Bedford County Fire and Rescue - Volunteer Application

In The News

February 5th 2010

EMS Recertification Requirements

I need to recertify my EMT what do I do?
As a Provider that is in need of recertifing, must meet the requirements of your agency OMD (Operational Medical Director) along with completion of OEMS CEU's and meet the BCOFR recertification requirements to ...

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February 5th 2010

Spring Fire Season & The 4 P.M. Burn Law

The Commonwealth’s 4 p.m. Burning Law goes into effect Feb. 15, 2010 – the start of spring fire season in Virginia.

This law prohibits burning before 4 p.m. each day (Feb. 15 – April 30) if the fire is in, or within 300 feet of, woodland, brushla...

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January 29th 2010

EMS Charts Mobile Overview

Attention EMS Providers:
Please review this tutorial before attending EMS Charts mobile training.
Training dates TBA

EMS Charts Mobile Overview...

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- Include this Tribute Box:
On Your Website
- Ways to Honor Fallen FFs
- Share a Memory on the:
Remembrance Banner
- For More Visit:
Weekend.FireHero.org

Volunteer Application

Become a Bedford County Public Safety Volunteer!

Bedford County currently has more than 750 dedicated volunteers staffing 24 fire and EMS agencies in 30 stations placed strategically throughout the county. Bedford County's Fire and Rescue volunteers are proud men and women who dedicate their time and talents to protect the lives and property of the citizens and visitors of our beautiful community. Trained to state and national standards, our volunteers respond to more than 5,000 EMS and 2,000 fire incidents each year.

Volunteers are people just like you who are willing to devote time every day to saves lives and property. You don't need to have prior training, just a desire to learn. There is always room for one more good person on our team. Becoming a volunteer will allow you to do things that you never imagined.

Because Bedford County's Fire Stations and Rescue Squads are staffed by volunteers, we cannot offer you a salary. But we can offer you much, much more...

All Fields are Required.

Applicant Information

First Name:
Middle Initial:
Last Name:
Address:

City/County:
State:
Zip:
Home Phone:	- -
Work Phone:	- -
Email:
Social Security #:	- -
Drivers License #:
Birth Date:
Occupation:
Employer:

Department you are applying for:

Fire Division:
Rescue Division:

EMS Certification:	None BLS Virginia EMT/B or EMT/E ALS Virginia EMT/I or EMT/P (Paramedic)

Previous Experience or Memberships (Fire or Rescue or Military):


Please list any physical, mental or emotional disabilities:


List any training or certifications that you have taken that would benefit you in Resue or Fire Department work (example: EMT/Firefighter Training, etc...:


Education

High School:
Highest Grade Completed:

College:
Highest Grade Completed:

Background Check

Are you willing to have a yearly drug screening and physical? No Yes

Convictions Other than violations committed as a juvenile (under 18 years of age), have you ever been convicted of any violation(s) of the law, felony or misdemeanor? No Yes
If yes, please explain:


CPS Complaint Have you ever been a subject of a complaint through the Child Protective Services? No Yes
If yes, please explain:


CPS Founded Complaint Have you ever been party of a founded complaint filed with Child Protective Services? No Yes
If yes, please explain:


Traffic Violations Have you ever been Convicted of any traffic violation? No Yes
If yes, please explain:


Awareness

How did you hear about Bedford County Fire & Rescue?

Newspaper County Website Friend/Relative Billboard Other: (Please specify)

References

Reference Address Phone #
Reference 1:
Reference 2:

The Last Question

Finally, please use this space to explain why you would like to be a Fire or Rescue Volunteer:


Certification

By pressing the "Submit Application" button, I certify that the information supplied by me in this application is complete and is true to the best of my knowledge and belief. I understand that misstatement of material facts will cause forfeiture of all my rights to any employment or result in dismissal from employment. I certify that all information provided on this application is true, accurate and complete. In addition, I understand that this certification authorizes the Department of Fire & Rescue to investigate my criminal and motor vehicle operation background to verify the information is correct. You will be required to sign a paper copy if you are interviewed. This will become an official, permanent record.

Upcoming Training

09/16/10
Skills Review...

11/07/10
Skills Review...

Wildfire Index

Current Wildfire Index

4 Very High

Last Updated:
07/06/10 9:16am

Wildfire Index

5 Extreme

4 Very High

3 High

2 Moderate

1 Low

From the Chief

Thought of the Day
January 1st. 2009

Bedford County currently has more than 750 dedicated volunteers staffing 24 fire and EMS agencies in 30 stations placed strategically throughout the county. Bedford County’s Fire and Rescue volunteers are proud men and women who dedicate their time and talents to protect the lives and property of th...

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