BIG TREE VOLUNTEER FIRE COMPANY

Big Tree Volunteer Fire Company - Hamburg, NY

Volunteer / Member Application

Big Tree Volunteer Fire Company, Inc. ~ Application For Membership

APPLICATION TYPE

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PERSONAL INFORMATION

Last Name, First Name
Male / Female *
Address *
Address
City
State/Province
Zip/Postal
Years / Months
Marital Status: *
Driver’s License Information

EMPLOYMENT INFORMATION

Employer Address
Employer Address
City
State/Province
Zip/Postal
How long have you been employed there?
Previous Employer Address
Previous Employer Address
City
State/Province
Zip/Postal
How long were you employed there?

CRIMINAL HISTORY

Have you ever been charged with a crime? *
Convicted of a crime? *
Have you ever been arrested? (Please do not include traffic violations) *

REFERENCES

(Please provide us with two references, one business and one personal.)

FIREMATIC TRAINING

Have you ever completed any of the following fire related courses?

EMERGENCY MEDICAL SERVICES (EMS) TRAINING

Have you ever completed any of the following EMS related courses?

FIRE or EMS SERVICE EXPERIENCE

Have you ever been a member of another Fire Company/Department or Emergency Medical Services Provider?
If yes, please complete below:
Address
Address
City
State/Province
Zip/Postal
Country
May we contact them?

AFFIRMATION OF INFORMATION ACCURACY

By checking this box I attest to the foregoing information as true and accurate. *

APPLICANT RECOMMENDED BY:

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Revision 5/2019

© 2024 Big Tree Volunteer Fire Company
Hamburg, NY

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Contact Information
4112 Big Tree Road
Hamburg, NY 14075
Phone: 716-824-0264

In the event of an emergency please call 911