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2017 Incidents
Jan 51
Feb 63
Mar 74
Apr 85
May 43
Jun 57
July 69
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Oct
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Total 568

2016 Incidents
Jan 55
Feb 43
Mar 68
Apr 82
May 70
Jun 61
Jul 73
Aug 59
Sep 40
Oct 57
Nov 60
Dec 62
Total 730

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Orange Volunteer Fire Company Application

The following information must be provided by or will be obtained on behalf of all applicants:

1. Criminal History Check
2. OEMS Background Check
3. Report Card (if still in High School)

Required   Indicates Required Field
Personal Information
Membership Type: Required
Last Name (Maiden): Required
First Name: Required
Middle: Required
Suffix: Required
Street Address: Required
City: Required
State: Required
Zip Code: Required
Email Address: Required
Phone Number: Required
Alternate Phone:
Marital Status: Required
Date of Birth: Required
Birthplace: Required
U.S. Citizen: Required
Social Security Number:
**If Social Security Number is not provided, you will be contacted to receive this information for background check purposes**:
Drivers License Number:
State Issued:
Have you ever been convicted of a traffic violation: Required
If yes, please explain the charge and disposition:
Have you ever been arrested, summoned into court as a defendant or indicted, convicted, fined, imprisoned, or placed on probation, or has any case been filed against you?: Required
If yes, please explain:
Education
High School Attended (Name and Address): Required
Graduate: Required
If not, please list highest grade completed:
Higher Education (College or University, City/State, Dates Attended, Major or Degree Awarded):
Employment
Present Employer (Please include Address, Phone Number, Immediate Supervisor and Occupation. If not employed, please type N/A): Required
Previous Employer (Include Address, Immediate Supervisors, Occupation. Please type N/A if no previous employer)): Required
Have you ever been forced to resign or dimissed from any position?: Required
Please explain if you answered yes:
Experience
Have you ever been a member of a fire department, rescue squad, or similar organization?: Required
Name and Address of Organization (If none, please type N/A): Required
Date(s) of service (Please type N/A if not applicable): Required
Reason for leaving (Please type N/A if not applicable): Required
Please list any certifications you may hold:
Medical History
Have you ever had an operation or been seriously injured?: Required
Explain if you answered yes:
Do you have any medical history we need to be aware of: Required
Please explain if you answered yes to previous question:
Do you wear glasses: Required
Any use of a hearing device: Required
References
Please list three people who are not related to you by blood or marriage who are familiar with your education or work experience (Name, Complete Address, Telephone Number):
1st Reference : Required
2nd Reference: Required
3rd Reference: Required
Additional
In a brief paragraph, state why you wish to join this department, what the department can gain from your membership and what you expect to gain from membership: Required
If you were referred by a current Orange Volunteer Fire Company member, who can we thank for the reference:

*By submitting this application, you signify that you have applied for membership to the Orange Volunteer Fire Company; that you have answered all questions truthfully and to the best of your knowledge; and that you fully understand that any intentional false statement may be grounds for dismissal from the department. Furthermore, you hereby grant to the Orange Volunteer Fire Company permission to contact my employer, references, and any other persons or agencies who may have knowledge of you, your skills, and your experiences as may be deemed necessary.





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Orange Volunteer Fire Company
P.O. Box 367
205 Caroline St.
Orange, VA 22960
Emergency Dial 911
Non-Emergency: (540)-672-1414
Station Fax: (540)-672-4304
E-mail: webmaster@orangevfc.com
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