well as all relevant laws, rules and regulations of the Montgomery County Government. I agree to assist, to the best of my ability, in the voluntary work necessary for the operation and maintenance of the Burtonsville Volunteer Fire Department, Incorporated
Junderstand that my Social Security Number could help to expediate the processing of my application and provide it voluntarily. I also understand that my SSN and Date of Birth is not required by this application.