Wagontown Volunteer Fire Company

Wagontown Volunteer Fire Company
 
Wagontown Volunteer Fire Company
Wagontown Volunteer Fire Company
 
Wagontown Volunteer Fire Company

2022 Incidents
Jan 40
Feb 36
Mar 35
Apr 26
May 24
Jun 20
Jul 36
Aug
Sep
Oct
Nov
Dec
Total 217

Past Incidents
2021 403
2020 373
2019 451
2018 377
2017 380
2016 363
2015 336
2014 358
2013 307
2012 319
2011 357
2010 306
2009 316

2022 Jobs
Working Fires 11
Pin Jobs
Water Rescue 1
Brush 5

Hall Rental
 
 
Knok Box Program
 

Web Counters
Website Visitors
Since
September 24, 2012
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Visitors Today
Aug 16, 2022
935

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Application for Membership

Required   Indicates Required Field
Application Info
Date/Time: 08/16/2022 2126
Type of Application: Required New
Reinstatement from Inactive Membership
Check Membership Applying for: Required Junior (under 18)
Active (age 18 & up)
General
Personal Information
First Name: Required
Middle Initial: Required
Last Name: Required
Other Names (Alias, Maiden, etc.):
Date of Birth: Required
Address: Required
City: Required
State: Required
Zip: Required
Telephone: Required
E-mail Address: Required
Marital Status: Required Single
Married
Widowed
Divorced
Additional Information
Do you have a Driver's License?: Required Yes
No
Number:
Class:
State Issued:
Emergency Contact
Contact Name: Required
Contact Relationship: Required
Contact Phone: Required
References
Reference 1:
Phone Number 1:
Reference 2 :
Phone Number 2:
Reference 3:
Phone Number 3:
Background Information
Have you been convicted or plead guilty to a misdemeanor/felony? : Required Yes
No
If yes, list all offenses and state date, place and action taken:
Training (Please submit copies of any certifications you hold for any EMS/Fire Training and course work completed including dates of completion and/or expiration.)
Please Include all training Including (Training Level) (MFRI / MIEMSS I.D. Number) (Completed or Expiration Date):
Please add copies of your certifications here:
Add files...
Employment
Are you currently employed : Required Yes
No
Place of Employment:
ADDITIONAL RESCUE SQUAD/EMS/ALS/FIRE INFORMATION
Are you a member of another Rescue Squad, EMS,ALS or Fire Department?: Required Yes
No
Have you ever been a member of another RescueSquad, EMS, ALS or Fire Department?: Required Yes
No
If yes, explain:
Attach a list of all Rescue Squad, EMS,ALS or Fire Department organizations to which you were either a paid and/or volunteer member. Include date (from/to), and any offices held:
Background Check Statement
I grant the Investigation Committee permission to perform investigative interviews, including background checks to obtain membership. Any findings may be made public at the monthly meeting and may have direct impact on my application for membership. : Required Yes
No




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Wagontown Volunteer Fire Company
P.O. Box 185
412 W. Kings Highway
Wagontown, PA 19376
Emergency Dial 911
Non-Emergency: 610-384-2770
E-mail: Info@wagontownfire.com
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