Application

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Personal Information

First Name *

Middle Name

Last Name *

Email Address *

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Phone Number *

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Date of Birth *

Address * Format: Street Address, City, State ZIP (example: 123 Main St, Owings Mills, MD 21117 or 123 Fake St #11B, Owings Mills, MD 21117)

Application Questions

Question

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Position *

Select a position...

Have you ever been arrested? *

Please explain *

Please provide details...

Have you ever been convicted or received a plea or nolle prosequi for a crime? *

Please explain *

Please provide details...

Have you ever had any traffic violations or received PBJ in the last 5 years? *

Please explain *

Please provide details...

Have you ever been a member of any other Fire, EMS or Rescue Company (Career or Volunteer)? *

Please explain (name and years) and add LOSAP number if you have one *

Please provide details including company names, years served, and LOSAP number if applicable...

Do you have any training/certificates? *

Certificates/Training

Please select cert type(s) you possess...

MFRI FF1 ProBoard FF1 Maryland EMT NREMT Other

Why do you want to volunteer? *

Please tell us why you want to join our team...

Signature *

By signing, you confirm that all statements are accurate and true. False information provided will result in a rejected application. THIS IS A VOLUNTEER POSITION. The application fee is non-refundable $75 if you do not have active current MFRI FF1 or Maryland EMT. For active and current certs in Maryland, the application fee is waived. You will have to pass a Baltimore County drug test and a background check prior to volunteering. Minimum age is 16.

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Fire

Requirements (must be 16 years of age):

a. Minimum of 16 duty hours per month & 20 fundraising hours per year

b. Within first 90 days attend 3 company meetings and complete FEMA ICS, CPR & Blood Borne Pathogens courses

c. Within 1 year attend 6 company meetings and complete Firefighter 1 Course

EMS

Requirements (must be 16 years of age):

a. Minimum of 16 duty hours per month & 20 fundraising hours per year

b. Obtain EMT-B (approx 204 hrs) and attend 6 company meetings within one year probationary period

d. Complete three (3) FEMA Incident Command System online courses, CPR and Blood Borne Pathogens and attend 3 company meetings within 90 days

Associate

Requirements (must be 16 years old):

a. Minimum of 10 duty hours per month and 30 fundraising hours per year

b. Associate Members are not permitted to take any training classes or ride the apparatus

c. Attend three company meetings (2nd and 4th Monday of each month at 8pm) within 90 days and six meetings within one year

Application

Sign: Signature