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Lower Providence Fire Department Member Application

Dear Applicant,

Let us take a moment to welcome you to the Lower Providence Fire Department and thank you in advance for your selfless service. You are taking a very courageous step in joining the ranks of your local fire department. Every position and role in a volunteer organization is vital to our success and we are grateful that you are showing an interest in helping the community. This cover letter will serve as a reference guide and instruction manual to inform and assist you in the application process.

Application Process:

 

Step 1. If you are over the age of 18 you must complete a Child Abuse Clearance Check.  This is obtained via the Child Line service https://www.compass.state.pa.us/cwis/public/home  and can be obtained online for free as you are applying for a volunteer position. Those under 18 please proceed to Step 2. 

Step 2. Prospective members between the ages of 14-17 will need to obtain valid working papers. Those over 18 please proceed to Step 3.

Step 3. Complete this online Application. Please be sure to attach your Child Line Check or Working Papers in the designated location(s). 

 

Your application will be automatically submitted to our investigating committee. The Committee will conduct an investigation consisting of a criminal background check, contacting provided personal and professional references, and a brief oral or virtual interview.

Prospective members for Cadet/Junior Firefighter ages 14 & 15 will need to obtain a physical and submit a Physical Fitness certification form prior to being eligible to participate in any Fire Company activities. (Form will be provided)

Prospective members for Fire Police will also need to obtain a physical and submit a Physical Fitness Certification Form prior to being eligible to participate in any Fire Company activities. (Form will be provided)

All applicants for firefighter ages 16 and older will be given an NFPA physical at the designated LPFD Vendor prior to being eligible to participate in any Fire Company activities.   

After this process has been completed your application will be proposed, with a recommendation from the committee to the Company Membership for a formal vote of acceptance into probationary status at our monthly meeting (every 3rd Monday at 7:30pm). Fire Police will need to be nominated into the Fire Police Unit as well.

If successful you will be responsible for your first year’s dues ($2.00) to the Financial Secretary and will begin a probationary period to last no less than six months. You will receive communications from the Committee notifying you of your probationary status.

The LPFD is an Equal Opportunity Organization and complies with all applicable Local, State, and Federal laws and policies regarding discrimination and complies to all the following but is not limited to:

Title VI of the Civil Rights Act of 1964, which prohibits discrimination based on race, color, or national origin (including limited English proficiency). • Section 504 of the Rehabilitation Act of 1973, which prohibits discrimination based on disability. • Title IX of the Education Amendments Act of 1972, which prohibits discrimination based on sex in education programs or activities. • Age Discrimination Act of 1975, which prohibits discrimination based on age. • U.S. Department of Homeland Security regulation 6 C.F.R. Part 19, which prohibits discrimination based on religion in social service programs.

Required   Indicates Required Field
Application Date:
Date of Application
Required
Membership Type :
Please select the member type you are applying for.
Required
Personal Information
Last Name : Required
First Name : Required
Street Address : Required
City: Required
State : Required
Zip Code : Required
Phone Number :
Primary Number
Required
Email Address :
Primary Email
Required
Date of Birth : Required
Child Line Certificate
Please Attach Child Line Certificate :
Add files...
Working Paper Attachment
Please Attach Working Papers:
Add files...
Employment Information
Current Employer :
Name of current employer (If applicable)
Your Position :
Employer Address :
Supervisor's Name :
Supervisor Phone Number :
Public Safety Experience
Experience :
Please List: Organization Name Date(s) of Involvement: Chief/Supervisor Name: Chief/Supervisor Phone Number:
Training/Certifications :
Please Upload Copies of any and all Training Records
Add files...
Personal References
Name - Reference One: Required
Phone Number - Reference One: Required
Years Known - Reference One: Required
Name - Reference Two: Required
Phone Number - Reference Two: Required
Years Known - Reference Two: Required
Name - Reference Three: Required
Phone Number - Reference Three: Required
Years Known - Reference Three: Required
Criminal Statement
Have you ever been charged with or convicted of a Felony Crime? : Required Yes
No
If yes, please provide a brief explanation of the charge(s) along with the current state of the case. :
Do you have any problems or reservations about the LPFD contacting your references, employer(s) and/or other public safety organizations? : Required Yes
No
Declaration
I hereby affirm that the information provided above is truthful and complete to the best of my knowledge. I give LPFD permission to investigate my criminal background and driving history, contact personal and professional references as listed above, as we: Required I affirm above information is correct
I have provided false information
Digital Signature :
Please type full name as your digital signature.
Required
Application Completion Date : Required 03/03/2025 1823
Parent/Legal Guardian Digital Signature :
If under the age of 18, Parental Approval needed- Full Name of Parent/Guardian.

Thank you again for your interest in becoming an asset to this department and your community! We look forward to serving beside you for many years to come.





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Lower Providence Fire Department
3199 Ridge Pike
Eagleville, PA 19403
Emergency Dial 911
Non-Emergency: 610-539-5408
E-mail: [email protected]
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