Volunteer Firefighter Application Form

Volunteer Firefighter Application Form
Name

First NameLast Name
Phone Number

Area CodePhone Number
Home/Work Phone

Area CodePhone Number
Residence Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Mailing Address (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Basic Requirements
Are you legally entitled to work in the United States?
Are you 18 years of age or older?
Do you possess a valid Driver’s License and a good driving record?
Do you understand that applicants will be required to provide a copy of your Driver’s License and have a Criminal Record Check completed?
If accepted by the Fire Department, you will be required to attend regular weekly Tuesday night training and monthly meetings (approximately 7:00PM to 9:00PM). Can you meet this requirement?
Are you willing and able to retain and wear an emergency pager and respond to emergencies?
Are you willing and able to participate in the occasional weekend and evening training programs?
Skills and Experience
What Position Within Our Department Is Your Ultimate Goal
Please indicate if you have any of the following skills or training

Other
Please indicate if you have any of the following skills or training

Other
Tell Us About Yourself:
Why Do You Want To Join Our Department - Explain:
Previous Emergency Volunteer Experience - Explain:
Previous Firefighter Experience – Explain:
Date

MonthDayYear
Date
Signature
Should be Empty:

Basic Requirements