Dear Applicant,

Thank for taking the first step in joining an exciting and rewarding team of fire, rescue, and EMS professionals. Attached is an Application for Membership to our organization.

The Williamsport Volunteer Fire Company was established in 1929 to provide fire service to the Town of Williamsport and surrounding area. The Williamsport Volunteer Ambulance Service was established in 1949. In 2007, both companies merged and the Williamsport Volunteer Fire and Emergency Medical Services, Inc. was formed. Over the past 90 plus years, our organization has advanced to providing a full compliment of emergency services to the Williamsport community.

Fill-in the application below and click Submit along with your $5 application fee. A copy of your application will be emailed to you after submission. If you would like to submit a paper copy, please print a copy from www.wvfems.org and return it to the station with $5 in cash.

In a few days, a representative from our Membership Committee will contact you to set up an interview with you.

After completing the entrance interview and conducting a background checl, the Membership Committee will make a recommendation to the general membership during the monthly meeting held on the third Monday of the month. You will be notified via telephone and letter after the meeting of the membership’s recommendation. If you are between the ages of 16 and 18, please complete a Maryland Work Permit.

If you should have any questions relating to the company or the application process, you may contact me. Thank you once again for your interest in our organization and we look forward to working with you in the future.

Sincerly,

Ed Ammons, President

I, {name109},hereby agree to abide by the rules, regulations, standing operating procedures and the organization By-Laws as set forth by the Williamsport Volunteer Fire and Emergency Services Company, Inc.

Furthermore, I understand that I will follow the instructions and/or orders of any officers, and shall endeavor to do such at all times.

I also understand that materials, patches, badges, protective clothing, any identification of any kind shall not be worn after termination of membership with this Fire and Emergency Services Company. Also items deemed property of the Williamsport Volunteer Fire and Emergency Services Company, Inc., shall be returned to the CHIEF or PRESIDENT, or I may face prosecution.

I also agree and permit the Williamsport Volunteer Fire and Emergency Services Company, Inc., to make all necessary inquiries and investigations related to the validity of these statements which I have made on this application for membership.

I also agree and permit the Williamsport Volunteer Fire and Emergency Services Company, Inc., to conduct all necessary background and reference checks to assure the potential application is in good standing.

I shall at all times endeavor, as to the best of my ability, to serve, protect, and better the organization of the Williamsport Volunteer Fire and Emergency Services Company, Inc., of Williamsport, Maryland.

I also understand that any misrepresentation or omission of facts made on this application shall be considered as cause for dismissal or refusal into this Fire and Emergency Services Company.

Applications are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or presence of non-job related physical or mental handicap.

All information for your LOSAP application has been populated from the information otained above in your Membership Application. Please review this information by clicking "Preview PDF" at the bottom of this form. If everything is correct, please sign below for your LOSAP application to be complete.

I hereby make application to participate in the INCOME TAX SUBTRACTION MODIFICATION PROGRAM for the current Maryland State Income Tax Year and the Washington County L.O.S.A.P. program. I understand that I am responsible for submitting on the appropriate forms, all creditable time.

 

I hereby certify under the penalty of perjury that the information contained on this form is true and correct to the best of my knowledge.

(Any person who knowingly makes or causes any false statement or report to be made in any application or document required under law is subject to a fine of $1000.00)

All information for your Background Screening Application has been populated from the information otained above in your Membership Application. Please review this information by clicking "Preview PDF" at the bottom of this form. If everything is correct, please sign below to authorize Washington County to complete a background screening.

By signing this application, you are allowing the Washington County Division of Emergency Services to conduct a background screening/investigation to determine your suitability. The screening will consist of a search of various public databases and publicly posted social media. If possible disqualifying information is discovered, you will be notified. The investigator may also contact you to get clarifications as needed. You also agree to release, indemnify and hold harmless Washington County Government, all their employees and volunteer fire/EMS Corporations and their members for the purposes of this investigation.

Thank you for taking the time to complete an application with Williamsport Volunteer Fire & EMS. After pressing Submit, a copy of your application will be emailed to you and sent to the membership committee electronically. You will be hearing from us soon and we look forward to having you as a future member!