EmailMeForm
Volunteer Membership Application
Metro Richmond Flying Squad Inc.
Date Application Submitted
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Name
First
Last
Driver's license #
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Address
*
City
*
Zip
*
Email
*
Cell Phone
*
Have you ever been convicted of a felony
*
Yes
No
If yes, please explain why:
Current Employer, if retired enter RETIRED
*
Your position
Supervisor's name
Supervisor's telephone number
Do you currently have a smart phone ?
Please select
yes
no
Have you ever been involved in any of the organizations below? Click all that apply.
PAID FIREFIGHTER
VOLUNTEER FIREFIGHTER
RESCUE SQUAD MEMEBR
BOTH PAID AND VOLUNTEER FIREFIGHTER
OTHER VOLUNTEER ORGANIZATIONS
If so, list name and location of each agency.
If you have had experience with any of the agencies above, please describe your duties. If you are no longer with them, please advise why.
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Please tell us a little about yourself and why you feel you would be an asset to the Metro Richmond Flying Squad. Please included current school attending.
*
How did you hear about the Metro Richmond Flying Squad?
*
Please select
Facebook
Word of mouth
From a friend or co-worker
Current member
Other
Emergency Contact
First
Last
Phone
###
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###
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####
Emergency Contact Address
City, State, Zip Code
2 Letters of Recommendation
Add File
Please provide 2 letters of recommendation
I, the undersigned parent or legal guardian of the above-named minor, give permission for my child to participate in the volunteer activities organized by the above-named organization. I understand the nature of the activities and believe my child is capable of participating safely.
I acknowledge that participation in volunteer activities may involve certain risks, including but not limited to physical activity, travel, interaction with equipment, and outdoor conditions.
I voluntarily assume all risks associated with my child's participation.
Paremt please type your name in the field below as an electronic signature
Applicant please type your name below as an electronic signature
Number
