Bridge Creek Fire Department
Application Request Form
Personal Information
Name
*
First Name
Middle Name
Last Name
Date Of Birth
*
/
Month
/
Day
Year
Date
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Residence Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Basic Requirements
Are you legally entitled to work in the United States?
*
Do you possess a valid Oklahoma Driver’s License and a good driving record?
*
Do you understand that applicants are required to provide a copy of their Motor Vehicle Record and will undergo a criminal background check through OSBI?
*
Do you believe you are free of medical conditions that may prevent you from performing the duties of a firefighter?
*
Additional Comments
Availability
Volunteering requires a significant amount of time. Emergencies aren't scheduled and happen at all hours of day and night. Do you feel you are able to contribute an average of 12 hours per week to the department?
*
If accepted by the Fire Department, you will be required to attend a department meeting the first Monday of each Month from 6:30 - 9:30 p.m. Can you meet this requirement?
*
If accepted by the Fire Department, you will be required to attend department training events. The monthly training meeting is held once per month on Saturday and begins at 8:00 a.m. Can you meet this requirement?
*
Are you willing to retain a department issued radio and phone apps to ensure you are notified of emergencies?
*
Skills and Experience
Please indicate if you have any of the following skills or training
*
Firefighter I and/or II
CPR - Cardiopulmonary Resuscitation
Certified Trade - Mechanic, Electrician, Plumber
Fire Safety Systems - Alarms, Extinguishers
Rescue procedure - Lifeguard, Auto Extrication
EMT - Basic, Advanced, Paramedic
Knowledge of Breathing Apparatus - scuba diving, SCBA, etc
Defibrillation Training
Occupational Health & Safety
Other
Previous Emergency Volunteer Experience - Explain:
Previous Firefighter Experience – Explain:
How did you learn about the Bridge Creek Fire Department?
Current Member
Member of another dept.
Internet Search
Other
If you answered "Current Member" or "Member of another dept." please list member or department name.
Submit
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