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Upcoming Events
May 27, 2024
2024 Collegeville-Trappe Memorial Day Parade

Aug 11, 2024
24th Annual Main Street Car Show-2024

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2024 Incidents
Jan 24
Feb 30
Mar
Apr
May
Jun
Jul
Aug
Sept
Oct
Nov
Dec
Total 54

Past Incidents
2023 321
2022 414
2021 391
2020 359
2019 365
2018 399
2017 356
2016 402
2015 303
2014 278
2013 288
2012 315
2011 314
2010 302
Total 4807

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April 11, 2013
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Feb 24, 2024
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Membership Application

Use the form below to apply for membership to the Collegeville Fire Company. After completing this form, a representative of the membership committee will contact you. In the meantime, feel free to come by and visit the station. Remember, no experience required! This form is also not a comitment to membership, our membership team will reach out to you and answer any questions you might have. We look forward to your application and would enjoy the opportunity to welcome you as a member of our team.

Once you complete entire form, hit the submit button at the bottom of the page!

Required   Indicates Required Field
Date Submitted: Required 02/24/2024 0812
Contact Information
First Name: Required
Last Name: Required
Date of Birth: Required
Social Security Number: Required
Sex: Required Male
Female
Phone #: Required
Email Address: Required
Current Address
Address : Required
City, State, Zip: Required
Years at Current Address: Required
Previous Address Information
Previous Address :
Years at Previous Address:
Driver License Information
Driver's License Number: Required
Class of Driver's License:
Please check all that Apply
Required A-CDL
B-CDL
C
M
Copy of License:
Please attach a copy of your license
Add files...
Has your driver's license ever been suspended?: Required
If your license HAS been suspended please explain the circumstances.:
Employment Information
Employment Status: Required Employed
Un-Employed
Retired
Self-Employed
Disability
Occupation & Employer Information:
Include Address; phone numbers and years employed
Required
Previous Employers:
References (3):
Please list Names & Phone Numbers and Email addresses
Required
Tell us about you
Community Activities:
Lions Club, Scouts etc.
Have you ever been convicted of a crime?: Required Yes
No
If you HAVE been convicted of a crime please describe the circumstances.:
Do you Physical Limitations that would prevent you from performing Firefighting duties: Required Yes
No
If Yes Explain Physical Limitations:
Prior Training
Prior Firefighter Training?: Required Yes
No
Prior Training-Type: Required None
Firefighter I
Firefighter II
Hazardous Materials Operations
Vehicle Rescue Technician
Water Rescue Awareness
Water Rescue Operations
Current First Aid, CPR & AED
Infectious Control, Bloodborne Pathogens
Pump Operations
Emergency Vehicle Operators Course
NIMS 100
NIMS 700
Upload Certifications:
Add files...
Current or Past Membership(s):
Are you a current or past member of another Fire / Ambulance / Rescue Department. (If yes explain & include references.)
Any other training or experience?:
Membership Type
What type of membership are you applying for?: Required Active 18+ years
Junior Firefighter - 16/17 years
Fire Police + 18 years
Contributing
Junior Firefighters:
Please attach working papers with this application. All Jr firefighter applicants and parents must meet with the Fire Chief
Add files...
Emergency Contact Information.
Name(s):
List Name or Names
Required
Address(s):
List in same order as names
Required
Cell Phone #'s:
List in same order as Names
Required
Home Phone #:
List in same order as Names if available. If none, use XXX-XXX-XXXX
Email Address(s) Of Emergency Contact:
List in same order as Name(s) If none available, use XXXXXXXXXXX
Investigation Authorization
Child Abuse Clearence: Required
Add files...
Approve Investigation/Background Check:
By clicking yes to the approve Investigation/background check, you authorize the appointed members of the Collegeville Fire Company No. 1, to invistigate all information contained within this application. This investigation will include a criminal history check, drivers license record check with any appropriate authority. And that you understand that this application my be reviewed any time, and that falsification of information my be grounds for disciplinary action, including and up to termination from the Collegville Fire Company No. 1
Required
Attach these two forms below: PA Criminal History Background Check: Child Abuse Clearance. Links Below.
PA Criminal Background Check: Required
Add files...

 

Pa Criminal Background Check

Child Abuse Clearence History Clearence Check

By clicking yes to the approve Investigation/background check, you authorize the appointed members of the Collegeville Fire Company No. 1, to invistigate all information contained within this application.  This investigation will include a criminal history check, drivers license record check with any appropriate authority.  And that you understand that this application my be reviewed any time, and that falsification of information my be grounds for disciplinary action, including and up to termination from the Collegville Fire Company No. 1

 

 

 





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Collegeville Fire Company
29 E. Fifth Ave
Collegeville, PA 19426

Emergency Dial 911
Non-Emergency: 610-489-4464
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