EmailMe Form - Scanner Poster Application

Name *

First Last

Email *

We will communicate with you further through e-mail, so this field is very important. Please check your Bulk or Junk e-mail if you don't receive a response from us.

City *

State *

Zip Code *

Days Available *

Hours Available *

AM

PM

Graveyard

For specific Day/Hour availability, please enter information below.

What date are you able to start volunteering? *

MM / DD / YYYY

Do you have a scanner to monitor fire dispatch? *

Yes

No

Skills and Qualifications: Skills, Training, Awards (This doesn't have to be anything big, just something you excel in or good at and have knowledge) *

Technical Competence *

Motivation *

Briefly describe why you want to volunteer for Lake & McHenry County's FD Incidents. Anything else you'd like us to know? Add it here.

I hereby affirm that my answers to the questions on this application are true and correct and that I have not knowingly withheld any fact or circumstances that could, if disclosed, affect my application unfavorably. I understand that any false information submitted in this application may result in my discharge. This is a volunteer position and not a paid position. I also understand my volunteer position is subject to be removed if I fail to post calls for the page in the times I have selected unless I notify the head admin.

Do you agree with the terms and conditions? *

Yes, I agree.

Date *

MM / DD / YYYY