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Volunteer Membership Application - Mansfield Fire Department

  1. MFD patch - Copy

  2. Town of Mansfield_Charter Oak_FES_color

  3. PERSONAL INFORMATION

  4. Are you over the age of 18?*

  5. Do you hold a Valid CT Driver License?*

  6. Do you own or have regular access to a vehicle for use in responding to calls?*

  7. Have you ever been convicted of any felonies or misdemeanors:*

  8. I will be required to take training courses that are mandatory by the Mansfield Fire Department and Federal and state laws

  9. EMPLOYMENT HISTORY

  10. *If less than 2 years, provide name and address of previous employer

  11. EDUCATION & TRAINING

  12. REFERENCES

  13. Digital Signature

  14. Leave This Blank:

  15. This field is not part of the form submission.