• Rescue Fire Company Membership Application

  • Please complete all the information on this application. A $10.00 fee must be attached to this application via cash or check at the time of submission.
    Applicants must be no less than 14 years of age. In accordance with PA Child Labor Laws, all applicants 14-18 years of age must provide working papers issued through the school district.

    Thank you for your interest in volunteering with our company.

  • Personal Information

  • Date of Birth*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.
  • Membership Type*

  • Employment & History

  •  -
  • Fire / Emergency Services Experience

  • Basic Requirements

  • Are you legally entitled to work in the United States?*
  • Have you ever been convicted of a felony or misdemeanor?*

  • Clearances

  • Have you completed PSP Criminal History background check?*

  • To complete the mandatory PSP Criminal History check:

    Visit: https://epatch.pa.gov/home

    1. Select 'New Volunteer Record Check'
    2. Agree to the Terms and Conditions
    3. Fill out the information use the following Volunteer Organization:
      Organization Name: Rescue Fire Company 37
      Organization Phone: 717-232-9502

  • Have you completed PA Child Abuse Clearance background check?*

  • To complete the mandatory PA Child Abuse Clearance check:

    Visit: https://www.compass.dhs.pa.gov/cwis/public/home

    1. Create Invidual Account, and follow steps.
    2. Login on the same page.
    3. Follow the steps, select "VOLUNTEER" at the top for reason requesting the application.

  • Have you lived outside of Pennsylvania in the past 10 years?*

  • Required if you have lived outside PA in the past 10 years.

    Visit: https://uenroll.identogo.com/

    1. Enter service code: 1KG6ZJ
    2. Fill out all the information required.
    3. Schedule fingerprinting at available locations

    There is a fee of $22.60 which must be paid upfront to the vendor. If found favorable, you may submit for reimbursement by the Company.

  • Browse Files
    Cancelof

  • Skills and Experience

    Fire Service/EMS or other related training
  • Browse Files
    Cancelof

  • References

    List TWO references not related to you
  • References (Select Add New Reference)*
  • References (Select Add New Reference)*

  • Terms and Conditions

  • Date
     / /
    2 digit month, 2 digit day, 4 digit year
  • Signature

  • The RESCUE FIRE COMPANY shall not discriminate against any applicant because of
    race, religion, national origin, or sex as in accordance with the Civil Rights Act of 1964.

  • Should be Empty: