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DONATE to the Rescue Squad
History & Tradition
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Division of Fire Prevention
Division of Training & Safety
Event/Training Calendar
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Photo Gallery
Video Gallery
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Apparatus & Equipment
Department Services
LISTEN LIVE ONLINE!
Contact Information
Web Links
FAQ
e-mail me
Williamson County Fire/Rescue Online Application
Name *
Address *
Mobile Phone *
E-mail Address *
Have you included a valid e-mail? PLEASE NOTE: A valid e-mail address must be included for this application to be accepted. *
Social Security Number *
Date of Birth *
Have you ever applied for Squad membership before? *
If Yes, give date.
Have you ever been convicted of a Felony? *
If Yes, Explain. *
Do you have a Valid driver's license? *
If Yes, List state of issuance and number. *
Are you currently Employed? *
Employer. Beginning with most recent. *
Address *
Telephone *
Job Title *
Duties *
From: *
To: *
May we contact for a reference? *
Employer
Address
Telephone
Job title
Duties
From:
To:
May we contact for a reference?
Employer
Address
Telephone
Job Title
Duties
From:
To:
May we contact for a reference?
High School Attended *
Address *
Did you Graduate? *
College or University
Address
From:
To:
Degree or Certificate Earned?
Other Skills or Qualifications
Licenses or Certifications (list license numbers & expiration dates, if applicable)
Have you successfully completed TFACA's 64 hour Basic Live Fire Course? (Must e-mail Certificate to training@wcfire.com) *
Do you currently hold an active State of Tennessee Medical License (Emergency Medical Responder or higher?) *
If so, What is your current level of licensure? *
Reference #1 *
Telephone *
Years known *
Reference #2 *
Telephone *
Years known *
Reference #3 *
Telephone *
Years known *
I certify that to the best of my knowledge and belief, all of the information and statements provided by me in and with this application are true, correct and provided in good faith. It is understood and agreed upon that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and / or separation if I have been accepted. I give the Williamson County Rescue Squad the right to investigate all references and to secure additional information about me. I consent to the release of information about my ability and fitness for membership by employers, schools, law enforcement agencies and other individuals and organizations. I hereby release from liability the Williamson County Rescue Squad and its representatives for seeking such information and all persons, corporations, or organizations for furnishing such information.
Online Signature (Print Name): *
Date *

 

|Welcome Page| |DONATE to the Rescue Squad| |History & Tradition| |Department Operations| |Division of Fire Prevention | |Division of Training & Safety| |Event/Training Calendar| |Membership Opportunities| |Photo Gallery | |Video Gallery| |Find Your Fire Station| |Apparatus & Equipment| |Department Services| |LISTEN LIVE ONLINE!| |Contact Information| |Web Links| |FAQ|