Stevensville Volunteer Fire Department

New Member Questionnaire

(1) Do you have any commitments or responsibilities that might prevent you from
meeting the job requirements for the position you are applying for?
YES NO If YES, Please explain: .
.
.

(2) Do you have any relatives who are currently active members of the SVFD?
YES NO If YES, Who? .

(3) Have You previously applied for this or any other position with the SVFD?
YES NO If YES, When? .

(4) This department realizes the committal of resources necessary to remain a profi-
cient volunteer, therefore, we must request your anticipated length of service to the
fire department: . (estimated time)

(5) How long have you lived in Stevensville? Ravalli County? . .

(6) How much Time can you commit to the SVFD? .

(7) Proficiency is maintained by attending training. The current minimum training hour
requirements are listed in the department SOP’s (approx. 40-60 hrs annually), how-
ever proficiency may require significantly more hours than those listed. We do expect
you to attend all the training drills and meetings, as well as any special training needs
the position for which you are applying requires. Are you willing to commit sufficient
time to maintain this proficiency?
YES NO

(8) May we contact your current, as well as past employers for a reference check?
YES NO

Name: . Number: .

(9) Are there times when you may not be able to respond to calls? YES NO
If YES, Please explain: .

(10) Have you been convicted of a Felony in the last (5) years? YES NO
Any Felony Probation? If Yes, Please explain: .
.

(11) Have you been convicted of any moving traffic/DUI violations in the last (5)yrears?
YES NO If Yes, Please explain: .
.

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