Volunteer Application - Lancaster Township Volunteer Fire Department

First Name(Required)

Middle Name(Required)

Last Name(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Social Security Number

How long have you been at this address?(Required)

Phone Number(Required)

Email(Required)

Present Employer(Required)

Date of Birth(Required)

What division are you applying for?

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What division are you applying for?

Have you ever been convicted of a felony?(Required)

What charge? This is confidential(Required)

Lancaster Township Fire Department – Confirmation #1(Required)

I understand that the Lancaster Township Fire Department was organized to protect the community from destruction by fire, storm, and natural disaster and in service to the community I will be giving of my time to public service and that public service is the duty of every citizen.

Lancaster Township Fire Department – Confirmation #2(Required)

I understand that the Lancaster Township Fire Department is not a social club and that I will be required to give of my time to respond to emergency calls, training sessions, meetings, fund raising functions, work details, and any other projects of this fire department.

Lancaster Township Fire Department – Confirmation #2(Required)

I understand that I must submit a valid PA Child Abuse Clearance within 30 days of receiving an email request containing the necessary information for the clearance. The Lancaster Township Fire Department will cover the cost. Failure to submit the clearance may result in dismissal of this application.

Lancaster Township Fire Department – Background Check(Required)

I understand that by submitting this application, I am granting permission for Lancaster Township Fire Department to conduct a criminal background check.

Lancaster Township Fire Department – Confirmation #3(Required)

I understand that any aspect of my background that is detrimental to the welfare of the Lancaster Township Fire Department is grounds for rejection of this application.

Lancaster Township Fire Department – Confirmation #4(Required)

I understand that if my application is accepted by a vote of the membership committee that I will be granted a one hundred and eighty (180) day probationary period and that my membership is contingent upon a vote of the membership committee at the end of the one hundred and eighty (180) day probationary period.

Lancaster Township Fire Department – Confirmation #5(Required)

I understand that my membership can be revoked at anytime by a vote of the Officers of the Lancaster Township Fire Department for any misconduct or for any willful disobedience of a legitimate order of any officer of the Lancaster Township Fire Department in accordance with the Constitution and By-Laws of the Lancaster Township Fire Department or the Standard Operating Guidelines of the Lancaster Township Fire Department.

Fire Service Experience: (List Past Fire Companies and Training)(Required)

Character References: (Other than Fire Department members and Relatives)(Required)

Name

Phone

Address

Please provide three references.