Member Application

APPLICATION FOR MEMBERSHIP

Loading










  • - -
  •  - 
  • EDUCATION


  • GENERAL INFORMATION

  • FIRE DEPARTMENT INFORMATION



  • EMPLOYMENT







  • / /
  • Previous Employer (if less than 3 years with present employer)

  • MEDICAL AND EMERGENCIES



  • Notify in Case of an Emergency

  •  - 
  • BACKGROUND INVESTIGATION





  • Acknowledgement

  • Fairfax Volunteer Fire Department
    Statement of Commitment

    As a member of the Department, I hereby make a commitment to:

    • Attend monthly membership meetings.
    • Attend scheduled training sessions.
    • Participate in assigned Bingo sessions.
    • Perform a minimum of 20 hours duty/staffing per month.
    • Become “minimum staffing” certified on Suppression and EMS 
    • apparatus within two years.

    As a member, I understand that I must abide by the by-laws and rules and regulations of the Department, and that I am subject to suspension or expulsion if I fail to do so.  Some causes for dismissal from the Department include:


    • Failure to complete training or maintain certification for Firefighter I/II, Emergency Medical Technician or (CPR). 
    • Failure to perform minimum duty/staffing hour requirements.
    • Failure to attend in-service or required training programs.
    • Breach of confidentially.
    • Unethical or illegal behavior.
    • Unwillingness to follow the directions of Department Officers
    • Discrimination by race, color, religion or sex.

    I should expect to stay in the local area for a minimum of 3-5 years. Successfully complete a thorough background investigation, including a criminal fingerprint check.

    Operational members MUST have a clean driving check.

    Participate in mandatory fund-raising activities and assigned bingo.

    Participate in department and/or corporate activities as needed to meet the needs of the department.
    Attend monthly membership/business meetings.
    Administrative members are expected to work at least 120 hours/year (10 hours a month).
    Operational members are expected to work at least 240 hours /year (10 hours a month) riding apparatus or otherwise engaging in operational activities, in addition to performing administrative or fundraising commitments.