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Membership Interest Form
Thank you for your interest in serving your community as either a volunteer firefighter or EMT with Basking Ridge Fire Company and Emergency Medical Services.
To assist in the membership application process, please answer a few basic questions.
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* Indicates required question
Full Name
*
Your answer
Email Address
*
Your answer
Phone number (best to reach you on)
*
Your answer
Your Cell Phone Carrier
*
Your answer
Your Full Street Address
*
Note for Firefighting Applicants: Bernards Township is served by two Fire Companies (Basking Ridge Fire Co and
Liberty Corner Fire Company
). To ensure you join the fire department closest to your home, please click
here
to see a list of the streets served
by Basking Ridge Fire Company. EMS Applicants are welcome from throughout the Township.
Your answer
Your Drivers License Number
*
Your answer
Your T-Shirt Size
*
Your answer
Applying For / Interested in what type of Membership?
*
Firefighter
EMS
Both Firefighter/EMS
Support Functions
Are you currently certified as a :
*
Not Certified
Firefighter (in State of NJ)
EMT (in State of NJ)
Both Firefighter & EMS (in State of NJ)
Another State
Are you over 18 year old?
*
Yes
No
Is there anything else you would like us to know?
Your answer
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