NewBrook Fire and Rescue                          Volunteer Application
NewBrook Fire Department
698 Vermont Route 30
P.O. Box 77
Newfane, VT 05345

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Date of Birth *
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Employment Information
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Responsibilities
Supervisor
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Emergency Contact Information
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What would you like to do at NBFD? *
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Do you have any experience in the above, or any certifications? *
Available Days? *
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Available Night? *
Any restrictions (ladders, use of air-paks etc.) *
Are you a US Citizen
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Have you ever been convicted of a misdemeanor or felony offense or traffic charge?
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Do you have any pending charges against you at this time?
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If "yes" to above questions, provide full details here.
Please Note that misdemeanor, felony, or traffic convictions / offenses do not necessarily exclude you from membership with NBFD
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Do you have a valid Vermont drivers license? *
License number *
Short medical history *
Reference
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Reference
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NewBrook Sponsor *
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