North East Joint Fire District

NOTICE:

Next Board of Fire Commissioners Mtg:  Wednesday, July 16, 2025, 7:00 PM @ 35 South Avenue, Enderlin Station

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APPLICATION FOR MEMBERSHIP

Webster Volunteer Fire Department, Inc.

35 South Avenue, Webster, NY 14580

The Webster Volunteer Fire Department, Inc and the North East Joint Fire District are equal opportunity organizations.  We do not discriminate on the basis of race, color, religion, national origin, age, gender, marital status, disability or any other status protected by law or regulation.  It is our intention that all qualified applicants are given equal opportunity, and that selection decisions are based on membership and volunteer position factors.

 

Required   Indicates Required Field
Last Name: Required
First Name: Required
Middle Name: Required
Street Address - Legal Residence: Required
City - Town: Required
Zip Code: Required
Primary Phone Number With Area Code: Required
Email Address: Required
How Long Have You Resided at the Above Address?: Required
How Long Have You Resided in New York State?: Required
Are You at Least 18 Years Old?: Required
Do You Have a High School Diploma or GED?: Required
Have You Ever Been a Member of any Fire Department, Fire Department Auxiliary or Emergency Squad?: Required
If "Yes" Please Provide Details: Required
Are You Currently Employed?: Required
If "Yes" Provide Employer Information Including Name of Employer, Occupation, Address of Employer, Telephone of Employer: Required
May We Contact Your Employer as a Reference?: Required
Please List the General Days and Times You Will Be Available to Volunteer and Respond to Calls. IE: Daytime, Evenings, Nights, Weekends, Etc.: Required
Position For Which You Would Like to be Considered: Required
Do You Know Any Members of the Webster Volunteer Fire Department Inc. That You Could Use as a Reference?: Required
If "Yes" Please List Them: Required
Signature:
Entering your full legal name in this field acts as your digital signature. 		Required
Date and Time of Application Submission: Required 07/10/2025 1158

Please note that a $10.00 application processing fee will be due at time of interview.

WITHIN THE FREEDOM OF INFORMATION LAW, ALL INFORMATION CONTAINED / OR OBTAINED HEREIN WILL REMAIN CONFIDENTAL AND WILL BE USED ONLY FOR INTERNAL MEMBERSHIP PROCESSING.

Failure to provide the information or authorizations will result in your application not being considered for membership.

The undersigned applicant affirms that the statements herein are true under penalties of perjury.

Webster Volunteer Fire Department, Inc. - North East Joint Fire District





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North East Joint Fire District
P.O. Box 361
Webster, NY 14580
Emergency Dial 911
District: (585)872-9526
District Fax: (585)486-1108
E-mail: info@nejfd.org
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