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Join The Community Fire Company!

We are looking for volunteers! 

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Submit Your Application!

Application For Membership

Personal & Contact Information

Address *
Address
Street Address 1
Street Address 2
City
State/Province
Zip/Postal

Driver Information

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

Emergency Contact Information

Address of Emergency Contact *
Address of Emergency Contact
Street Address 1
Street Address 2
City
State/Province
Zip/Postal

Employment Information

Current Employer Address
Current Employer Address
Street Address 1
Street Address 2
City
State/Province
Zip/Postal

Previous Membership & Experience

Do you have any physical impairment that may interfere with your performance with CVFC? *
Have you ever applied for membership with CVFC? *
Attach Certificates
Maximum upload size: 268.44MB

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

Address
Address
Street Address 1
Street Address 2
City
State/Province
Zip/Postal
Address
Address
Street Address 1
Street Address 2
City
State/Province
Zip/Postal
Address
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.
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