Membership Application
Equal Opportunity Employer Statement | The Angier & Black River Fire Department considers all applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other protected status.

Fill out the five sections below, and send the requested documents listed at the end to info@angierfire.org. 
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Email *
Last Name *
Ex. Smith
First Name *
Ex. Jordan
Middle Initial *
Ex. K.
Street Address *
Ex. 309 N Broad St E
City *
Ex. Angier
State *
Pick one.
Zip Code *
Ex. 27501
Phone *
Ex. (919) 639 - 6234
Email Address *
Ex. info@angierfire.org
Please select your age group for program eligibility: *
Pick one.
Date available to join? *
Ex. 01/01/2026
MM
/
DD
/
YYYY
Are you authorized to work in the US?  *
Pick one.
Have you served in the US Military, Reserves, or Guard? *
Pick one.
If yes, list branch, rank at discharge, and dates (MM/DD/YYYY-MM/DD/YYYY) served. If no, respond with "N/A." *
Ex. Army, MSG, 01/01/2000 - 01/01/2026
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