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Volunteer Membership Application

  1. Bristol Fire Department Membership Application

    Fill out the information completely and accurately as possible

  2. Please indicate area of Interest

    Check your area of Interest

  3. Emergency Medical Services

    Check One

  4. Firefighting

  5. U.S Citizen*

  6. Type of Phone*

  7. Have you ever applied to a fire department?*

  8. Have you been convicted of any crime?*

  9. Please describe

  10. Qualifications

    No experience necessary, however list any qualifications you may have related to fire & EMS

  11. Has your EMS license or certification ever been revoked or suspended in any way?

  12. Please provide 3 references not related to you that you have known for at least 3 years

    Include name, address, and telephone number for each reference

  13. The information solicited in the above application is necessary to complete a background investigation, in order that the Bristol Fire Department & Division of EMS will have adequate information to complete their investigation.

    The next step in the process will require all interested persons to submit a copy of a photo ID and complete an authorization for background investigation to be conducted by the Bristol Police Department. This will be completed after the initial screening process.

  14. I hereby acknowledge this information is correct to the best of my knowledge and a background investigation will be required prior to preceding to the next step in the membership process.

  15. Please upload a copy of your driver's license for background check

  16. Please upload any credentials or certificates that may aid in the application process, such as EMT license or firefighting training

  17. Please complete and sign prior to submission

  18. Leave This Blank:

  19. This field is not part of the form submission.