Avalon Volunteer Fire Company

Full Name

Date of Birth (MM/DD/YYYY)

SSN#

Address

Home Phone

Cell Phone

Driver's License Number

Driver Linense Endorsements

TexDriver Linense Class

Martial Status

Occupation

Employer

Employer's Number

Work Shift

Do you have a Criminal Record

Yes

If yes explain

Can you pass all background checks: Criminal and Child Clarence

Yes

Did you serve in the Military?

Yes

If so, what branch?

Type of discharge

Years served from

Any previous firefighting experience

Yes

If yes name of previous company(s)

Previous Chief and their Phone number

Completed Fire School?

Yes

Any other qualifications?

1) Character Reference

2) Character Reference

By typing your full name and date you agree to: Any false statement made on this application could lead to an unfavorable report by the membership committee and cause rejection of the application. The AVALON VOLUNTEER FIRE COMPANY has the right to accept or reject any application for any reason for the better of the company! I have read and understood the statement of this application, and to the best of my knowledgement, the above information I have given is true. Also give permission to do a check on all that was given!

There is a $20.00 Application Process Fee Due at the time of joining. (will be refunded at the time of passing background checks)

AVALON Volunteer Fire Company

Officers

Chuck Berie

rOB ENSMINGER

Bill Silay

Sam Lundy

James kenney

Dan cooper

Bill Fisher

We are always accpeting New Members

Avalon V.F.C. Application

Thank you!

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Business Hours

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