Piermont Fire Department -Empire Hose Co. # 1

Membership Application

Address *
Are you a Rockland County Resident
Are you a U.S. Citizen or hold a work Visa?
Do you live within (5) miles of the Piermont Fire Department
Have you ever been a member of a fire company?
Please provide a letter of good standing from your previous company signed and dated
What section of the Fire Department are you interested in ?
Are you willing to stand watch at an emergency scene for several hours during the day or night if asked to do so?
Will you keep your dues paid in advance?
Will you parade?
Have you ever been convicted of a felony?
Were you ever convicted of arson?