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Perry Township Fire Department

Perry Township Fire Department
Membership Application

To apply for membership please complete all questions prior to submitting the form.

APPLICANT INFORMATION
APPLICANT LEVEL OF EDUCATION
APPLICANT EMPLOYMENT HISTORY
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Reference #1
Reference #2
Reference #3
Please note that Perry Township Fire Department requires a background check.

I agree by signing that I give permission to Perry Township Fire Department to complete a full background check, call my employer for job verification, and to contact my references. I also certify that this application is completed with the correct and legal information to the best of my knowledge.