Unity VFD

Interest in Volunteering?

Submit an interest form and a Unity VFD representative will be in touch to start the application process.

Date of Birth

Have you ever applied to or been a member at Unity VFD before?

Who may we contact in the event of an emergency? (Name and phone number)

Are you able to perform the essential functions of this volunteer position with or without reasonable accommodations?

Criminal History

If yes, please describe (If none, write N/A)

Consent for Background Check?

May we contact your current employer for reference?

Type of Membership for which you are applying

Senior Firefighter - Must be at least 18 years of age. Consists of Fire, Rescue, and EMS duties.

Junior Firefighter - 16 - 17 years of age. Consists of Fire, Rescue, and EMS duties with certain limitations regarding Pennsylvania Child Labor Laws and PA Jr Emergency Personnel Compliance Manual

Apprentice Firefighter- 14-15 years of age. Consists of Fire, Rescue, and EMS duties with limitations according to the State of Pennsylvania Child Labor Laws and PA Jr Emergency Personnel Compliance Manual

I, above mentioned applicant, do hereby submit this application for membership to the Unity Volunteer Fire Department of Plum Borough, Pennsylvania for the classification indicated above. I affirm that all statements made in this application are true and correct to the best of my knowledge. Any falsification of information will be grounds for separation from the department. I consent to a background investigation including a Pennsylvania State Police Criminal Background Check prior to my acceptance as a member and a PA Child Abuse Clearance after I am a member. If any record exists on the Child Abuse Clearance, this is grounds for separation from the department. I further affirm that if accepted, I will abide by all rules, regulations, policies, motions, and by - laws of the Unity Volunteer Fire Department. By typing your full name below, you are acknowledging this as your signature.