"... Your very professional and caring help was so important to me..."

from a grateful patient

We'd be delighted to consider your application.  Please fill out the form below (or download a  NVVFD Membership Application here).  An officer will contact you to arrange an interview.  At that time you'll need to provide the following materials:

 

 

  • Completed the Form below 
  • Drivers License
  • Social Security Number
  • Date of Birth 
  • Medical Examination (For Fire Company only.  As provided by your physician.  Cost will be borne by the NVVFD) 
  • Criminal Back Ground Check Authorization on the 2nd page of the NVVFD Membership Application
  • If joining as a junior member (under 18 years of age) you must submit parental approval in the form of a letter and a meeting with your parents and the membership committee. 

 

 

NVVFD Membership Application



I'd like to apply for membership in the (*)

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Full Name (*)

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Address (*)

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Home Phone Number

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Cell Phone Number

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Email Address (*)

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How long have you lived at your current residence? (*)

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If less than 3 years, where did you live previously?

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Who is sponsoring or recommending you to the NVVFD?

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Current Employer

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Do you have any physical limitations? (*)

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If so, please explain briefly here.

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Have you any previous experience as a Fire Fighter, EMT or other emergency responder? (*)

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If so, where and when?

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Please type the text you see in the box below (*)
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