Application - Bacliff Volunteer Fire Department

Bacliff Volunteer Fire Department
600 Grand Ave. Bacliff, TX 77518
281-339-2880
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Application

PERSONAL INFORMATION









 yes








TYPE OF MEMBERSHIP

EDUCATION



EMPLOYMENT





LEGAL RECORDS

A conviction record will not necessarily disqualify you from membership. Each conviction will be considered with respect to the recency, nature of crime, job relatedness, and other relevant factors. All information will be held in strict confidence and verified through court records.




ABOUT YOU:

HEALTH

 Excellent
 Good
 Fair
 Poor


 Yes
 No


 Heart Trouble Respiratory Trouble
 High/Low Blood Pressure Hearing
 Vision Alcoholism
 Diabetes Drug Abuse
 Hypertension Mental

 Yes
 No




Legal Questions

 Yes
 No

 Yes
 No

FIRE SERVICE OR MEDICAL EXPERIENCE















 yes
 no




I certify that my answers on this application are true and correct to the best of my knowledge. If accepted, I agree to abide by the rules and regulations as set forth in the constitution and bylaws, SOG's, SOP's and to qualify myself by study of rules of a first class firefighter. It is understood that there can be up to sixty (60) day waiting period to allow the Bacliff Volunteer Fire Department time to complete a background check, to aid in determining my suitability as a member of this fire department. It will be my responsibility to update the information on this application every two (2) years or as often as is necessary.


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