Volunteer Application

Thank you for your interest in becoming a volunteer with the Terra Alta Volunteer Fire Department. Firefighting is an inherently dangerous activity, but one that saves lives and protects property. Our volunteers form a team that responds to emergencies, benefiting the entire community.

All volunteers must be at least 18 years of age and be a resident within the fire district.

*Please complete the following information. After completion, the submit button at the bottom will forward your information to a representative from the department. Someone will contact you to follow-up and schedule a detailed interview.

*Name:

*Address:

City: State: Zip:

*Home Phone: Cell Phone:

*Date of Birth: Age:

*eMail Address:

Please specify any current experience / training (check all that apply):
Firefighter Training
EMT
First Responder
CPR / First Aid

How did you hear about this position?

Do you know any active firefighters? Who?

* indicates required field