Volunteer Fire/EMS Application

Fill out this secure online application to apply for membership with the Hartsgrove Volunteer Fire Department. Required fields are marked with *.

Step 1 of 5: Personal Information

Membership Type *

Cadet

Firefighter/Trainee

Ancillary Support

Personal Information

Full Name *

Date of Birth *

Primary Phone # *

Address *

City *

ZIP *

Previous Address

Time at Present Address

Time at Previous Address

Have you ever been convicted of a felony?