Membership Interest Form
Thank you for your interest in serving your community as either a volunteer firefighter or EMT with Basking Ridge Fire Company and Emergency Medical Services.

To assist in the onboarding process, please answer a few basic questions.
Full Name *
Your answer
Email Address *
Your answer
Phone number (best to reach you on) *
Your answer
Your Full Address *
If you are not otherwise aware, Bernards Township is serviced by two fire companies and EMS agencies. Basking Ridge & Liberty Corner. Depending on your street address, including if your mailing address is “Basking Ridge” you may indeed be closer to Liberty Corner Fire & First Aid. If you are unfamiliar with the agency you are serviced by, we will review and let you know as each agency is eager to get new volunteers.
Your answer
Applying / Interested in what type of Membership? *
Are you currently certified as a : *
Are you over 18 year old? *
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