Become a Volunteer

The Buckhannon Volunteer Fire Department is accepting applications for membership. To apply, please fill out the form below, or download the printable version to submit your application in person.

Applications will not be processed until the applicant speaks to a member of the fire department at the public safety complex. A representative from the department will contact you soon.

Application for Membership

Full Name

Phone

Driver's License Number

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Employment for Previous Three Years

Residence for Previous Three Years

Do you have any experience as a Firefighter?

Yes

If yes, list departments here:

Do you have any specialized training that would benefit you as a Firefighter?

Yes

If yes, describe here:

Explain briefly why you want to be a Firefighter:

Are you capable of performing the duties of a Firefighter, including but not limited to pulling hose into a burning building, carrying a generator, carrying jaws of life equipment, using an ax or pry bar, and capable of lifting at least 50 pounds?

Yes

If no, explain:

Have you ever been convicted of a crime?

Yes

If yes, explain:

Application MUST list two references. Please include telephone numbers.

Reference Name

Phone

By signing below, I certify the above information to be true and correct to the best of my knowledge. I furthermore authorize the Buckhannon Volunteer Fire Department to verify the information submitted as correct and also to conduct a background investigation to determine my suitability to be a Firefighter. I furthermore authorize the Buckhannon Volunteer Fire Department to conduct a check of my Driver’s License History with the West Virginia Division of Motor Vehicles.

Your Signature

Submission Date

Thank you for submitting your application. We will contact you regarding our decision or if additional information is required.