GLVFC Membership Application
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Full Legal Name *
Home Address *
Number of Years at this Address *
Phone Number *
Email Address *
Date of Birth *
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Interests
Have you ever been a member of a Fire or EMS agency in the past?  If so, please list: *
Current Certifications
Typical Availability For Training & Emergency Response
Have you ever been arrested for, or convicted of, a felony? *
The Gardner lake Volunteer Fire Company will be conducting a background check on you.  By selecting "YES" on this section of the application you are agreeing to a background check.  You are also agreeing to an interview to discuss the results of the background check if there is anything unfavorable in the background check.  You also agree to allow periodic background checks as deemed necessary by the Gardner Lake Volunteer Fire Company. *
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