Fort Ann Rescue Squad Online Application 
Application for Paid and Volunteer: Once Submitted please allow for up to 48 hours for a response

If you have no response back within 48 hours please email Chief@Fortannrescue.org
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Volunteer or Paid Staff 
Name (As it Appears on Drivers License) 
Date of Birth
Do you have a Valid Drivers License 
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Drivers Lic Number 
Current Home Address 
Have you ever been arrested for a Felony 
What time of day works best for an interview
Time of Day that works best for an interview
Clear selection
Current Provider Level 
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Previous Employment (EMS Agency) 
Previous Employment (Non EMS Agency) Don't need to fill this section out if last Employer was EMS 
Do you Currently Volunteer at Another EMS Agency      (IF So please list) 
Would you prefer to be contacted by Phone or Email
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Email Address 
Phone Number 
Submit
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