Parkwood VFD

Parkwood Volunteer Fire Department

Membership Interest Contact Form

Parkwood VFD

If you are interested in joining PVFD, fill out and submit this form and a member of our recruiting team will contact you.

Get your name in for consideration for the next start date now!

First Name:
Last Name:
Date of Birth:
Sex: Male Female
Interest: EMS Fire Rescue HazMat Cadet/Explorer Program Administrative
Program Interest:

Describe any Fire, EMS, Rescue, or Hazmat experience or certifications you have. 

Medical Certifications: EMT-B EMT-I ParamedicNC EMS Certification #:
Fire Certifications: FireFighter I FireFighter II
HazMat Certifications: Awareness Operations Technician Speciailist
Rescue Certifications: ERT RT-VMR RT-Ropes RT-Trench RT-Swift Water
Other Details:

           

Please provide the following contact information:

Street Address:
Address (cont.):
City:
State/Province:
Zip/Postal code:
County:
Work Phone:
Home/Mobile Phone:
Email (Required):

If you are currently an active member of another Emergency Services Agency please list below:

How did you find out about Parkwood? 
Please explain above:

How would you prefer to be contacted? 

Initial Contact will be via email, please check regularly for essential communications.



After submitting, a member of the recruitment team will be in touch with you within 2 weeks.