Interest Form - Basking Ridge Company No.1

VOLUNTEER / FORM

INTEREST FORM

Interested in volunteering?

Fire and EMS membership requires a significant time commitment and is not suitable for those seeking temporary volunteer opportunities.

"*" indicates required fields

First Name*

Last Name*

Email*

Phone Number*

Do you live within our service area?*

See the list of streets served

Birthdate*

You must be at least 16 years old to qualify for Junior Membership.

NOTE: Junior membership is capped at a maximum of six (6). We no longer accept applications from high school students after May of their junior year, unless they are already certified EMTs.

Address*

City*

State

Zip Code

Please enter a number from 00000 to 99999.

NOTE: New applicants who live 10+ minutes from the station may need to commit to scheduled in-station duty time.

Area(s) of Interest

Current Certifications