WVFD Online Application — Wethersfield Volunteer Fire Department

WVFD Online Membership Application

Name

First Name

Last Name

Address

Must Be a Wethersfield Resident

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Cell Carrier

Date of Birth

Drivers License State and Number

Are you a Veteran?

If yes, What Branch and Rank?

Occupation

Duties

Present Employer

Employer Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Employer's Phone Number

(###)

###

####

Length of Service

Work Schedule

Employment History, List Past Employer if at Current Employer Less than 5 Years

Past Employer

Position

Length of Service

Past Employer

Position

Length of Service

Past Employer

Position

Length of Service

Education History - Copies of Diplomas or Certificates Must Be Provided Upon Request

Name and Location of High School Attended

Did You Graduate?

Date Graduated

If Not, Have You Passed a GED Test? If So List Where and When.

List any Colleges, Trade Schools, or Fire Service Training Attended.

Please Include Name of School, Course/ Major, Dates Attended, and Degrees or Certificates Earned

Fire Service Experience

Do You Have Any Fire Service Experience?

If So, What Type?

If Yes, Name The Department

City/ Town/ State

Highest Rank Held

Years of Service

Training/ Certifications Obtained

References

Give The Name of One (or More) Members of The Department Whom You Personally Know

Give The Names of Two People, Not Department Members, and Not Related to You to List as References.

Please Include Names, Addresses, and Phone Numbers

Traffic or Criminal Violations

Have You Ever Been Convicted of a Felony or Misdemeanor Other Than a Minor Traffic Violation?

A conviction does not automatically mean that you cannot be taken as a member. The type of conviction and how long ago it happened is important. Give us all the facts:

Notice To Applicant: The completion on of this application does not indicate that there are vacant positions in the Wethersfield Volunteer Fire Department and in no way obligates the Town of Wethersfield. I understand that if I am offered membership in the Wethersfield Volunteer Fire Department of the Town of Wethersfield, such membership is contingent upon my supplying the proper identification and authorization documents required under the Immigration Control and Reform Act of 1986. I hereby authorize the Wethersfield Volunteer Fire Department to conduct a personal background investigation including school attended, former and present employers, residences, named references, criminal and motor vehicle record check in connection with my application for membership. I further understand that misrepresentation or omission of facts called for in the application process is cause for Lack of Acceptance or dismissal. Further, I understand/agree that membership is for no definite period and may be terminated at any me without any previous notice. I understand that I do not have a contract of employment and no one is authorized to make any such promise. Membership is contingent upon applicant passing a job-related physical examination and a drug test.

Upon Completion of This Online Membership Application You Will Be Contacted By The WVFD's Public Information Officer Who Will Help With The Application Process. The PIO may Request Additional Information and May Set Up an In Person Interview to Begin the Application Process.