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BVFD Application
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Name
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Address
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Phone Number
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Email
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Are you 18 or older?
Yes
No
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Have you ever been convicted of a crime?
Yes
No
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Have you ever been convicted of a Motor Vehicle Violation?
Yes
No
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If yes to either of the last two questions, please explain.
Your answer
Interested in
Fire
EMS
Fire Police
Support
Cadet (14-17 Years Old)
Why do you want to join the Department?
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What skills or experience do you bring to the department?
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How much time can you dedicate each week?
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Please provide a list of any current certifications
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