SELLERSVILLE FIRE DEPARTMENT APPLICATION FOR 2026

1. Click ‘Get Form’ to open the application in our editor.
2. Begin by entering the date at the top of the form. Then, fill in your name, including last, first, and middle initial in the designated fields.
3. Provide your complete address, including apartment number (if applicable), city, state, and zip code.
4. Enter your date of birth and select your sex by checking the appropriate box.
5. Fill in your phone number, height, and weight as requested.
6. Indicate the type of membership you are applying for by checking one of the options provided.
7. Answer the questions regarding previous fire department memberships, motor vehicle operator’s license status, criminal history, medical treatment, hospitalization history, and any limitations on performing duties.
8. List three personal references who are not relatives or employers along with their phone numbers.
9. Ensure that two current members of the Sellersville Fire Department sign to recommend your application.
10. Finally, review all information for accuracy before signing. If under 18 years old, a parent or guardian must also sign.

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