Volunteer With Us | Bunners Ridge VFD

Personal Information

Name *

First

Last

Email *

Email

Confirm Email

Date of Birth *

Place of Birth *

Age *

Height *

Social Security Number *

Driver's License Number *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Employment

Place of Employment *

Number of Years Employed *

Supervisor Name *

First

Last

Supervisor Phone *

Signature

To join or apply to be a member requires a background check to be completed by local authorities. By signing, you hereby authorize the fire department to conduct a background check.

Date *

Background

To join or apply to be a member, you must answer the following questions:

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

Yes
No

Have you ever been arrested and convicted of any DWI, DUI, or Drug laws? *

Yes
No

Have you ever been arrested and convicted of a felony? *

Yes
No

Have you served in any Armed Services? *

Yes
No

When were you discharged? *

Where were you discharged? *

What type of discharge? *

Honorable
Dishonorable
General
Other Than Honorable

Explain: *

Why do you want to join this fire department? *

Are you married? *

Yes
No

How does your spouse feel about you wanting to join the department? *

What experience do you have in providing emergency medical or firefighting service? *

Are you or have you ever been a member of another department? *

Yes
No

When *

Why did you leave? *