Membership Application

Membership dues are $10 a year / prorated at the time of application submission. There is a $5 application fee that is non-refundable. Your application will be submitted to the membership the first month and placed on hold, at which time it will be given to the investigation committee to contact your references and to hold an interview with you at the station. Upon submission of your application a member will contact you to have your medical evaluation form filled out and all other pertinent forms filed prior to submission to the membership for a vote.  Voting is done on the following month from first submission. (2 months in total).

Applicants should live or work within the area of the Sparrowbush Fire District. As a general rule applicants shall be within a 10 mile radius of the Sparrowbush Fire District. This area includes the Tri-State area of NY, NJ, PA including Orange,Sullivan, Pike and Sussex Counties. 

Applicants are required by New York State law to submit to the County Sheriffs office a Background investigation for Arson Convictions. You will be asked fill out a form prior to election to the Department to be submitted to the Sheriff. Under state law no person may belong to a Fire Department in the State of New York if previously convicted of Arson.

 

Volunteer Application
 

Your Full Name:
Your Address:
City:
State:
Zip Code:
Telephone (Day):
Telephone (Evening):
Email Address:
Applying for Active, Junior or Social Membership:
Have you ever held membersip in this or another department:
If yes, list previous department with contact person name and phone number:
List any previous Fire/EMS training/experience you may have:
List any hobbies you believe may benefit the FD:
Have you ever been convicted of a Felony:
If yes please explain, (Note: A Felony conviction does not automatically disqualify you from membership.):
Do you agree to have be fingreprinted if asked to do so:
Why do you want to join the Sparrowbush Fire Department:
List three references with phone numbers:

 

© 2019 Sparrowbush Engine Company