Dover Fire Department
Membership Application
Entry Added!
General Information*
First Name*
Last Name*
Soc. Sec.*
Date of Birth*
Driver's License Information*
License #*
Expiration*
State*
Class
Contact Information*
Address*
City*
State*
Zip*
Email Address*
Home Phone
Cell Phone
Emergency Contact*
Full Name*
Relation*
Phone #*
Full Address*
Various Questions*
Do you have Previous Fire Service Experience?*
Yes
No
Have you ever been convicted of a crime other than minor traffic violations?*
Yes
No
If yes, please Explain
Membership Type are you Applying for?*
Mascot Member - Must be 13 yrs of age & nominated from company floor
Auxiliary Member - Must be 16 yrs of age
Probationary Member - Must be 21 yrs of age - Auxiliary may apply at 19 yrs of age
Honorary Member - Nominated from company floor
Associate Member - State Service to be provided to the Company
Education & Training*
High School
Dates Attended
Did you receive a high school diploma?
Yes
No
College/University
Dates Attended
Did you receive a college degree?
Yes
No
Other School
Training & Skills
Military Service*
Have you served in U.S. Armed Forces?*
Yes
No
Branch
Date Entered
Date & Type Discharge
Final Rank
Employment History*
A Resume May Be Attached As A Supplement To, BUT NOT IN LIEU OF, THIS SECTION. List All Jobs During The Last Ten Years.
Start with your Current Employment
Employer 1*
Employed From/To
Supervisor
Address
Phone Number
Job Title
Work Performed
Reason for Leaving
Employer 2*
Employed From/To
Supervisor
Address
Phone Number
Job Title
Work Performed
Reason for Leaving
Employer 3
Employed From/To
Supervisor
Address
Phone Number
Job Title
Work Performed
Reason for Leaving
References*
Full Name*
Phone #
Address
Years Known*
Occupation
Full Name
Phone #
Address
Years Known
Occupation
Full Name
Phone #
Address
Years Known
Occupation
If you have previous fire service experience, please list the Company, Location, Phone No., and achievement(s).
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April 19, 2021
Board of Directors Meeting
May 3, 2021
Company Meeting
May 17, 2021
Board of Directors Meeting
June 7, 2021
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Dover Fire Department
Headquarters
103 S. Governors Ave
Dover DE
302.736.7168
Chiefs Office:
302.736.7167
Fire Chief's Assistant:
Carter Knotts
302.736.4242
Dover Fire Department
Station 2
911 Kenton Road
Dover DE
302.736.7168
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