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Become a Member of Hughesville Volunteer Fire & EMS

Use the form below to apply for membership to the Hughesville Volunteer Fire Department & Rescue Squad, Inc. (Department). After completing this form, a representative of the membership committee will contact you. Please monitor the email address that you provide for correspondence from the Department.

The Department has two (2) membership types:

Administrative – Open to all persons 16 years and older. Administrative members provide support to the Department by performing functions that contribute to the organization but do not require you to respond to emergencies, such as Bookkeeping, Chaplain, Data Management, Fundraising, Grant Writing, Information Technology, and Social Media.
Operational – Open to all persons 16 years and older. Operational members participate in firefighting, rescue, and emergency medical activities (responds to emergency incidents, works in hazardous environments, participates in training).

*Prospective members will be required to pay a non-refundable fee of $20.00 for the background check and key fob at the first membership meeting prior to acceptance of application.

Personal * Indicates Required Field

Place Employment History

Medical History

Previous Fire / EMS Experience

    Education

    References (NOT Members of the Department)

    Emergency Contact

    Acknowledgement

    PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY. If you do not understand any of them, or if you have any questions, please contact the Department at ??????@hvfdems.org

    By signing my digital signature above, I signify that I have applied for the membership to the Hughesville Volunteer Fire Department & Rescue Squad, Inc.; and that I have answered all questions truthfully and to the best of my knowledge; and that I fully understand that any intentional false statement may be considered cause for rejection of this application or grounds for dismissal from the Department. Furthermore, I hereby grant to the Hughesville Volunteer Fire Department & Rescue Squad, Inc. permission to contact my employer, references, and any other persons or agencies who may have knowledge of me, my skills and my experience as may be deemed necessary and to conduct a background investigation. I also understand that I will be required to undergo a mandatory physical at the applicants' expense to be considered for Operational Membership. If you have any questions, please contact the Department at ??????@hvfdems.org.