Alvaton Fire Recruitment Application
Online Application
Candidate Information
Full Name (First, Middle, Last) *
Email Address *
Current Address (Street, Apt. #, PO Box) *
City, State, Zip Code *
Country *
Telephone Number (Best # for Contact) *
Name and Relationship to a Current AFD Member
(If none, use N/A)
Previous Address (If above is less than 5 years)
Previous City, State, Zip Code (If above is less than 5 years)
Previous Country (If above is less than 5 years)
In Case of Emergency, Notify:
Emergency Contact (First, Last - Relationship) *
Emergency Contact Address (Street, Apt. PO Box) *
Emergency Contact (City, State, Zip Code) *
Emergency Contact Phone Number *
Employment Information
Present Employer - Position
Employer Address
Employer Location (City, State, Zip Code)
Employer Contact Information (Name and Telephone #)
Previous Fire/Emergency Auxiliary Experience
Previous Fire/Emergency Auxiliary Experience (Department & Position)
Type of Department
Clear selection
Service Dates (When to When)
Previous Emergency/Fire Department Address
Previous Emergency/Fire Department Location (City, State, Zip Code)
Previous Emergency/Fire Department Contact Info (Chief's Name & Telephone #)
Additional Emergency/Fire Service Experience
Department Name, Address, Service Dates, Contact Information
Convictions, Citations, Accidents
Have you ever been convicted of a felony? *
List all criminal convictions for the past THREE years
(Include date and description of each conviction)
List all traffic citations or convictions in the past THREE years
(Include date and description of each citation, not parking citations)
List all automobile accidents in the past THREE years
(Include date and description of each citation)
Ground Rules
I realize that the Alvaton Volunteer Fire Department and the Alvaton Volunteer Fire Department Auxiliary are not social clubs and that as a member I will be required to give freely of my time to attend meetings, events, and work on committees.

I realize that if I am accepted for membership in the Alvaton Volunteer Fire Department Auxiliary that I will be giving part of my time to public service. I realize that giving some form of public service is the duty of every citizen and hereby give my consent to this application.
Legal
I UNDERSTAND BY FILLING OUT THIS INITIAL APPLICATION THAT I WILL BE SUBJECT TO A CRIMINAL BACKGROUND CHECK AND FURTHER APPLICATION PROCESS DEPENDING ON THE FIRE DEPARTMENT DISTRICT THAT I AM APPLYING FOR. I FURTHER UNDERSTAND THAT I MAY BE REQUIRED TO PASS A MEDICAL EVALUATION AS A CONDITION OF CONTINUING MEMBERSHIP.

IN ORDER THAT THE CHIEF OR THE DESIGNEE MAY BE FULLY INFORMED AS TO MY PERSONAL CHARACTER AND QUALIFICATIONS FOR MEMBERSHIP, I REFER TO MY EMPLOYER, REFERENCES GIVEN, AND ANY OTHER PERSON WHO MAY HAVE INFORMATION CONCERNING ME. AS THIS INFORMATION IS FURNISHED AT MY EXPRESS REQUEST AND FOR MY BENEFIT, I DO HEREBY RELEASE THEM FROM ANY AND ALL LIABILITY FOR DAMAGE OR WHATEVER NATURE ON ACCOUNT OF FURNISHING SUCH INFORMATION. I DO AGREE TO THESE CONDITIONS AND I HEREBY CERTIFY THAT ALL STATEMENTS MADE BY ME ON THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.

I UNDERSTAND THAT WILLFULLY WITHHOLDING INFORMATION OR MAKING FALSE STATEMENTS ON THIS APPLICATION WILL BE GROUNDS FOR DENIAL OF THIS APPLICATION OR DISMISSAL.
Applicant's Name *
(First, Middle, Last)
Today's Date *
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BY FILLING IN YOUR INFORMATION ABOVE, AND CLICKING SUBMIT YOU AGREE TO THESE TERMS.
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