Application For Membership

Application For Membership

Thank you for your interest in becoming an Echo Hose Firefighter! 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.

1 Personal
2 Education
3 References
4 Employment
5 FD & EMS
6 Military
7 Final
Are you a citizen of the USA?
Are you a authorized to work in the USA?
Have you ever been a member of the Echo Hose before?
Have you ever been arrested?
Were you convicted of a felony?
Please list any education below that applies.
Did you graduate?pick one!
Diploma?pick one!
Did you graduate?pick one!
Diploma?pick one!
Did you graduate?pick one!
Diploma?pick one!
Please list 3 professional references below.
Please list your current job. If none please list your most recent job. 
Are you still employed?
Prior or current EMS & Fire Department History
Have you or are you affiliated with another fire department or ems service?
May we contact your supervisor?
Are you still affiliated?
Prior or current Military history
Have you or are you currently associated with any branch of the Military?
Are you still enlisted?
Honorable discharge?
Please explain below why you would like to become a member with the Echo Hose Hook & Ladder Co.1

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.

Because you are under 18 years of age, your parent or legal guardian must sign below as well.

Please click button once. Allow the form to process and you will be redirected to another page as soon as its done...

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