Antioch Volunteer Fire Department

Volunteering with Antioch Fire Department

When you volunteer, you get the training and guidance you need to keep our community and yourself safe. Complete the online form below or download a blank form to fill out later.

Applicant Requirements

18 years of age or older
High School diploma or GED
Valid Georgia driver’s license

Driving Information

You will need to provide Antioch VFD with a copy of your driving record from the Georgia Department of Motor Vehicles (DMV).

Do you have a valid driver's license?

Yes

State Issued

Health Information

Do you have any physical impairments which would prevent you from performing the duties applied for?

Yes

Availability to Respond

When would you normally be able to respond to emergency calls?

Day

Evening

Weekend

Other

Emergency Contact

In case of emergency, please notify:

Name*

Relation*

Address Line*

City*

State/Province*

Zip/Postal Code*

Phone *

Cell Phone *

Personal References

List three personal references other than relatives not living with you:

Reference 1

Name*

Address Line*

City*

State/Province*

Zip/Postal Code*

Phone *

Reference 2

Name*

Address Line*

City*

State/Province*

Zip/Postal Code*

Phone *

Reference 3

Name*

Address Line*

City*

State/Province*

Zip/Postal Code*

Phone *

Applicants Under 18 Years O fAge - Parent Or Guardian Approval Is Required!

Name of Parent or Guardian

Best time to contact

Phone

Date*

Name*

By signing this application and submitting this application for membership to Antioch Volunteer Fire Department, I hereby agree that all of the information contained in this application is true and correct, to the best of my knowledge. I understand that Antioch Volunteer Fire Department reserves the right to accept or deny my application for membership, as all applications must be reviewed and approved by the Board of Directors prior to acceptance. All information provided in this application remains confidential and secure within the Antioch Volunteer Fire Department Board of Directors.

DISCLAIMER: By typing your name, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.

Applicant Requirements

Your Information

Driving Information

Health Information

Availability to Respond

Emergency Contact

In case of emergency, please notify:

Personal References

List three personal references other than relatives not living with you:

Reference 1

Reference 2

Reference 3

Applicants Under 18 Years O fAge - Parent Or Guardian Approval Is Required!