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IAFF Local 794 Membership Application
Application to join IAFF Local 794 Newport News Firefighters Association
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* Indicates required question
First Name:
*
Your answer
Middle Name:
*
Your answer
Last Name:
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Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
What is your mailing address?
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Your answer
What is you personal email address? (.gov addresses will not be accepted)
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Your answer
What is you mobile phone number?
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Your answer
May the local send you SMS/ Text messages as a means of communication?
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Yes
No
What is your employee ID number (not your F-#)?
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Your answer
What is your hire date?
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MM
/
DD
/
YYYY
What is your current rank?
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Your answer
What is your current station and shift assignment?
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Your answer
Male or Female?
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Male
Female
What race (per US Census Bureau) do you identify with (you may select more than 1)?
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White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or other Pacific Islander
Required
Are you Hispanic or Latino?
*
Yes
No
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