ONLINE APPLICATION | Taunton Fire

Application

First Name

Last Name

Street Address Line 1

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Phone

Birthday

Drivers License Number

Drivers License State

Social Security Number

EMERGENCY CONTACT INFORMATION

Emergency Contact

Emergency Contact Phone Number

Employment

Current Employer

Current Employer Phone Number

Education/ Military Background

Department or Personal References

Reference

Past Experience

Have you ever or are you currently a member of another fire company, ambulance or rescue squad? Required

Yes

Additional Information

What are you interested in? Required

RAM (Age 16-17)

Firefighter/EMT

Apparatus Operator

Corporate/Admin

Have you been convicted of arson? Required

Yes

Have you been convicted of sexual abuse? Required

Yes

Do you consent to a background check? Required

Yes

Eligibility for membership in the Taunton Fire Department is subject to and contingent upon a satisfactory arson background investigation and approval by the membership committee and voted on by the general membership.

I hereby release and hold harmless from liability the Taunton Fire Department any and all other persons, companies, corporations, schools, colleges, or Police Departments supplying information pertaining to this application.

The information given on this application is true and correct to the best of my knowledge, and I hereby give the Taunton Fire Department permission to verify any or all of its contents as necessary. I also understand that I must attend a minimum of (10) Training Drills and (2) Business Meetings every 6 months and every alarm possible to maintain membership.

Applicant Signiture

If Under The Age Of 18

Parent/Guardian Name

Parent/Guardian Number

Parent or Guardian Signiture if under 18.

Thanks for applying!We’ll get back to you soon.