Volunteer Auxiliary Member Application Form

Volunteer Auxilary Member Application Form
Personal Information
Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Residence Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Basic Requirements
Are you legally entitled to work in the United States?
Are you 18 years of age or older?
Do you possess a valid MI Driver’s License and a good driving record?
Do you understand that applicants will be required to undergo a Driver’s License Record and a Criminal Background Check?
Are you currently under investigation for any illegal activity?
Do you have any felonies or misdemeanors?
If yes what are they:
Additional Comments
Availability
Please select your availability for the given days and time phases
If accepted by the Fire Department, you will be required to attend regular Thursday meetings, trainings and truck checks (approximately 7:00PM to 9:00PM). Can you meet this requirement?
Do you understand that in order to be available for emergency call's, you must be able to arrive at the fire station promptly and have abstained from alcohol and drugs for the previous 8 hours?
Skills and Experience
Please indicate if you have any of the following skills or training

Other
Previous Volunteer Experience - Explain:
References
Provide 3 References
Terms and Conditions
Date

MonthDayYear
Date
Signature
Should be Empty:

Volunteer Auxilary Member Application Form