Use the form below to apply for membership to the Beltsville Volunteer Fire Department. After completing this form, a representative of the membership committee will contact you. In the meantime, feel free to come down and visit the station. If you have any additional questions, please feel free to email membership@beltsvillevfd.com. 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.

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Contact Information
First Name:
Last Name:
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Age:
Sex:		Male Female
Phone #:
Address 1:
Address 2:
City, State, Zip:
Email Address:
P.G. County Transfer?:		Yes No
Station #: Indicate station you are transferring from. Leave blank if not a transfer.
Occupation:
Tell us about yourself: Help us get to know you a little better. Are you currently involved in the fire service outside of Prince George's County, MD? What got you interested in volunteer fire/ems? Tell us something about yourself.
Prior Training
Prior Fire/EMS Training?:		Yes No
Prior Training:		None EMT Maryland EMT NREMT Firefighter I Firefighter II IFSAC/Pro-Board Firefighter I IFSAC/Pro-Board Firefighter II Maryland EVOC
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Any other training or experience?:
Membership Type
What type of membership are you applying for?:		Firefighter/EMT EMT Only Live-in Firefighter/EMT Live-in EMT Only Junior Firefighter/EMT (under 18) Junior EMT (under 18)
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