APPLICATION FOR MEMBERSHIP

Thank you for your interest in becoming an Echo Hose Firefighter! Don’t be scared away by our lengthily application as its a short period of your time for a lifetime of opportunity. Be sure to fill out as much information as possible. Anything marked with a * is a mandatory field. All information is kept confidential. Once your application has been successfully submitted you will be contacted by one of our company officers after a full review of your application.

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1 Basic Info
2 Education
3 References
4 Employment
5 Experience
6 Military
7 Final
Are you a citizen of the United States
If no, are you authorized to work in the U.S.?
Have you ever been a member of this fire house before?
Have you ever been convicted of a felony?
Have you ever been arrested?true
Education
Did you graduate?
Diploma?
Did you graduate?
Diploma?
Did you graduate?
Diploma?
Please list three professional references
Reference One
Reference Two
Reference Three
Previous or Current Employment
May we contact your previous supervisorfor a reference?
Fire Dept. & EMS History
Have you or are you affiliated with another fire department or ems service?
May we contact your previous supervisorfor a reference?
Upload any certifications you may have below. This is not necessary, but will save time later on down the road. Allowed file types are jpg,png,gif,pdf,doc,docx,txt
Military Service
Have you ever served in any armed forces?
Final Section
Disclaimer and Signature
I have read this application and answered all questions set forth in this application correctly and true to the best of my knowledge. I certify that the information is true and complete to the best of my knowledge. I understand that any willful omissions or falsification will be reason for dismissal of my application, or termination from the department when and if an omission and falsehood is discovered. I promise and agree that if accepted I will conform to the Constitution and By-Laws of the selective Fire Company of the Shelton Fire Department. I further promise to pay all fines and dues legally imposed and to attend all drills, meetings, parades and events as far as lies within my power. All of this I promise my sacred honor.
Digital signature of parents/legal guardian is required because you are under the age of 18. 
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