Membership Application - Guilderland Fire Department

Application for Membership

First Name *

Last Name *

Date Of Birth *

Phone *

Email *

Home Address

Street Address *

Apt, suite, etc.

City *

State *

Zip Code *

Membership Type *

FIRE/EMS TRAINING (NOT REQUIRED FOR NEW MEMBERS)

List any relevant fire, rescue or EMS training, this is NOT required for new members but is required for live-in applicants. If you do not have any training, enter "N/A." *

Why are you interested in joining the Guilderland Fire Department?

How did you become interested in the fire service? *

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