Application to be a volunteer or part time employee.
Thank you for submitting this form. Someone from our membership committee will be in touch shortly.
PLEASE READ BEFORE HITTING SUBMIT
I hereby authorize the membership committee of the Pleasant Hall Fire Department to conduct a complete
and thorough investigation of all information and/or records germane to my application. All information
released to the membership committee shall be kept confidential.
Any misleading or untruthful information may be cause for the rejection of application and
termination from the Department. After my introductory period, If I am found to be an unfit member,
it may lead to my termination. The Pleasant Hall Fire Department and their members can not be held
liable for my termination.
NOTE: There is a $10.00 nonrefundable application fee. If you are under the age of 18, a worker permit and parental permission slip must be attached to the application. A sponsor must be an acti