Frelinghuysen Township Volunteer Fire Company Online Application

Our community and its surrounding area can become a safer place to live with the help of volunteers. We encourage you to consider joining us as we seek anyone who is willing to join our efforts.

“When a person decides to become a volunteer firefighter their greatest act of bravery has been accomplished. What they do after that is all in the line of work.”

Membership Categories

Membership Categories*

Contact Information

Applicant Name*

First & Last

Date of Birth

Occupation

Social Security Number

Place of Birth

Aliases

Home Address

City

Zip Code

Home Phone

Cell Phone

Email address*

Valid NJ Driver's License #

Expiration Date

Background

Where have you resided for the last 5 years:

List any previous emergency training:

Have you ever belonged to a fire company or first aid squad?

Yes

No

Where?

What organizations do you belong to?

Why do you want to join a fire company?

Scars/Marks:

Weight:

Hair Color:

Eye Color:

Amputations / Tattoos:

Personal References

Please provide the name, address, telephone number, and relationship of three personal references.

1. Name

Address

Telephone Number

Relationship

2. Name

Address

Telephone Number

Relationship

3. Name

Address

Telephone Number

Relationship

Disclaimer

Do you agree with the disclaimer?*

I understand that the Frelinghuysen Township Volunteer Fire Company respects the privacy and confidentiality of the information which it receives during the course of its operations. As a member and/or employee of the Fire Company, I agree that all information received by me relative to members or prospective members shall remain fully confidential and shall not be divulged to anyone except upon express written authorization of the person involved, Court Order, or Subpoena from a law enforcement agency.

Agree

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