Application

Are genuinely interested in helping your community and are considering joining the NPFD? We would be happy to talk to you. Please fill out the on-line application below and one of our officers will get back to you to set up an appointment for an interview as soon as possible. We appreciate the interest. Thank you.

Name *

First

Last

* Indicates required field

Address *

Line 1

Line 2

City

State

Zip Code

Country

Birthdate *

Sex *

Marital Status *

Wisc. Driver License # *

Please share your reasons for wanting to apply for membership below: *

Area of Interest *

Firefighter Emergency Medical Technician Both

Availability to respond: Please indicate when you would normally be available to respond to calls. If currently employed indicate your normal working hours. *

Contact Information

Email *

Phone Number *

NOTES:

PROBATIONARY PERIOD OF MEMBERSHIP IS ONE YEAR: During the first year each member must fulfill all requirements according to the Fire Department By-Laws.

PHYSICAL EXAMINATION: After acceptance of this application the department requires each applicant to file a certificate of physical fitness from such physician as the Fire Chief may designate.

COMMITMENT: The North Prairie Fire Department requests a commitment of at least three years from members. The department will seek reimbursement of training costs from those who serve less than three years.

Under Wis. Act 27, the North Prairie Fire Department has the right to perform a Background and Criminal History check on all applicants prior to the acceptance of your membership.

This application will be submitted to the Fire Chief via the internet. After submitting this application, an officer of the department will contact you to give you additional information, answer any questions you may have, and set up an interview. During said interview, you will be required to sign a copy of this application to grant authority to the NPFD Fire Chief to perform a Background and Criminal History check.

Submit