Volunteer Fire Department Located in Franklin Township, NJ

Proud To Serve the Community Since 1916

Dedicated to Protecting Life and Property

in the Heart of Franklin Township

Copy of Pink and Green Abstract Tote Tray Labels_page-0001

For more info: middlebushtrickytray2024.eventbrite.com

MIDDLEBUSH VOLUNTEER FIRE DEPARTMENT
APPLICATION FOR MEMBERSHIP

www.middlebushfire.com (732) 873-2399 I hereby make application for active membership in the Middlebush Volunteer Fire Department, Inc. by giving the following information about myself.I understand that an active member is expected to take an active part in all of the activities of the department, which includes attending meetings, answering fire calls, attending drills,and performing duties assigned to me.

Office Use Only ID#: 44-_____

Name

Home Address

Email

City/St/Zip

Cell #

Work Tel #

Email

Date of Birth
MM slash DD slash YYYY

Valid Driver's Lic. #

Employer

Address

Occupation

References

Address

Tel #

1. Were you a member of any fire co. before? If so, what office did you hold, if any? Also, any other helpful information.

2. Do you have any firefighting education or training? Give details.

3. Do you have any physical disabilities, which may prevent you from performing fire-fighting duties? Give details.

4. Explain briefly why you want to become a volunteer fire fighter.

5. Have you ever been arrested or convicted of any crime? Give details.

6. The information on this application is valid and correct to the best of my knowledge. I hereby authorize the department to investigate any and all statements contained herein.

Signature

Date
MM slash DD slash YYYY

On approval of this application by the Company, you will be accepted as a Probationary Member.

Phone
This field is for validation purposes and should be left unchanged.

Join Now

Mission

The Middlebush Volunteer Fire Department has been providing VOLUNTEER service to the community since 1916. We currently provide fire protection and rescue services to the residents of Middlebush with pride and dedication.

Learn More

2023 - Call Statistics

January
58
58

February
77
77

March
62
62

April
71
71

May
100
100

June
97
97

July
-
-

August
-
-

September
-
-

October
-
-

November
-
-

December
-
-

Prior Years

2022

2021
981
981

2020
801
801