Burkburnett.org

CITY OF BURKBURNETT
Tel: (940) 569-2263
Fax: (940) 569-4192
E-mail: burk@burkburnett.org

 
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- Fire Department Application

I hereby make application for active membership in the Burkburnett Volunteer Fire Department and, if elected, I agree to abide by and be governed by the constitution an dby-laws now in effect or as they may thereafter by amended.
Prefer regular mail? Use our Print Application.

Applicant:
Driver's License: State:
Age: Date of Birth: Social Security:
Home Address:
Phone:
Employer:
Business Address:
Phone:
Have you ever been charged and/or convicted of a felony? Yes No

The above information is true and correct, to the best of my knowledge. In submitting this application, I understand this information I am providing will be used to obtain criminal record information only. I, further, understand if any convictions appear I may be dismissed from the Burkburnett Vounteer Fire Department.

Prefer regular mail? Use our Print Application.

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