Electronic Application
Coraopolis Fire Department Membership Application
Answer all questions within the application. If no answer can be provided for a question, type "N/A". Ensure that all information entered is correct as this will be the information used to contact you regarding the status of your application. We look forward to you becoming a part of our team!
First Name
Last Name
Middle Initial
Street Address
Apartment/Unit #
City
State
Zip Code
Date of Birth
Last 4 digits of Social Security #
Drivers License #
Are you a U.S. citizen?
Have you ever been convicted of a felony? If so, explain.
Are you in High School?
Year of Graduation or Expected Graduation
Additional Education Information (College, Trade School, etc.)
Professional Reference #1 (Name, Phone #, Email, & Relationship)
Professional Reference #2 (Name, Phone #, Email, & Relationship)
Professional Reference #3 (Name, Phone #, Email, & Relationship)
Do you have any firefighting experience?
Provide some details on your previous experience. If none, type N/A.
Are you a veteran or currently active military?
Provide some details on your military experience. If none, type N/A'.
Enter PIN
PIN =
Enter the answer to the math problem to submit this form.
This helps prevent spam.
August 2022
S
M
T
W
T
F
S
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Wednesday, August 3rd, 2022
Mutual Aid to Neville Township for a railroad vehicle on fire
Thursday, July 7th, 2022
picture
New Rescue Engine 1 was loaded with hoses and air packs last night and is now in Service
Allegheny County Fire Academy
Butler County Fire Academy
Valley Ambulance Authority
Facebook timeline

© 2022 Coraopolis Volunteer Fire Department