Apply for membership

You do not need experience to join. We train new members, and there is a place for everyone: interior firefighters, drivers, EMS, and support members who help with fundraising, events, and the station.

Membership type
Applicant information
Employment
Emergency contact
Driver information
Criminal history
Previous experience
NIMS / ICS training
Certifications
SCBA medical clearance
Uniform and PPE sizes
Response area
Duty Crew membership
Interest areas
Parent or guardian
Documents
Probationary membership agreement
Social media and photo release
Certification and background check authorization

The application takes about 10 minutes. Questions marked * are required. Your answers and documents go only to department officers. Read how we protect them in our privacy notice. All members must be able to pass a background investigation as required by Virginia law.

Membership type

Select the membership classification you are applying for

Active Firefighter Active EMS Provider Driver/Operator Junior Member (age 16–17) Duty Crew Member (24-hour monthly duty commitment) Auxiliary Member Associate Member Life Member Other

Other membership type

Applicant information

Your Social Security number is used only for your background check. It is encrypted, and only officers with permission can see it.

First name

Middle name

Last name

Date of birth

Social Security number 9 digits

Driver’s license number If you have one

License state

Physical address

City

State

ZIP

Mailing address (if different)

Cell phone

Home phone

Email address

Preferred contact method

Phone Text Email

Employment

Employer

Occupation

Employer address

Work phone

Emergency contact

Name

Relationship

Primary phone

Alternate phone

Driver information

Do you have a valid driver’s license?

Yes No

License class For example: Class C, or CDL Class B

Do you have any driving restrictions?

Yes No

Explain your driving restrictions

Have you ever had your license suspended or revoked?

Yes No

Explain the suspension or revocation

Criminal history

All members must be able to pass a background investigation as required by Virginia law. Convictions do not automatically disqualify an applicant.

Have you ever been convicted of a felony?

Yes No

Have you ever been convicted of a misdemeanor involving violence, theft, fraud, or dishonesty?

Yes No

Explain

Previous experience

Have you served with a fire department, EMS agency, rescue squad, or public safety organization?

Yes No

Agency name

Position held

Dates of service

Reason for leaving If you served with more than one agency, list each one here.

NIMS / ICS training

Other NIMS / ICS training

SCBA medical clearance

Have you been medically cleared to wear SCBA?

Yes No

Date of last physical

SCBA fit test completed?

Yes No

Fit test date

Response area

Do you live within the Jarratt Fire & EMS primary response area?

Yes No

Distance from the station (miles)

Travel time to the station

Under 5 minutes 5–10 minutes 10–15 minutes 15–20 minutes More than 20 minutes

Are you interested in Duty Crew Membership?

Yes No

Duty Crew membership

Duty Crew Membership is for members who live outside the normal response area and want to stay active in the department. Duty Crew members agree to complete at least 24 scheduled station duty hours per month.

Are you applying for Duty Crew Membership?

Yes No

Your initials, agreeing to 24 scheduled duty hours per month

Preferred availability

Days Nights Weekends Flexible

Parent or guardian

Required for applicants under 18.

Parent or guardian name

Phone

I am this applicant’s parent or legal guardian and I give permission for them to apply.

Documents

Upload a photo or scan of each document. Phone pictures are fine as long as they are readable. PDF, JPG, and PNG files up to 10 MB each.

Copy of your photo ID Driver’s license, state ID, or passport

Copy of your driving record Virginia drivers can get one online from the DMV at dmv.virginia.gov

Certificates (fire, EMS, rescue, NIMS / ICS) Upload each certificate you listed above, one at a time, and say what it is. Use “Add another certificate” for more.

What is this certificate?

File

Probationary membership agreement

All new members serve a probationary membership period of ninety (90) days. During the probationary period, members are expected to:

Attend meetings and training
Learn department policies and procedures
Demonstrate professionalism and commitment
Complete required onboarding activities
Participate in department functions

If additional evaluation is necessary, the membership may vote to extend probationary status for one (1) additional ninety (90) day period. Reasons may include:

Insufficient participation
Incomplete training requirements
Performance concerns
Additional evaluation needs

I acknowledge and understand the probationary requirements outlined above.

Social media and photo release

Jarratt Volunteer Fire & EMS may use photographs and video of members for official department purposes, including recruitment, community outreach, public education, social media, and department publications.

Photo and video release

YES, I authorize use of my image. NO, I do not authorize use of my image.

Certification and background check authorization

I certify that all information provided in this application is true and complete to the best of my knowledge.

I authorize Jarratt Volunteer Fire & EMS to conduct a criminal background investigation, driving record review, and verification of information contained within this application.

Type your full legal name as your signature This signs the probationary agreement, photo release, certification, and background authorization above.

Date

You’ll see a confirmation on the next page. Privacy notice