Lakeview Volunteer Fire Department

Serving Family, Friends, & Neighbors Since 1977

Membership


Lakeview Volunteer Fire Department

FireFighter Online Application

Personal Information Sex
Male
Female
EducationCheck And Complete The Information For The Ones That Apply To You
High School  
Vocational School  
College University
 Military
None
 Fire Department/Rescue Experience

None
EMS Training

First Responder  EMT-IV  Paramedic  Available Time

Medical History

Yes (Explain Below)  No  
Allergies
Yes (Explain Below)  No  
 General Questions
After showing you the job description of a volunteer firefighter, do you know of any reason why you can not preform this work?
Yes (Explain Below)  No  
Do you have a vehicle that you can drive to traning sessions and emergencies calls?
Yes  No  Do you carry liability insurance on all vehicles that you may drive while participating in the fire department activities?
Yes  No  Do you have health insurance coverage?
Yes  No  Have your drivers licence been suspended or revoked within the past 5 years?
Yes (Explain Why Below)  No  
Do you have any felony convictions or DUL violations?
Yes (Explain Below)  No  
Do we have your permission to run a background check?
Yes  No  Are you willing to submit to a drug test?
Yes  No
Emergency Contact Information

I certify that all statements given on this form are true. I consent to the release of any information required to verify this information as true. I agree that I will obey all laws, rules, regulations, and follow the operational guidelines as prescribed by the fire department. I live within 3 miles of the fire district of the fire department. I understand that I will be on probation and may be excused from the department with no fault or liability.

After you submit your application to Lakeview Fire Department one of our members will get in contact with you.