Form
VOLUNTEER APPLICATION
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Position Desired
Volunteer Fire-Fighter
Junior Fire-Fighter (ages 16-17)
Please list any current relevant certifications you may hold:
Were you referred by a member? If yes, please provide their name. If no, please type N/A.
Preferred Method of Contact
Email
Text Message
Telephone Call
Date of earliest availability:
Whitesville Fire Department possesses a zero tolerance policy for substance abuse. All members are subject to random urinalysis. By signing your name in the box below, you are affirming that you understand this policy.
Submit
Submit
Should be Empty: