312
7965490850-

 

ELMA FIRE COMPANY APPLICATION

I make application for active membership in the Elma Fire Co., Inc. Being of good character and habit. I agree to abide by the rules, regulations and By-LawsSet for by the Elma Fire Co., Inc.

Last Name Middle Int. First Name
     
Date of Birth / / Age  
     
Driver License #    

 

Address

City
Zip Phone # ( )
       
       
Email    

Employer

   
Occupation    
       

 

Have you ever been convicted of any Felony, Misdemeanor, or TrafficViolation? If so, explain:

Please List any Firefighting and, or EMS Experince:

 

Please Read The Following, Then Click Aggree;

I understand that active membership requires maintaining 50% of meetings, 36 hours of training yearly, 10% of alarms(Fire, EMS, Miscellaneous) and 24 hours of Work Details yearly.

I understand that my application will be referred to the Vigilance committee, who shall review same and make a recomandation to the membership. A favorable report will result in the application becoming a Probationary Member who will then be subject to a review of attendance and performance after six (6) months.

Ialso understand that I must obtain a medical exam as directed by the Chief within two weeks after my application has been accepted by the membership

After my six (6) month probationary status revew by the Vigilance Committe a recommendation will be made to the membership at a regualr monthly meeting. A vote will be taken by the membership. A favorable vote will result in affirming my membership as an active member. An unfavorable vote will result in my removal from the membership as prescribed by the By-Laws.