Volunteer Fire Fighter Application Form

Greenstone Fire Dept.
Application for Volunteer Fire Fighter

Station: *

Contact Information

Name: *

Street Address: *

Mailing Address: *

Home Phone: *

Work Phone:

Cell Phone:

E-Mail Address:

Additional Information

Previous fire service experience?

Do you require corrective lenses?

Do you have a pre-existing medical condition that may limit your full participation in training or emergency response calls?

If required, are you able to provide certification of medical competency?

Do you possess a valid driver's license? If so, what class?

Marital Status:

Application Acceptance

A Criminal Records Check certificate and a copy of applicant's driver's license will be required from the Volunteer Applicant on the acceptance of this application.

Agreement

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that is I am accepted as a volunteer, I agree to comply with Departmental By-Laws and Policies, Directions or Orders of the Fire Chief or Department Officers with regard to training and emergency operations.

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Volunteer Fire Fighter Application Form