Volunteer Application Name (required) Phone (required) Email Address (required) For which position(s) are you applying? (required) Recruit (non-certified) Firefighter 1 Firefighter 2 Engineer (Driver/Operator) Other Are you 18 years or older? (required) Yes No Have you graduated from high school or received a General Education Certificate (GED)? (required) Yes No Have you completed Incident Command training? None IS-700 IS-800 ICS-100 ICS-200 ICS-300 ICS-400 Please select your level of certification: None / Non-Certified OSHA Firefighter Firefighter 1 (IFSAC or ProBoard Certified) Firefighter 2 (IFSAC or ProBoard Certified) Fire Instructor Fire Officer 1 (IFSAC or ProBoard Certified) Fire Officer 2 (IFSAC or ProBoard Certified) Fire Officer 3 (IFSAC or ProBoard Certified) Fire Inspector 1 or 2 (IFSAC or ICC Certified) Driver Training: None EVDT Pump Ops 1 Pump Ops 2 Aerial Ops What is your level of medical training? None CPR/AED EMR EMT-B EMT-P Other Just a few more: Auto Extrication HazMat Ops HazMat Technician None of these Are you able to safely and physically perform the essential job task required of the job? (required) Yes No I am unsure of the requirements or my ability to meet them. Are you currently employed or a member of another fire department? (required) Yes No If you answered "yes" to the question above, please provide some datails including department, position and supervisor: Why do you want to become a member of Pine Ridge Fire Department? Is there anything that you would like us to know? There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
