• Volunteer Firefighter Application Form

  • Personal Information

  •  -
  • 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?*
  • 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*
  • 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?*
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  • References

  • Please provide at least 2-3 references.*
  • Terms and Conditions

  • Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Signature
  • Should be Empty: