HCFD Application (18+)
Please fill out all information and e-sign the document. Do not forget to read the application in it's entirety so you do not miss anything.
Personal Contact Information
All information is required. Any information missing can cause this application to be considered incomplete.
Name
*
First Name
Last Name
Today's Date
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-
Month
-
Day
Year
Phone Number
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Please enter a valid phone number including the area code.
Phone Carrier/Provider
*
AT&T, Verizon, ect.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Requirements & Expectations
REQUIREMENTS TO JOIN:
YEARLY EXPECTATIONS OF VOLUNTEERS:
TRAINING REQUIREMENTS:
PROBATIONARY RESTRICTIONS:
SOCIAL MEDIA & COMMUNICATIONS POLICY:
By e-signing below it verifies that you have read all the above requirements, expectations, probationary restrictions, and training requirements. You understand these requirements and expectations. You agree to meet these requirements and expectations.
Demographic Information
Participating Department You Are Interested In:
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Hardin County Fire Department
City of Savannah Fire Department
City of Saltillo Fire Department
Which Jurisdiction do you Live In?
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Saltillo/Hookers Bend
Crump/Morris Chapel/Adamsville
Counce/Pickwick
Cerro Gordo/Swift
Mount Hermon/Cravens
Walkertown/Olivet
Nixon/Pyburn
Burnt Church/Gillis Mills
Olive Hill/Harbert Hills
Bruton Branch
Walnut Grove
Savannah
How did you hear about us?
Word of mouth, social media, ect.
Family, Friend, Department Member, or EMS Referral
First and last name only.
Have you ever been a member of a fire department, rescue squad, or similar organization? If so, list the name of department, phone #, rank, and include dates of service.
*
Upload any certificates you obtained while a member of the department.
Browse Files
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What is your primary motivation for becoming a volunteer firefighter?
*
Back
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MEMBERSHIP APPLICATION
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
SSN:
*
Marital Status:
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tennessee Drivers License #, Type, and Endorsements:
*
Upload Photo of TN DL:
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Drag and drop files here
Choose a file
Please be sure the photo is easy to read and all information on the front is visible.
Cancel
of
T-Shirt Size:
*
Emergency Contact Information: (List 2 people.)
*
EDUCATION & MILITARY INFORMATION:
High School Graduate or GED and year completed:
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College or University attended? (Most Recent)
Did you graduate or are you currently enrolled?
License/Degree Obtained:
Are you currently active or a retired member of the military?
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Branch, rank, and occupation:
Dates of Service:
Type of Discharge:
EMPLOYER INFORMATION:
Present or Latest Employer Information: Name of business, address, phone, and your occupation there.
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Reference #1:
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Name, relation, and phone #
Reference #2:
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Name, relation, and phone #
BACKGROUND HISTORY
Have you ever been convicted of any felony, forfeited bond, or are currently on probation for any felony in a court of law, general court-martialed, or convicted of a misdemeanor? (Minor traffic violations do not apply.)
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Yes
No
Currently awaiting deposition
If yes, please give a brief explanation below. Include date of occurrence, court date, and resolution.
Have you ever or are you currently addicted to alcohol or drugs? If so, please give details below and let us know if you'd like to receive help OR if you are currently receiving help.
*
Have you ever received any DUIs? If yes, please list the dates of the occurrence and details.
*
Acknowledgement & Signature:
Signature
*
Today's Date
*
-
Month
-
Day
Year
Submit
Should be Empty: