Event Schedule Event History Photo Gallery Race Registration Sponsors Casco Days Volunteers Visitors Firefighter Volunteers Firefighter Volunteer Application	Firefighter Volunteer Application Please fill out the form below and email it to us, or print it out and mail it in, to become a volunteer firefighter. We will get back to you shortly about your volunteer application. Casco Fire Department Volunteer Application NOTE: Please enter all dates as mm/dd/yyyy Date: Social Security #: Name: Phone: Street Address: Mailing Address: City: State: Zip: Email Address (required): Are you at least 18 years of age?: Yes No Previous address if less than three years Mailing Address: City: State: Zip: Present Employer Employer Name: Employer Phone: Employer's Address: Prior fire department experience: Previous department chief's name: Do you have a certificate in any fire courses?: Yes No If yes please list: Personal References (name, address & phone #) 1. Name: Phone: Address: 2. Name: Phone: Address: Driver's License: Have you ever been convicted of a traffic violation?: Yes No If yes, please explain: Have you ever been convicted of any violation of the law?: Yes No If yes, please explain: Do you have any physical restrictions?: Yes No If yes, please explain: Have you had a major illness or been operated on in the last five years?: Yes No If yes, please explain: Height: Weight: Hair color: Eye color: D.O.B: Who to notify in case of emergency Name: Relationship: Phone: Address: Insurance Beneficiary Name: Relationship: Phone: Address: Casco Days Casco Fire Association • P.O. Box 183 • Casco, ME 04015 info@cascodays.org