Brooklin Volunteer Fire Company

One moment please...

Brooklin Fire Department Application For Junior Membership

BFD Cross.jpg

Thanks very much for your interest in the Brooklin Fire Department!

Please complete all fields in this application. We will be in touch with you and your parent or guardian shortly after you submit the form.

If you would like to discuss before completing the application, call:

Chief Sam Friend at 669-2469

or

Assistant Chief Tommy Morris at 619-3360


Enter your middle name if you have one

Enter your preferred nickname if it differs from your first name
check each method that we can use to contact you







Check all that apply

What did we miss on our list?

Enter the name of the place where you work or go to school

What grade or program are you in?

enter your start date as close as you can remember (doesn't have to be exact)

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)

(mm/dd/yyyy)
You will need their permission to join.
You may want to talk to them first

You may want to discuss your interest in the fire department with your parent(s) or guardian(s) before you submit this form. This form will automatically generate an email to them and they may not like to be surprised.

Assure them that you and they will meet with department leadership before you start to discuss what a junior membership entails and give them and you an opportunity to specify any activities that will be off-limits for you.

Feel free to contact Sam or Tommy at the numbers shown on the top of this page before you discuss with them if you would like any additional guidance.

 


*


check each type of phone that we can use to contact your emergency contact



Age and Health

check each type of phone that we can use to contact your emergency contact

The state that issued your driver's license

enter your driver's license number

(mm/dd/yyyy)

(mm/dd/yyyy)

Volunteer areas of interest

Select any jobs in each category that would interest you
Select any jobs in each category that would interest you. NOTE that not all of these tasks require medical certification
Select any jobs in each category that would interest you
Select any jobs in each category that would interest you




Provide the name and rank of a leader at the previous organization that we can contact


indicate the date that you started (approximate month and day are OK)
are you an active member

indicate the date that you became inactive (approximate month and day are OK)

Describe why you ceased to be active with that agency



Provide the name and rank of a leader at the previous organization


indicate the date that you started (approximate month and day are OK)
are you an active member

indicate the date that you became inactive (approximate month and day are OK)

Describe why you ceased to be active with that agency
check all that apply






Job History

List any jobs that you have currently or have had in the past

Name of Organization / employer / business. Leave blank if none


Using mm/dd/yyyy format, enter your start date as close as you can remember (doesn't have to be exact)

Using mm/dd/yyyy format, enter your day there as close as you can remember (doesn't have to be exact). Leave blank if you are still there








Name of Organization / employer / business. Leave blank if none


Using mm/dd/yyyy format, enter your start date as close as you can remember (doesn't have to be exact)

Using mm/dd/yyyy format, enter your day there as close as you can remember (doesn't have to be exact). Leave blank if you are still there







Name of Organization / employer / business


Using mm/dd/yyyy format, enter your start date as close as you can remember (doesn't have to be exact)

Using mm/dd/yyyy format, enter your day there as close as you can remember (doesn't have to be exact). Leave blank if you are still there







Name of Organization / employer / business


Using mm/dd/yyyy format, enter your day there as close as you can remember (doesn't have to be exact). Leave blank if you are still there







Name of Organization / employer / business


Using mm/dd/yyyy format, enter your start date as close as you can remember (doesn't have to be exact)

Using mm/dd/yyyy format, enter your day there as close as you can remember (doesn't have to be exact). Leave blank if you are still there







Name of Organization / employer / business


Using mm/dd/yyyy format, enter your start date as close as you can remember (doesn't have to be exact)

Using mm/dd/yyyy format, enter your day there as close as you can remember (doesn't have to be exact). Leave blank if you are still there







Name of Organization / employer / business


Using mm/dd/yyyy format, enter your start date as close as you can remember (doesn't have to be exact)

Using mm/dd/yyyy format, enter your day there as close as you can remember (doesn't have to be exact). Leave blank if you are still there







Name of Organization / employer / business


Using mm/dd/yyyy format, enter your start date as close as you can remember (doesn't have to be exact)

Using mm/dd/yyyy format, enter your day there as close as you can remember (doesn't have to be exact). Leave blank if you are still there







Name of Organization / employer / business


Using mm/dd/yyyy format, enter your start date as close as you can remember (doesn't have to be exact)

Using mm/dd/yyyy format, enter your day there as close as you can remember (doesn't have to be exact). Leave blank if you are still there







We are not here to judge. Help us understand the situation.