Volunteer Firefighter Application Form
Personal Information
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Home/Work Phone
-
Area Code
Phone Number
Email
*
example@example.com
Residence Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address (if different)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Basic Requirements
Are you legally entitled to work in the United States?
*
Are you 18 years of age or older?
*
Under 18 but older than 16 and would like to join as a junior member?
Do you possess a valid NJ Driver’s License and have a good driving record?
*
Do you understand that volunteer firefighters are expected to be in good physical health, and do you feel you are physically able to participate in a physical fitness related test as part of the selection process?
*
Do you understand that successful applicants are required to remain without facial hair to ensure a self-contained breathing apparatus mask will form a positive seal on the face?
*
If accepted by the Fire Department, you will be required to attend regular Monthly Meetings & Training. Can you meet this requirement?
*
If accepted by the Fire Department, you will be required to maintain 20% of all calls, meetings, and drills throughout the year. Can you meet this requiremen?
*
Do you understand that in order to be available for emergency calls, you must be able to arrive at the fire station promptly?
*
Are you willing and able to retain and wear an emergency pager and respond to emergencies?
*
Availability
Please select your availability for an interview
*
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
Skills and Experience
Please indicate if you have any of the following skills or training
*
CPR
First Aid
Fire Fighter 1
Fire Fighter 2
Other
Previous Emergency Volunteer Experience - Explain:
Submit
Should be Empty: