Archbald Hose Co.#1

380 Main St.

Archbald Pa. 18403

Application For Membership

    Thank you for considering our organization.    This application will point out some of the rules and requirements for membership here at Archbald Hose Co.#1. Please read and answer all questions. Your application will be put on hold if all questions are not answered.

Terms of Membership

    * You must be a resident of Archbald Borough.

      * You must successfully complete any training that is recommended by this Department within 13 months of joining

      *You will be on a probationary period for six months.

      * After your six months you will be voted on for active membership. At that time you will receive a pager and a key.

      * You will have all the rights and privileges as a regular member except voting and holding office.

Member Expectations

As a member of Archbald Hose Co.#1 you will be expected to:

      * Respond to at least 10% of fire calls throughout the year

      * Participate in all fund raising activities

      * Attend at least six monthly meetings per year

      * Attend in any work related projects.

Any violation of these or other Hose Co. #1 rules will subject to action by the trustees of Archbald Hose Co. #1.

For more information please visit us on the web at  www.Archbaldhoseco1.org

Name:                                                            

Date of Birth:           /             /            

Age: ________

Address: _____________________________

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Daytime Phone Number: (      ) ___________________

Evening Phone Number: (       ) ___________________

Have you applied for membership here before?   Yes ___ No ___

Have you ever been a member of another fire dept.? Yes__ No__

If yes, please list any previous experience: ____________________

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Have you ever been convicted of a felony? Yes ____ No ____

Please list three reference we may contact to inquire about you:

                    Name               Telephone                    Relationship

1. _______________           (    ) __________           _____________

2. _______________           (    ) __________            ____________

3. _______________           (    ) __________            _____________

Please explain your reasons for wanting to join:

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Signature: X__________________________        Date: ___/_____/_____

All new applicants must have their membership application sponsored by

a member of Archbald Hose Company #1.

Sponsor's name: ______________________________________________