Join RCFD
Interested in joining our organization?  Please complete our short initial interest form. We will review your submission and follow up with any questions as well as potential next steps.
 
 
Membership Prospect Form
First Name
Last Name
Email
Mobile Number
Home Number
Current Address
Current City
Are you a United States Citizen?
Are you 18 years of age?
Parent/Guardian Name (required if under 18)
Parent/Guardian Email (required if under 18)
Parent/Guardian Phone (required if under 18)
Do you have any Fire/EMS training or experience? (Prior experience is not required)
Please list any Fire/EMS training or experience. Be as detailed as possible, including dates and past agencies.
Current Certifications (include any ProBoard or other accredited professional agencies)
Please describe any other relevant experience (military, health care, volunteer)
Have you been convicted of a misdemeanor or felony crime or currently facing charges
If Yes, please provide details
Why are you interested in volunteering with RCFD?
How did you hear about RCFD?
What member referred you? (if applicable)
Enter any questions you may have or additional information you would like us to know
Enter PIN
PIN =
Enter the answer to the math problem to submit this form.
This helps prevent spam.
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