FiveAlarm Volunteer Fire Dept.
Serving our community since 1952
Application

Membership Application – Department

Please complete all required fields. We’ll contact you after review.
Address: 123 Main St, Hometown, ST 12345
Phone: (555) 555-5555
Date
January 12, 2026
Initials
 
Reviewed by
 
Applicant information
As it appears on your ID.
 
We’ll send confirmation here.
Mobile preferred.
Primary residence.
You must be at least 16 years old to apply.
Background
Optional, but helpful.
Statement of interest
Company (optional)
Cancel
Signature (E-Sign)