Thiells FD Applicant Information Sheet
Thank you for showing an interest in the fire service. Please take a moment to complete the captions below so we can learn more about you.
Name (First, Last)
Address (Including Town, State, Zip Code
Best Contact Number
Date of Birth (mm/dd/yyyy)
Are you currently involved in any community service or volunteer type organizaitons? If yes please list.
Please check the boxes below for all that apply.
Possess a Driver License or Permit
Ever been charged or convicted of an Arson related offense
Currently attend high school
How did you hear about us? (tv commercial, movie theatre, public bus ad)
B 1 of the Ones Campaign
Recruit NY Campaign
Sign in front of Main Firehouse on Route 202
North Rockland High School
Friends or Family
Other (explain below)
Explain here other way of hearing about us
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