Volunteer Firefighter Application

Volunteer Firefighter Application

Share your contact details, availability, work history, and qualifications to be considered for the volunteer department.
Applicant Information
Full Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
When are you available to start training/ride-alongs?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Availability and Eligibility
Hours available per month
Date of birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Do you have a driver's license?
Can lift 50 lbs?
Will your employer allow responses during work hours?
Fire Station Proximity
Nearest fire stations
What fire station is your preferred station where you want to volunteer and why?
Work Experience
Employer/Organization Name (Most Recent Position)
Job Title (Most Recent Position)
Duties / Responsibilities (Most Recent Position)
Employer/Organization Name (Second Most Recent Position)
Job Title (Second Most Recent Position)
Duties / Responsibilities (Second Most Recent Position)
Fire Related Experience and Qualifications
Medical certifications
Fire Related Skills and Experience

Other
Applicant Notice

Your application will be shared with local fire departments where you may have the opportunity to volunteer. Please avoid including sensitive information unless you are certain you are communicating with an authorized representative.

Your information will be stored in a secure account protected by dual authentication and will not be shared outside the firefighting industry, including the state/county volunteer firefighter coordinator, the fire chiefs association, and the firefighters association.
Should be Empty:

Volunteer Firefighter Application

Applicant Information

Availability and Eligibility

Fire Station Proximity

Work Experience

Fire Related Experience and Qualifications