News Headlines
Mon. Jul 13th 2015
The Brewerton Fire Department is looking for new members to join our family. We have different types of Membership from Associate to full Firefighter. Here are different types of membership we have:...
Application
Brewerton Volunteer Fire Department Member Application

Your Full Name:
Your Address:
City:
State:
Zip Code:
Telephone (Day):
Telephone (Evening):
Email Address:
Are you over 18:
How long at present address?:
High School Diploma/GED?:
Fire Service Experience?:
Emergency Medical Experience?:
Military Service?:
Do you have a valid NYS Drivers License?:
List last three employers with address and contact name. Also length of employment:
List three references with Name, Address, Phone Number and Relationship:
Have you ever been convicted for anything other than a minor traffic violation? Explain:
Why do you want to be a firefighter?:




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