I certify that I have read and that I fully understand this application. I also certify that all of the information is true and complete to the best of my knowledge.
By accepting the terms of this application, I am 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 my discharge from the Choctaw Volunteer Fire Department. I hereby give permission to the Choctaw Volunteer Fire Department to conduct a criminal background check and a driving violation check through an authorized law enforcement agency.
I agree to abide by all By-laws, Policies and Procedures, Regulations and other directives of the Choctaw Volunteer Fire Department, as well as all laws, rules and regulations of the State of Louisiana and the Parish of Lafourche. I agree to assist, to the best of my ability, in the voluntary work necessary for the operation and maintenance of the Choctaw Volunteer Fire Department.
I understand that completing and signing this application is not a guarantee for admittance into the Choctaw Volunteer Fire Department and that a decision must be made by the general membership of the Choctaw Volunteer Fire Department.