[Department/FC Program Logo]
[DEPARTMENT NAME]
Volunteer Application
The [Fire Corps Program Name] program is a great opportunity for you to help your local fire and
emergency services departments as well your community. To ensure that your time and talents will be
best utilized, fill out the following form and return it to [Contact/Supervisor Name].
Name
Date of Birth
Address
City, State, Zip
Phone Number
E-mail:
Have you ever been convicted of a crime? (circle one) YES NO
If yes, please explain
Is there a specific job or area you might be interested in? (please check all that apply)
[Note: change jobs/areas accordingly to address the needs of your department]
Administrative
Bookkeeping
Chaplain
Junior firefighter
Fundraising
Grant writing
Incident reporting
Data management
Fire prevention/life safety education
Preplanning
Social media
Special projects
Website developer/maintenance
Not Sure
Other
Please list any special talents or skills:
I have answered all of the above questions honestly and to the best of my ability.
Signature
Date
Parent or guardian signature if applicant is under 18 years of age.
Signature
Date
On behalf of the [Department Name], we would like to thank you
for supporting your local fire and emergency services.
v07.17.20