Volunteer Firefighter Application Form
Personal Information
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Residence Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you 16 years of age or older?
*
Are you legally authorized to work in the United States?
*
Do you currently serve or have you previously served in the military?
*
Do you have a valid Driver's License?
*
Have you ever been convicted of a felony?
*
If you have been convicted of a felony, please explain:
Basic Requirements
Do you understand that applicants will be required to provide a valid photo ID and Social Security card for a criminal record background check?
*
Are you willing to complete a pre-assignment drug screening?
*
Are you willing to participate in a medical physical required annually for volunteer firefighters?
*
Availability
Please select your availability to respond to fire calls for the given days and time phases
*
Monday - Days
Monday - Nights
Tuesday - Days
Tuesday - Nights
Wednesday - Days
Wednesday - Nights
Thursday - Days
Thursday - Nights
Friday - Days
Friday - Nights
Saturday - Days
Saturday - Nights
Sunday - Days
Sunday - Nights
Anytime
Do you have a reliable means of transportation?
*
If your application is accepted by the 96 Fire Department, will you be available to attend regular weekly Monday or Tuesday night trainings (approximately 7:00PM to 9:00PM)?
*
Do you understand that in order to be available for emergency calls, you must be able to arrive at the fire station promptly and not be under the influence of drugs or alcohol?
*
Are you willing and able to retain and wear a fire pager to respond to emergencies?
*
Are you willing to participate in the SC Fire Academy training classes as required by department?
*
Skills and Experience
Do you or have you ever had any prior Emergency Service experience?
*
Previous Emergency Volunteer Experience - Explain:
Previous Firefighter Experience – Explain:
If you have a resume, you can upload it here.
Browse Files
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References
Please provide at least 2-3 references.
*
Terms and Conditions
Date
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: