If not a high school graduate, highest grade completed.
Name / Location of High School:
GED? If yes, date completed:
Enter any colleges, Universities or technical schools completed. Include name of school, location, dates attended, major, credits or degree.
Fire Fighter / EMT Training
Enter below all fire fighter, emt, paramedic or other applicable fire / rescue service training. Please provide a copy of all certification cards. Include Type of certification, Date Received and Expiration date.
Personal References
List name, Address, Telephone numbers, and Occupation / Title.
Employer Information
List Employer Name, Your position, Dates Employed, Supervisor, Phone Number
Have you ever been dismissed for forced to resign from any position? If Yes please explain.
General Information
Have you ever been convicted, fined, placed on probation, or imprisoned since your eighteenth birthday? If Yes please explain.
All persons applying for a membership in the Greensboro Volunteer Fire Company must attach a copy of their driving record to the application.
Minors: Any person under the age of eighteen or still in school must have Parental/Legal Guardian consent to be elgible for membership with the GVFC. This must be written consent and the application must be signed by the parent/guardian in the presence of a representative of the membership committee.
Note: If applicant is enrolled in school they must maintain a C average for each marking period. A copy of their report card must be presented to the chief within one week of the issue date. A copy of your current report card must be attached to this application.
Have you ever been a member of any other fire dept. or rescue squad? If so, please list below and any position you held within that organization.
In the space below , or on a separate sheet of paper please indicate why you wish to join the Greensboro Volunteer Fire Company.
All the information contained within and attached to this application is true and correct to the best of my knowledge. Please type YES or NO.
Signed:
Date:
Please print out and mail to below address or bring to Fire house
Note: Upon review of the applicants Criminal History you may be found ineligible for membership.
