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Application for Firefighter

Hello and welcome to the Troy Fire Department Volunteer Fire Fighter Application page! Please answer the below questions to determine your eligibility to apply as a volunteer firefighter. Should you meet the prerequisites, you will have an opportunity to complete the remainder of the application. Understand that as a volunteer firefighter, you will not receive direct monetary compensation for volunteering.

Application Date

Prerequisites

I am a minimum of 18 years old:
Yes No

I currently live or work within 3 miles of a Troy Fire Station:
Yes No

I possess a valid MI driver's license:
Yes No

I possess a high school diploma or equivalent:
Yes No

Name

First:

Middle:

Last:

Date of Birth Date of Birth:

Address

Present Address

Street Number & Name:

City:

State:

Zip:

Years: Months:

Prior Address

Street Number & Name:

City:

State

Zip:

Years: Months:

Phone Numbers (Choose Preferred)

Home:

Work:

Cell:

Email Address

Enter email address:

Confirm email address:

Availability

I am able to respond to incidents during: Day Night

Between the hours of and

I will be responding from my place of employment

I am able to obtain written authorization to respond from my employer

Education

(Provide copies of diploma, GED, certifications, etc...)

High school

School Name:

City:

State

Last Grade Completed:

Delete School?

You have information entered for this school, do you really want to delete?

Military Experience

Are you an Armed Forces Veteran Yes No

Branch of Service:

Years Served:

Rank:

Type of Discharge:

Background Information

Are you currently under indictment for a felony warrant(s) Yes No

Explanation:

Have you ever been convicted of a felony Yes No

Charge(s) Court(s) Date(s)

Have you ever been arrested, detained, or taken into custody in this state, in any other state, in military service, or elsewhere for a felony or a misdemeanor; or were you ever investigated by a law enforcement or governmental agency? Yes No

Explanation:

Do you possess a means of reliable transportation? Yes No

Number of traffic tickets (excluding parking tickets) you have received in the last five (5) years:

Has your driver's license ever been suspended or revoked Yes No

Have you ever been involved in an accident Yes No

How Many:

Were you judged at fault in any accident Yes No

Employment History

Current Employer

Company Name:

Length of Employment: Years : Months :

Street Number & Name:

City:

State

Zip:

Name of Supervisor:

Phone Number:

Type of Work:

Typical Work Hours:

Typical Days Worked:

Were you ever subject to DISCIPLINARY ACTION in connection with this employment Yes No

Explanation:

Delete Employer?

You have information entered for this employer, do you really want to delete?

Ability to perform job functions

Are you able to perform the following tasks with or without accommodation?

Climbing: Yes No

Lifting: Yes No

Wearing of Breathing Apparatus: Yes No

Training & Skills

Do you currently possess Michigan Firefighters Training Council Certificates for Firefighter I & II: Yes No

List any training or skills which you feel would be an asset to the Department:

Referral

How did you hear about becoming a volunteer firefighter? (Check all that apply)

Email Notification
Newspaper
Paper Name:
Social Media (Facebook, Instagram, Twitter, etc..)
Troy Firefighter
Firefighter's Name:
World Wide Web
Website Name:
Other
Describe:

Sworn Statement I hereby certify that the information contained herein is complete and correct to the best of my knowledge. I understand that falsification of information, or failure to disclose material facts, are grounds for refusal to hire or, if hired, immediate dismissal.

Prerequisites not met

Thank you for your interest in becoming a City of Troy Volunteer Firefighter, but at this time you do not meet the minimum prerequisites.

City of Troy

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Application for Firefighter

Present Address

Prior Address

High school

Delete School?

Current Employer

Delete Employer?

Prerequisites not met

Error Submitting Application

Submitting Application