District 7 Fire & Rescue Volunteer

Think you got what we need?

We're looking for a few good people to help start a fire department!

Sounds like your cup of tea, then this is what you need to do. Fill in the short application below and press the "submit" button when you are done. This will send your application to several of the Board Members responsible for reviewing all submissions. They will then contact you to set up an interview. Make sure that you leave a good telephone number where a message can be left for you.

	This application may be downloaded, completed, and returned to the District 7 Fire Department. The downloadable form is an Acrobat PDF file which may be read with the Adobe Acrobat reader software.

	District 7 Fire Department - Application for Membership (Downloadable)
	District 7 Fire Department - Background Check (Downloadable)
	THE FORM BELOW IS CURRENTLY OFF LINE - Please use the "APPLICATION FOR MEMBERSHIP" and "BACKGROUND CHECK" download.

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Application for Membership

PERSONAL INFORMATION

Last Name: First Name:

Middle Name:

Current Address (No PO Boxes):

City: State: Zip Code:

Sex: Male: Female:

Hm Phone: Wk Phone: Cell Phone:

Alternate Phone:

E-mail Address:

MILITARY SERVICE

Have you ever served in the Armed Services? YES No

If Yes, which branch?

Date of service: From: To:

EMPLOYMENT HISTORY

Present Employer:

Supervisor's Name:

Work Address:

Position held:

How long with employer:

Previous Employer:

Supervisor's Name:

Work Address:

Position held:

How long with employer:

Previous Employer:

Supervisor's Name:

Work Address:

Position held:

How long with employer:

FIRE FIGHTING EXPERIENCE & TRAINING

Have you ever been a member of a Fire Department or Fire Brigade? YES NO

Fire Department / Company Name:

Member: From Until

Address:

Phone:

Fire Department / Company Name:

Member: From Until

Address:

Phone:

Fire Department / Company Name:

Member: From Until

Address:

Phone:

Fire Department / Company Name:

Member: From Until

Address:

Phone:

Have you attended any firefighting schools previously? YES NO

If yes, include copies of any certificates you have received with this application.

BACKGROUND INFORMATION

Have you ever been convicted of a Felony or Class B or Higher Misdemeanor? YES NO

If yes, Please explain:

I certify that the information I have provided in this application is true and correct to the best of my knowledge and I understand that I may be required to verify the information before being appointed. I understand that any false, misleading, or missing information may disqualify me from consideration.
I AGREE I DISAGREE

By submitting this information you are electronically applying your signature to this application.