KINGSFORD-UNION AUXILIARY
The Kingsford-Union Fire Department Auxiliary is a dedicated group of volunteers who support the mission and members of the Kingsford-Union Fire Department. The Auxiliary assists with community outreach, fundraising efforts, emergency scene support, and department events. Auxiliary members play a vital role in strengthening the relationship between the fire department and the community. Their responsibilities may include organizing public safety education programs, coordinating meals and refreshments during extended emergency responses, assisting at community events, and participating in fundraising projects that help provide equipment and resources for the department. The Auxiliary operates as an extension of the fire department’s commitment to service, teamwork, and community pride. Membership offers an opportunity for individuals who wish to serve but may not be active firefighters to contribute meaningfully to the safety and welfare of Union Township and surrounding areas.
Applicant's Name
*
Prefix
First Name
Middle Name
Last Name
Date of Birth
*
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Month
-
Day
Year
Date
Applicant Address
*
Street Address
Street Address Line 2
City
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State
Zip Code
Applicant's Phone Number
Please enter a valid cell phone number. This is used for Active911 to receive calls.
Format: (000) 000-0000.
Applicant's Email Address
example@example.com
EMERGENCY CONTACT
An emergency contact is required to ensure the safety and well-being of all members of the Kingsford-Union Fire Department Auxiliary. In the event of an accident, sudden illness, or other emergency during auxiliary activities, department events, or community functions, it is essential that we have accurate and immediate contact information for someone who can be notified on your behalf. Providing this information helps the department respond quickly and appropriately in any situation, ensuring that your designated contact can be reached to assist with medical, personal, or logistical needs. This measure is part of our ongoing commitment to maintaining a safe and responsible environment for all auxiliary members and participants.
Emergency Contact's Name
First Name
Last Name
Relationship
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
BACKGROUND / EXPERIENCE
PLEASE DESCRIBE ANY VOLUNTEER, COMMUNITY, OR PROFESSIONAL EXPERIENCE RELEVANT TO THE AUXILIARY.
AVAILABILITY
PLEASE SELECT THE TIMES YOU WOULD BE AVAILABLE TO HELP WHEN NEEDED
MORNINGS
AFTERNOON
EVENING
WEEKDAYS
WEEKENDS
REFERENCES
REFERENCE #1
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
REFERENCE #2
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
REFERENCE #3
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
DISCLAIMER / ACKNOWLEDGMENT
I hereby certify that the information provided in this application is true and complete to the best of my knowledge. I understand that falsification or omission of information may disqualify me from participation. I authorize the Kingsford-Union Fire Department Auxiliary to verify any information contained in this application as necessary.
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