Join

Join The Community Fire Company!

We are looking for volunteers!

Join and be a part of the fire company

Submit Your Application!

Application For Membership

Personal & Contact Information

First Name *

Middle Name

Last Name *

Type of Membership *

Date of Birth *

Address *

Address

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

Home Phone

Cell Phone

Driver Information

Drivers License #

State Issued

Expiration

Have you ever been convicted of any offense other than a minor traffic violation? *

Yes

If yes, please explain

Emergency Contact Information

Name of Emergency Contact *

Relationship *

Phone

Address of Emergency Contact *

Address of Emergency Contact

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

Employment Information

Current Employer

Current Employer Address

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

Supervisor

Supervisor Phone #

Previous Membership & Experience

Do you have any physical impairment that may interfere with your performance with CVFC? *

Yes

If yes please explain

Have you ever applied for membership with CVFC? *

Yes

If yes give aprox. Date

Attach Certificates

Maximum upload size: 268.44MB

List any certifications (Fire & EMS) Attach a copy of each to application

List Three (3) persons not related to you for references

Reference Name *

Phone *

Address

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

Reference Name *

Phone *

Address

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

Reference Name *

Phone *

Address

Street Address 1

Street Address 2

City

State/Province

Zip/Postal

PLEASE READ AND SIGN

I herby authorize Community Volunteer Fire Company Inc. of District 12, and its membership committee to investigate the statements made of this application. I will abide by the rules, regulations & by-laws set forth by Community Volunteer Fire Company Inc. of District 12. I have enclosed Five ($5.00) dollars to cover my membership dues and have filled out the attached LOSAP application.

Print Name *

Applicant Signature *

Clear

No track pad? You can use your mouse.

Parent/Guardian Signature

Clear

No track pad? You can use your mouse.

Date *

Date

reCAPTCHA

If you are human, leave this field blank.

Community Volunteer Fire Company Inc. of District No. 12

1 day ago

This content isn't available right now ... See MoreSee Less

This content isn't available right now

When this happens, it's usually because the owner only shared it with a small group of people, changed who can see it or it's been deleted.

View on Facebook

View Comments

Likes: 3
Shares: 0
Comments: 0

Comment on Facebook

Community Volunteer Fire Company Inc. of District No. 12

5 days ago

The Chief Officers of Company 12 presented 4 of our members with new helmets for their successful completion of their MFRI Firefighter I class, as they were able to turn over their old helmets that signified NC status. Bradley Moschel, Porter Boss, Joey Ralls and Emily Kopp are all part of the Washington County Technical High School Fire & Reacue Academy.

Congratulations to each of you for reaching this milestone and good luck with the remainder of the school year! ... See MoreSee Less

View on Facebook

View Comments

Likes: 189
Shares: 7
Comments: 42

Comment on Facebook

Congratulations to all And to Joey I amso proud of you .KEEP UP THE GOOD TO ALL . Jenny

Awesome job men, congratulations. To the Chief officers. Great job. I know that met so much to them young men.

Congratulations to all, great job well deserved

Thank You All For This Path You Are Taking !!! 🫡

Congratulations. Very proud of you all. Keep up the hard work and dedication. Love you Brad

Congratulations! You all make us proud and are a huge asset to Company 12👏👏👏

Congratulations. We are all proud of you.

Congratulations to all 4 of you. Your all assets to our company

Congratulations to you all. We need more young ones to carry the load!!

Congratulations to all keep up the great work

Congratulations to all!

Congratulations to all four.

Congratulations!!

Congratulations!

Congratulations

Congratulations!!

Congratulations

Congratulations!

Congratulations 👏👍

Congratulations

Congratulations!

Congratulations!!

Congratulations

View more comments

Community Volunteer Fire Company Inc. of District No. 12 is at Community Volunteer Fire Company Inc. of District No. 12.

2 weeks ago

We would like to Congratulate 4 of our members, Bradley Moschel, Emily Kopp, Porter Boss and Joey Ralls on their successful completion of their MFRI Firefighter I practical and written exams. The Fire & Rescue Academy through the Washington County Technical High School gives our young members an amazing opportunity to jump start their training, while earning college credits through the University of Maryland and providing their respective companies with certified firefighters to help handle calls for service.

Congratulations and kudo’s on your hard work and dedication! ... See MoreSee Less

View on Facebook

View Comments

Likes: 155
Shares: 5
Comments: 39

Comment on Facebook

Congrats on seeing all your hard work pay off!

Awesome job!

Congratulations 🎊 Great Job!

Congratulations. Be safe.

Congratulations fellows

Congratulations 🎉

Congratulations everyone

Congratulations everyone!

Congrats!! Well done!! Thank u tech high !

Congratulations to all!!

Congratulations to all🎉🎉

Congratulations!👏👏👏👏

Congratulations!!

Congratulations 🎉👏

Congratulations 🎊

Congratulations!

Congratulations!!

Congratulations!

Congratulations!!!!!

Congratulations

Congratulations 🎉🎉🎉

Congratulations!

Congratulations !!!

View more comments

Community Volunteer Fire Company Inc. of District No. 12

2 weeks ago

Thank you to the Westfields Family that dropped off an amazing box full of bagels and cream cheese in appreciation for the work done by firefighters on a recent fire call. Our members are very appreciative of your kind words and the special Panera Breads delivery!!! ... See MoreSee Less

View on Facebook

View Comments