Application for Volunteer On-Call Firefighter

This online application is used only as a tool to notify the Presque Isle Fire Department
of your interest in a Volunteer On-Call position. Before acceptance in a Volunteer On-Call position,
You will be called upon to come in to the fire department to validate the application process with a signature.

Todays Date:
Complete Name:
Address:
Telephone Number:
Social Security Number:
Drivers license Number:
Drivers License State:
Are you over 18 years of age:	Yes No
Is this your first application with PIFD:	Yes No
Have you ever been employed by PIFD:	Yes No
May we contact your current employer:	Yes No
Have you been convicted of a felony within the last 7 years:	Yes No
If you chose yes to previous question, please explain:
When are you available for this position:
Why do you want to be a member of PIFD:
Please list any specialized skills:
Please list any additional information that may be helpful:
Reference 1 - Please list Name, Address and Phone Number:
Reference 2 - Please list Name, Address and Phone Number:
Reference 3 - Please list Name, Address and Phone Number:

By clicking the submit button, I certify that the answers given herein are true and complete to the
best of my knowledge. I authorize investigation of all statements contained in this application as may
be necessary in arriving at a decision in my acceptance on the Volunteer On-Call Fire Department.
I authorize an investigation of my background and to check my drivers's license for any violations

I further understand that my acceptance as a Volunteer On-Call Firefighter does not constitute an
employment relationship with the City of Presque Isle and that I must abide by all Standard Operating
Procedures, Rules and Regulations as they apply to Volunteer On-Call firefighters