Black Rock Volunteer Fire Company


Upcoming Events

02/04/2019
Doughraiser Fundraising Event

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2019 Incidents
Jan 0
Feb 0
Mar 0
Apr 0
May 0
Jun 0
Jul 0
Aug 0
Sep 0
Oct 0
Nov 0
Dec 0
Total 0

Past Incidents
2018 382
2017 352
2016 442
2015 411
2014 392
2013 379
2012 372

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December 18, 2018
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Visitors Today
Jan 21, 2019
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Membership Application


Use the form below to apply for membership to the Black Rock Volunteer Fire Company. 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@brvfc.org. 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.

Required   Indicates Required Field
Contact Information
Date Submitted: 01/21/2019 0218
First Name: Required
Last Name: Required
Date of Birth: Required
Social Security Number:
Sex: Required Male
Female
Phone #: Required
Address 1: Required
Address 2:
City, State, Zip: Required
Email Address: Required
Drivers License Number and Class: Required
Occupation- Current Employer: Required
References (3):
Name, Phone Number, Relationship, Years Known
Required
Tell us about yourself:
Has your driver's license ever been suspended?: Required
If your license HAS been suspended please explain the circumstances.:
If not applicable type N/A
Required
Have you ever been convicted of a crime?: Required
If you HAVE been convicted of a crime please describe the circumstances.:
If not applicable type N/A
Required
Prior Training
Prior Firefighter Training?: Required Yes
No
Prior Training: Required None
Firefighter I
Firefighter II
Hazardous Materials Operations
Vehicle Rescue Technician
Water Rescue Awareness
Water Rescue Operations
Current First Aid, CPR & AED
Infectious Control, Bloodborne Pathogens
Pump Operations
Emergency Vehicle Operators Course
NIMS 100
NIMS 700
Upload Certifications:
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Any other training or experience?:
Membership Type
What type of membership are you applying for?: Required Firefighter
Live-In Firefighter
Stipend Firefighter
Junior Firefighter
Fire Police
Administrative
General Support

 

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Black Rock Volunteer Fire Company
Physical Address: 260 Green Tree Road
Oaks, PA 19456

GPS Address: 260 Green Tree Road
Phoenixville, PA 19460

Emergency Dial 911
Non-Emergency: 610-666-7965
Hall Rentals: 610-666-6400
E-mail: info@brvfc.org
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