Volunteer Firefighter Application

You are applying to volunteer at: *

If this fire dept has multiple fire stations, are you interested in volunteering at other fire stations than the one listed above?

Your Full Name *

First Name Last Name

Phone Number *

E-mail *

Address *

Street Address

Street Address Line 2

City State

Zip Code

Date of Birth *

Month Day Year

Gender *

Male Female

Do you have any firefighting experience? *

Yes No

At what fire department(s) have you worked in the past

Current or last Employer *

If you're never had an employer/job, please explain. Ex: "I just graduated high school" or "I've been a stay at home mom/dad and our kids just left home"

Position *

Previous Employer

Position

Volunteer Availability *

Are you a veteran? *

Yes No

Please select any of the certifications you currently hold *

Yes

No

CPR

First Responder

EMT (At any Level)

Paramedic (At any Level)

Firefighter 1 (or greater)

Commercial Drivers License

Additional Information

Please add any additional information that is helpful for this application.

How did you learn about applying to become a volunteer through FireDepartment.net *

Search Engine Social Media Fire Chiefs Association State Firefighters Association Television Radio Billboard

What website referred you?

Which search engine?

Google Bing Yahoo

Which social network?

Facebook Twitter Pinterest

(Optional) Please, attach a resume or other supporting documentation.

Acceptable file types include: .pdf, Word (.doc & .docx), & Text files (.txt, .rtf). Please, do not include your social security number or other sensitive information.

Additional information may be required from the fire department to which you are applying. Please, do not submit your social security number, drivers license or other sensitive information on this form. Additional information can be submitted to the fire department you are applying, later in the application process.

This volunteer application is a service provided by firedepartment.net.

By submitting this form, you agree to share your application with FireDepartment.net and the {departmentname} administrators & volunteer recruiter on file for this fire department.

Enter the message as it's shown *

FDID

Profile Manager Name

Volunteer Recruiter Name

Volunteer Recruiter Email Address

example@example.com

URL for this fire department: *

This will be hidden from the applicant and used for contacting the fire department.

Volunteer Firefighter Application (Beta)

Application Requirements: