Apply for Company Membership

Join Our Fire Company - We're Excited to Hear from You!

We’re thrilled that you’re interested in becoming a member of our fire company. We welcome individuals from all backgrounds and walks of life to be part of our dedicated and supportive team.

To get started, please complete the application linked below. If you have any questions or would like more information, feel free to fill out the contact form - we’re happy to help!

Fillable PDF Version

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Legal Name: Last Name, First Name
E-Mail: Please enter the best contact email for you
Phone Number: Please enter the best contact phone number for you
Address: Please enter your home address.
Out of State Residency: Have you lived in any other state, besides PA, in the last 10 years? If you select No, you are swearing that you have been a resident of the Commonwealth of Pennsylvania for the past 10 years and that you are not disqualified from service based upon a conviction received		Select Below No Yes
Date of Birth:
Are you over the age of 18: All members must be at least the age of 14		Select Below I am over the age of 18 I am between the ages of 16 to 17 I am between the ages of 14 to 15
Do you have previous experience in the fire service?:		Select Below No Yes
If so, describe your experience: Only fill this out if you have prior experience in the fire service or any other emergency services field.
Membership Type: Please select which type(s) of membership you are interested in seeking Firefighter: A member who is an active firefighter Fire Police: A member who is active fire police (must be 18) General Member: A member who is a member of the company but is not fire police or a firefighter		Firefighter Fire Police Other (General Member, Admin, etc.)
Why do you want to join: Please briefly tell us why you are interested in joining our fire company
Previous Company References: If applicable, list a few references you have from previous fire companies you've served with
Additional Comments: If you have any additional comments you wish to add with your application, please write them here